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Composition Section Value set

Canonical../ValueSet/nexus-composition-section
Statusdraft · 1.26.0
SourceFSH · JSON

What one section of a document clinically is -- for Composition.section.code.

Not the document's code. LOINC supplies both document and section codes and they are indistinguishable in form: 34109-9 "Note" types a DOCUMENT and does not belong here. The document level is Composition.type (the class) and Composition.category (the refinement under it).

Bound extensible: a section kind this set does not name is still conformant, but a code from the document axis is not, which is the mistake this binding exists to catch.

The codes are the C-CDA on FHIR / IPS section vocabulary, restricted to what primary care actually produces.

Codes from LOINC -- all codes

Code Display
51847-2 Assessment and plan
55752-0 Clinical information
8716-3 Vital signs
11450-4 Problem list
10160-0 History of medication use
48765-2 Allergies and adverse reactions
11348-0 History of past illness
10164-2 History of present illness
29762-2 Social history
30954-2 Relevant diagnostic tests/laboratory data
47519-4 History of procedures
18776-5 Plan of care
11369-6 History of immunization
10187-3 Review of systems
29545-1 Physical findings
28562-7 Chart section Set