{
  "description": "Value set containing section codes for clinical document compositions (ED Notes, OT Notes, Discharge Summary, Cardiology Report). Uses LOINC codes where standardized codes exist, and Synapxe custom codes for sections without LOINC equivalents.",
  "compose": {
    "include": [ {
      "system": "http://loinc.org",
      "concept": [ {
        "code": "9269-2",
        "display": "Glasgow coma score total"
      }, {
        "code": "8716-3",
        "display": "Vital signs"
      }, {
        "code": "29549-3",
        "display": "Medication administered Narrative",
        "definition": "A list of medications ordered for the patient during the event linked to this ED notes document"
      }, {
        "code": "48765-2",
        "display": "Allergies and adverse reactions Document"
      }, {
        "code": "29548-5",
        "display": "Diagnosis"
      }, {
        "code": "30954-2",
        "display": "Relevant diagnostic tests and laboratory data"
      }, {
        "code": "10183-2",
        "display": "Hospital discharge medications Narrative"
      }, {
        "code": "29554-3",
        "display": "Procedure Narrative"
      }, {
        "code": "54094-8",
        "display": "ED Triage note",
        "definition": "The triage information for the patient during the ED visit"
      }, {
        "code": "51846-4",
        "display": "ED Consultation note",
        "definition": "The consultation details for the patient during the ED visit"
      }, {
        "code": "46264-8",
        "display": "History of medical device use",
        "definition": "Devices used during the procedure"
      }, {
        "code": "34895-3",
        "display": "Diagnostic evidence documents",
        "definition": "Findings and interpretation of tests performed on the patient"
      }, {
        "code": "59773-2",
        "display": "Procedure specimens taken Narrative",
        "definition": "Samples used for analysis during the procedure"
      }, {
        "code": "42349-1",
        "display": "Reason for referral",
        "definition": "Request for referral service or transfer of a patient to the care of another provider"
      }, {
        "code": "103595-5",
        "display": "Certificate of Medical Necessity",
        "definition": "A document certifying the medical necessity of a procedure or service for the patient"
      }, {
        "code": "28570-0",
        "display": "Procedure note",
        "definition": "A narrative describing the procedure performed on the patient, including any specific instructions or observations"
      }, {
        "code": "8648-8",
        "display": "Hospital course note",
        "definition": "A detailed description of the hospital course, including the steps taken and any relevant findings or outcomes"
      }, {
        "code": "75311-1",
        "display": "Discharge medications note",
        "definition": "A narrative describing the medications prescribed to the patient upon discharge, including dosage and instructions for use"
      }, {
        "code": "47519-4",
        "display": "History of Procedures Document",
        "definition": "A document summarizing the patient's history of procedures, including dates, types of procedures, and outcomes"
      }, {
        "code": "85847-2",
        "display": "Patient Care team information",
        "definition": "A narrative describing the members of the patient care team, their roles, and any relevant interactions or communications"
      }, {
        "code": "74465-6",
        "display": "Questionnaire response Document",
        "definition": "A document containing the patient's responses to a questionnaire, which may include information about their medical history, symptoms, or other relevant factors"
      }, {
        "code": "75310-3",
        "display": "Health concerns Document",
        "definition": "A document summarizing the patient's health concerns, including any symptoms, diagnoses, or other relevant information that may impact their care"
      } ]
    } ]
  },
  "_filename": "doc-section-code-valueset.json",
  "package_name": "synapxe.sgcdi",
  "date": null,
  "publisher": null,
  "name": "DocSectionCodeValueSet",
  "type": null,
  "experimental": null,
  "resourceType": "ValueSet",
  "title": "Document Section Code Value Set",
  "package_version": "1.1.8",
  "status": "active",
  "id": "c627a7d0-ccc7-4416-9f1a-7e75e5f4ad8f",
  "kind": null,
  "url": "https://fhir.synapxe.sg/ValueSet/doc-section-code",
  "version": "1.0.0"
}