| Package | hl7.fhir.us.ccda |
| Type | ValueSet |
| Id | 2.16.840.1.113883.1.11.20.22 |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/ccda/https://build.fhir.org/ig/HL7/ccda-on-fhir/ValueSet-2.16.840.1.113883.1.11.20.22.html |
| URL | http://hl7.org/fhir/us/ccda/ValueSet/2.16.840.1.113883.1.11.20.22 |
| Version | 2.0.0-ballot |
| Status | active |
| Date | 2025-05-05T14:21:57+00:00 |
| Name | HPDocumentType |
| Title | HPDocumentType |
| Realm | us |
| Authority | hl7 |
| Description | (Clinical Focus: Subclassification of history & physical document by setting, author role, and author specialty),(Data Element Scope: ClinicalDocument.code@code in H&P Document template in C-CDA R2.1),(Inclusion Criteria: Some selected LOINC codes for information that uses H&P Document template to represent the information in CDA),(Exclusion Criteria: ) This value set was imported on 6/25/2019 with a version of 20190517. |
| Copyright | This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc |
| StructureDefinition | |
| History-and-Physical | History and Physical |
| CodeSystem | |
| loinc.org | LOINC Code System |
| loinc.org | LOINC codes used in this IG |
| loinc.org | Logical Observation Identifiers, Names and Codes (LOINC) |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet 2.16.840.1.113883.1.11.20.22
version: 6; Last updated: 2020-08-19 06:35:26+0000;
Information Source: #UQHxYsUhbLhPRes1
FHIRhttp://loinc.org| Code | Display |
| 11492-6 | Provider-unspecifed, History and physical note |
| 28626-0 | Physician History and physical note |
| 34094-3 | Cardiology Hospital Admission history and physical note |
| 34095-0 | Comprehensive history and physical note |
| 34096-8 | Nursing facility Comprehensive history and physical note |
| 34115-6 | Medical student Hospital History and physical note |
| 34116-4 | Physician Nursing facility History and physical note |
| 34117-2 | History and physical note |
| 34138-8 | Targeted history and physical note |
| 34763-3 | General medicine Admission history and physical note |
| 34774-0 | Surgery History and physical note |
| 47039-3 | Hospital Admission history and physical note |
| 51849-8 | Admission history and physical note |
| 57056-4 | Labor and delivery admission history and physical note |
| 67856-5 | Nursing facility History and physical note |
| 68560-2 | Obstetrics and Gynecology History and physical note |
| 68573-5 | Ophthalmology History and physical note |
| 68580-0 | Orthopaedic surgery History and physical note |
| 68592-5 | Plastic surgery History and physical note |
| 68599-0 | Psychiatry History and physical note |
| 68614-7 | Adolescent medicine History and physical note |
| 68622-0 | Heart failure+Transplant cardiology History and physical note |
| 68628-7 | Allergy and immunology History and physical note |
| 68637-8 | Audiology History and physical note |
| 68644-4 | Child and adolescent psychiatry History and physical note |
| 68655-0 | Clinical genetics History and physical note |
| 68665-9 | Developmental-behavioral pediatrics History and physical note |
| 68676-6 | Multi-specialty program History and physical note |
| 68683-2 | Neonatal perinatal medicine History and physical note |
| 68690-7 | Neurological surgery History and physical note |
| 68699-8 | Neurology with special qualifications in child neurology History and physical note |
| 68711-1 | Pain medicine History and physical note |
| 68721-0 | Pediatric cardiology History and physical note |
| 68731-9 | Pediatric dermatology History and physical note |
| 68735-0 | Pediatric endocrinology History and physical note |
| 68740-0 | Pediatric gastroenterology History and physical note |
| 68751-7 | Pediatric hematology-oncology History and physical note |
| 68760-8 | Pediatric infectious diseases History and physical note |
| 68770-7 | Pediatric nephrology History and physical note |
| 68775-6 | Pediatric otolaryngology History and physical note |
| 68781-4 | Pediatric pulmonology History and physical note |
| 68791-3 | Pediatric rheumatology History and physical note |
| 68797-0 | Pediatric surgery History and physical note |
| 68807-7 | Pediatric urology History and physical note |
| 68817-6 | Pediatrics History and physical note |
| 68825-9 | Pediatrics Hospital History and physical note |
| 68833-3 | Primary care History and physical note |
| 68843-2 | Speech-language pathology History and physical note |
| 68849-9 | Transplant surgery History and physical note |
| 68858-0 | Pediatric transplant hepatology History and physical note |
| 77401-8 | Anesthesiology Admission history and physical note |
| 77412-5 | Cardiology History and physical note |
| 77415-8 | Critical care medicine Admission history and physical note |
| 77420-8 | Critical care medicine History and physical note |
| 78246-6 | Mental health Admission history and physical note |
| 78247-4 | Surgery Admission history and physical note |
| 78248-2 | Colon and rectal surgery Admission history and physical note |
| 78249-0 | Emergency department Admission history and physical note |
| 78306-8 | Mental health History and physical note |
| 78307-6 | Emergency department History and physical note |
| 78308-4 | General medicine History and physical note |
| 78386-0 | Neonatal perinatal medicine Admission history and physical note |
| 78387-8 | Nephrology Admission history and physical note |
| 78388-6 | Neurological surgery Admission history and physical note |
| 78389-4 | Neurology Admission history and physical note |
| 78390-2 | Nurse Admission history and physical note |
| 78391-0 | Nurse practitioner Admission history and physical note |
| 78392-8 | Oncology Admission history and physical note |
| 78463-7 | Nephrology History and physical note |
| 78464-5 | Neurology History and physical note |
| 78465-2 | Oncology History and physical note |
| 78497-5 | Cardiopulmonary Admission history and physical note |
| 78507-1 | Pediatrics Admission history and physical note |
| 78508-9 | Cardiothoracic surgery Admission history and physical note |
| 78509-7 | Orthopaedic surgery Admission history and physical note |
| 78510-5 | Vascular surgery Admission history and physical note |
| 78511-3 | Oral and Maxillofacial Surgery Admission history and physical note |
| 78538-6 | Palliative care Admission history and physical note |
| 78643-4 | Palliative care History and physical note |
| 78713-5 | Ophthalmology Admission history and physical note |
| 78718-4 | Obstetrics and Gynecology Admission history and physical note |
| 78724-2 | Pediatric surgery Admission history and physical note |
| 78727-5 | Plastic surgery Admission history and physical note |
| 78731-7 | Transplant surgery Admission history and physical note |
| 78733-3 | Urology Admission history and physical note |
| 80574-7 | Cardiac surgery Admission history and physical note |
| 80733-9 | Otolaryngology Admission history and physical note |
| 80799-0 | Surgical oncology Admission history and physical note |
| 80809-7 | Geriatric medicine Admission history and physical note |
| 80813-9 | Geriatric medicine History and physical note |
| 83552-0 | Nurse practitioner History and physical note |
| 83715-3 | Physical medicine and rehab History and physical note |
| 83786-4 | Primary care Physician History and physical note |
| 83812-8 | Physician assistant History and physical note |
| 83819-3 | Attending History and physical note |
| 83830-0 | Dentistry History and physical note |
| 83858-1 | Podiatry History and physical note |
| 83886-2 | Psychiatry Hospital History and physical note |
| 83901-9 | Psychology History and physical note |
| 83959-7 | Social worker History and physical note |
| 83995-1 | Spinal cord injury medicine History and physical note |
| 84019-9 | Surgery Outpatient History and physical note |
| 84041-3 | Urology History and physical note |
| 84048-8 | Vascular surgery History and physical note |
| 84077-7 | Dermatology History and physical note |
| 84097-5 | Endocrinology History and physical note |
| 84104-9 | Gastroenterology History and physical note |
| 84366-4 | Otolaryngology History and physical note |
| 85179-0 | Custodial care facility History and physical note |
| 85196-4 | Long term care facility History and physical note |
| 85201-2 | Observation unit History and physical note |
| 85203-8 | Patient's home History and physical note |
| 85245-9 | Internal medicine History and physical note |
| 85850-6 | Cardiothoracic surgery History and physical note |
| 85860-5 | Womens health Outpatient History and physical note |
| 85867-0 | Womens health History and physical note |
| 87259-8 | Addiction medicine History and physical note |
| 88353-8 | Polytrauma History and physical note |
| 89213-3 | Obstetrics History and physical note |
| 89215-8 | Gynecology Admission history and physical note |
| 89221-6 | Gynecology History and physical note |
| 89443-6 | Obstetrics Admission history and physical note |
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{
"code": "28626-0",
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"code": "51849-8",
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{
"code": "57056-4",
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{
"code": "67856-5",
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{
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{
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{
"code": "68614-7",
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{
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"display": "Heart failure+Transplant cardiology History and physical note"
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{
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"display": "Allergy and immunology History and physical note"
},
{
"code": "68637-8",
"display": "Audiology History and physical note"
},
{
"code": "68644-4",
"display": "Child and adolescent psychiatry History and physical note"
},
{
"code": "68655-0",
"display": "Clinical genetics History and physical note"
},
{
"code": "68665-9",
"display": "Developmental-behavioral pediatrics History and physical note"
},
{
"code": "68676-6",
"display": "Multi-specialty program History and physical note"
},
{
"code": "68683-2",
"display": "Neonatal perinatal medicine History and physical note"
},
{
"code": "68690-7",
"display": "Neurological surgery History and physical note"
},
{
"code": "68699-8",
"display": "Neurology with special qualifications in child neurology History and physical note"
},
{
"code": "68711-1",
"display": "Pain medicine History and physical note"
},
{
"code": "68721-0",
"display": "Pediatric cardiology History and physical note"
},
{
"code": "68731-9",
"display": "Pediatric dermatology History and physical note"
},
{
"code": "68735-0",
"display": "Pediatric endocrinology History and physical note"
},
{
"code": "68740-0",
"display": "Pediatric gastroenterology History and physical note"
},
{
"code": "68751-7",
"display": "Pediatric hematology-oncology History and physical note"
},
{
"code": "68760-8",
"display": "Pediatric infectious diseases History and physical note"
},
{
"code": "68770-7",
"display": "Pediatric nephrology History and physical note"
},
{
"code": "68775-6",
"display": "Pediatric otolaryngology History and physical note"
},
{
"code": "68781-4",
"display": "Pediatric pulmonology History and physical note"
},
{
"code": "68791-3",
"display": "Pediatric rheumatology History and physical note"
},
{
"code": "68797-0",
"display": "Pediatric surgery History and physical note"
},
{
"code": "68807-7",
"display": "Pediatric urology History and physical note"
},
{
"code": "68817-6",
"display": "Pediatrics History and physical note"
},
{
"code": "68825-9",
"display": "Pediatrics Hospital History and physical note"
},
{
"code": "68833-3",
"display": "Primary care History and physical note"
},
{
"code": "68843-2",
"display": "Speech-language pathology History and physical note"
},
{
"code": "68849-9",
"display": "Transplant surgery History and physical note"
},
{
"code": "68858-0",
"display": "Pediatric transplant hepatology History and physical note"
},
{
"code": "77401-8",
"display": "Anesthesiology Admission history and physical note"
},
{
"code": "77412-5",
"display": "Cardiology History and physical note"
},
{
"code": "77415-8",
"display": "Critical care medicine Admission history and physical note"
},
{
"code": "77420-8",
"display": "Critical care medicine History and physical note"
},
{
"code": "78246-6",
"display": "Mental health Admission history and physical note"
},
{
"code": "78247-4",
"display": "Surgery Admission history and physical note"
},
{
"code": "78248-2",
"display": "Colon and rectal surgery Admission history and physical note"
},
{
"code": "78249-0",
"display": "Emergency department Admission history and physical note"
},
{
"code": "78306-8",
"display": "Mental health History and physical note"
},
{
"code": "78307-6",
"display": "Emergency department History and physical note"
},
{
"code": "78308-4",
"display": "General medicine History and physical note"
},
{
"code": "78386-0",
"display": "Neonatal perinatal medicine Admission history and physical note"
},
{
"code": "78387-8",
"display": "Nephrology Admission history and physical note"
},
{
"code": "78388-6",
"display": "Neurological surgery Admission history and physical note"
},
{
"code": "78389-4",
"display": "Neurology Admission history and physical note"
},
{
"code": "78390-2",
"display": "Nurse Admission history and physical note"
},
{
"code": "78391-0",
"display": "Nurse practitioner Admission history and physical note"
},
{
"code": "78392-8",
"display": "Oncology Admission history and physical note"
},
{
"code": "78463-7",
"display": "Nephrology History and physical note"
},
{
"code": "78464-5",
"display": "Neurology History and physical note"
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{
"code": "78465-2",
"display": "Oncology History and physical note"
},
{
"code": "78497-5",
"display": "Cardiopulmonary Admission history and physical note"
},
{
"code": "78507-1",
"display": "Pediatrics Admission history and physical note"
},
{
"code": "78508-9",
"display": "Cardiothoracic surgery Admission history and physical note"
},
{
"code": "78509-7",
"display": "Orthopaedic surgery Admission history and physical note"
},
{
"code": "78510-5",
"display": "Vascular surgery Admission history and physical note"
},
{
"code": "78511-3",
"display": "Oral and Maxillofacial Surgery Admission history and physical note"
},
{
"code": "78538-6",
"display": "Palliative care Admission history and physical note"
},
{
"code": "78643-4",
"display": "Palliative care History and physical note"
},
{
"code": "78713-5",
"display": "Ophthalmology Admission history and physical note"
},
{
"code": "78718-4",
"display": "Obstetrics and Gynecology Admission history and physical note"
},
{
"code": "78724-2",
"display": "Pediatric surgery Admission history and physical note"
},
{
"code": "78727-5",
"display": "Plastic surgery Admission history and physical note"
},
{
"code": "78731-7",
"display": "Transplant surgery Admission history and physical note"
},
{
"code": "78733-3",
"display": "Urology Admission history and physical note"
},
{
"code": "80574-7",
"display": "Cardiac surgery Admission history and physical note"
},
{
"code": "80733-9",
"display": "Otolaryngology Admission history and physical note"
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{
"code": "80799-0",
"display": "Surgical oncology Admission history and physical note"
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{
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"display": "Geriatric medicine Admission history and physical note"
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{
"code": "80813-9",
"display": "Geriatric medicine History and physical note"
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{
"code": "83552-0",
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{
"code": "83715-3",
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{
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{
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{
"code": "83819-3",
"display": "Attending History and physical note"
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{
"code": "83830-0",
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{
"code": "83858-1",
"display": "Podiatry History and physical note"
},
{
"code": "83886-2",
"display": "Psychiatry Hospital History and physical note"
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{
"code": "83901-9",
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},
{
"code": "83959-7",
"display": "Social worker History and physical note"
},
{
"code": "83995-1",
"display": "Spinal cord injury medicine History and physical note"
},
{
"code": "84019-9",
"display": "Surgery Outpatient History and physical note"
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{
"code": "84041-3",
"display": "Urology History and physical note"
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{
"code": "84048-8",
"display": "Vascular surgery History and physical note"
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{
"code": "84077-7",
"display": "Dermatology History and physical note"
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{
"code": "84097-5",
"display": "Endocrinology History and physical note"
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{
"code": "84104-9",
"display": "Gastroenterology History and physical note"
},
{
"code": "84366-4",
"display": "Otolaryngology History and physical note"
},
{
"code": "85179-0",
"display": "Custodial care facility History and physical note"
},
{
"code": "85196-4",
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{
"code": "85201-2",
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{
"code": "85203-8",
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{
"code": "85245-9",
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},
{
"code": "85850-6",
"display": "Cardiothoracic surgery History and physical note"
},
{
"code": "85860-5",
"display": "Womens health Outpatient History and physical note"
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{
"code": "85867-0",
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{
"code": "87259-8",
"display": "Addiction medicine History and physical note"
},
{
"code": "88353-8",
"display": "Polytrauma History and physical note"
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{
"code": "89213-3",
"display": "Obstetrics History and physical note"
},
{
"code": "89215-8",
"display": "Gynecology Admission history and physical note"
},
{
"code": "89221-6",
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{
"code": "89443-6",
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]
}
]
}
}