| Package | nw-gmsa.github.io |
| Resource Type | ValueSet |
| Id | document-entry-type |
| FHIR Version | R4 |
| Source | https://nw-gmsa.github.io/https://build.fhir.org/ig/nw-gmsa/R4/ValueSet-document-entry-type.html |
| URL | https://nw-gmsa.github.io/ValueSet/document-entry-type |
| Version | 0.0.7 |
| Status | draft |
| Date | 2025-08-12T13:52:16+00:00 |
| Name | DocumentEntryType |
| Title | DocumentEntry Type |
| Realm | uk |
| Description | - [Digital Health and Care Scotland - (EH4001) CLINICAL DOCUMENT INDEXING STANDARDS ](https://www.digihealthcare.scot/app/uploads/2024/05/CDI-Standard-V4.5-FINAL.pdf) LA Labs |
| StructureDefinition | |
| DocumentReference | DocumentReference |
| CodeSystem | |
| sct | SNOMED CT International Edition |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet document-entry-type
FHIRhttp://snomed.info/sct| Code | Display |
| 4241000179101 | Laboratory report |
| 721963009 | Order |
| 721965002 | Laboratory order |
| 163221000000102 | Allergies and Adverse Reactions - Care Record Element |
| 927061000000101 | Gait analysis assessment record |
| 149671000000105 | Health status questionnaire |
| 734163000 | Care plan |
| 820161000000108 | Growth chart |
| 820191000000102 | Partogram |
| 824231000000100 | Temperature chart |
| 820211000000103 | Patient safety checklist |
| 823611000000107 | Vital signs chart |
| 820441000000103 | Weight chart |
| 820221000000109 | Inpatient medical note |
| 829201000000105 | Inpatient nursing note |
| 820451000000100 | Medical note |
| 820461000000102 | Multidisciplinary note |
| 820471000000109 | Nursing note |
| 823631000000104 | OOH (out of hours) note |
| 820481000000106 | Outpatient nursing note |
| 820491000000108 | Outpatient medical note |
| 823641000000108 | AHP (allied health professional) note |
| 24681000000104 | Telephone consultation |
| 824321000000109 | Summary record |
| 823651000000106 | Clinical note |
| 823681000000100 | Outpatient letter |
| 823691000000103 | Clinical letter |
| 823701000000103 | Discharge letter |
| 824331000000106 | Inpatient final discharge letter |
| 824341000000102 | Immediate inpatient discharge letter |
| 25611000000107 | Referral letter |
| 823721000000107 | Social Services letter |
| 823761000000104 | Administrative letter |
| 909921000000109 | DNA (did not attend) letter |
| 823781000000108 | MDT (multidisciplinary team) letter |
| 1325651000000108 | Pregnancy bereavement record |
| 820241000000102 | Medical photograph |
| 962381000000101 | Nuclear medicine images |
| 1219151000000104 | Ultrasound scan image |
| 25831000000103 | Image (document) |
| 416779005 | Anesthesia record |
| 820501000000102 | Nutritional record |
| 820511000000100 | Endoscopy record |
| 820251000000104 | Interventional radiology record |
| 823831000000103 | AHP (allied health professional) therapy record |
| 823661000000109 | Operation note |
| 823841000000107 | Radiotherapy record |
| 725869001 | Record of implantation of cardiac electronic device |
| 1129271000000109 | Direct current cardioversion record |
| 1363671000000109 | Colposcopy clinical record |
| 1198111000000109 | Molecular radiotherapy record |
| 1076911000000107 | Combined laboratory report |
| 4321000179101 | Hematology report |
| 1054291000000102 | Cellular pathology report |
| 1054281000000104 | Virology report |
| 4341000179107 | Microbiology report |
| 1054181000000105 | Blood transfusion report |
| 909871000000100 | Histocompatibility and immunogenetics |
| 1054161000000101 | Genetic report |
| 824781000000106 | Drug administration chart |
| 824791000000108 | Prescription and administration record |
| 820271000000108 | Chemotherapy record |
| 1099461000000101 | Medication review |
| 1325821000000102 | SACT (Systemic Anti-Cancer Therapy) record |
| 185361000000102 | Medication |
| 826501000000100 | Miscellaneous record |
| 824801000000107 | Front sheet |
| 24761000000103 | Scanned document |
| 823871000000101 | Forensic autopsy report |
| 229054004 | Child protection register |
| 824831000000101 | Consent form |
| 307930005 | Death certificate |
| 826511000000103 | Exemption form |
| 820291000000107 | Infectious disease notification |
| 826621000000105 | Legal notice |
| 826631000000107 | Mental Health Act notice |
| 826521000000109 | Refusal form |
| 308575004 | Employment report |
| 310854009 | Housing report |
| 308619006 | War pensions report |
| 270372007 | Disabled driver orange badge report |
| 270370004 | CLE - fit to hold driving licence |
| 307881004 | DSS RMO RM2 report |
| 270358003 | Life assurance - preliminary report |
| 308621001 | RM10-DHSS DMO report |
| 820301000000106 | Adoption report |
| 823951000000100 | Adult incapacity report |
| 826541000000102 | Power of attorney and legal guardianship record |
| 826651000000100 | Notification and legal document |
| 408403008 | Patient held record |
| 823881000000104 | Do not attempt cardiopulmonary resuscitation order |
| 827701000000106 | Living will and advance directive record |
| 772790007 | Organ donor card |
| 822761000000108 | Patient preferences record |
| 1054091000000108 | Research study adverse event document |
| 1054071000000109 | Research study withdrawal document |
| 827711000000108 | Electrocardiograph |
| 822771000000101 | Pulmonary investigation record |
| 822781000000104 | Vascular investigation record |
| 822801000000103 | Gastroenterology investigation record |
| 822791000000102 | Cardiac investigation record |
| 827721000000102 | Urodynamics record |
| 822811000000101 | Neurological investigation record |
| 824861000000106 | Ambulance service patient report form |
| 371527006 | Radiology report |
| 822821000000107 | Echography report |
| 822831000000109 | Audiology investigation record |
| 823891000000102 | AHP (allied health professional) investigation record |
| 962401000000101 | Visual field report |
| 4271000179106 | Nuclear medicine report |
| 983701000000101 | Non Procurator Fiscal post mortem report |
| 725870000 | Diagnostic coronary angiography report |
| 725956001 | Ambulatory blood pressure monitoring report |
| 770573007 | Airway endoscopy report |
| 770574001 | Endoscopic retrograde cholangiopancreatography report |
| 770572002 | Endoscopic ultrasound report |
| 770575000 | Endobronchial ultrasound report |
| 782660000 | Combined upper and lower gastrointestinal tract endoscopy report |
| 782659005 | Cystoscopy report |
| 1129261000000102 | Cardiac electrophysiology report |
| 1129251000000100 | Walking test report |
| 1129241000000103 | Tilt test report |
| 1129231000000107 | Bielschowsky head tilt test report |
| 4201000179104 | Imaging report |
| 1219161000000101 | Eye investigation report |
| 149691000000109 | Remote health monitoring report |
| 229059009 | Document type |
| 823901000000101 | Non-statutory provider document |
| 823931000000107 | Private provider note |
| 823941000000103 | Third party document |
{
"resourceType": "ValueSet",
"id": "document-entry-type",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://nw-gmsa.github.io/ValueSet/document-entry-type",
"version": "0.0.7",
"name": "DocumentEntryType",
"title": "DocumentEntry Type",
"status": "draft",
"experimental": false,
"date": "2025-08-12T13:52:16+00:00",
"publisher": "NHS North West GMSA",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.nw-gmsa.nhs.uk/contact-us"
}
]
}
],
"description": "- [Digital Health and Care Scotland - (EH4001) CLINICAL DOCUMENT INDEXING STANDARDS ](https://www.digihealthcare.scot/app/uploads/2024/05/CDI-Standard-V4.5-FINAL.pdf) LA Labs",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "GB",
"display": "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"compose": {
"include": [
{
"system": "http://snomed.info/sct",
"concept": [
{
"code": "4241000179101",
"display": "Laboratory report"
},
{
"code": "721963009",
"display": "Order"
},
{
"code": "721965002",
"display": "Laboratory order"
},
{
"code": "163221000000102",
"display": "Allergies and Adverse Reactions - Care Record Element"
},
{
"code": "927061000000101",
"display": "Gait analysis assessment record"
},
{
"code": "149671000000105",
"display": "Health status questionnaire"
},
{
"code": "734163000",
"display": "Care plan"
},
{
"code": "820161000000108",
"display": "Growth chart"
},
{
"code": "820191000000102",
"display": "Partogram"
},
{
"code": "824231000000100",
"display": "Temperature chart"
},
{
"code": "820211000000103",
"display": "Patient safety checklist"
},
{
"code": "823611000000107",
"display": "Vital signs chart"
},
{
"code": "820441000000103",
"display": "Weight chart"
},
{
"code": "820221000000109",
"display": "Inpatient medical note"
},
{
"code": "829201000000105",
"display": "Inpatient nursing note"
},
{
"code": "820451000000100",
"display": "Medical note"
},
{
"code": "820461000000102",
"display": "Multidisciplinary note"
},
{
"code": "820471000000109",
"display": "Nursing note"
},
{
"code": "823631000000104",
"display": "OOH (out of hours) note"
},
{
"code": "820481000000106",
"display": "Outpatient nursing note"
},
{
"code": "820491000000108",
"display": "Outpatient medical note"
},
{
"code": "823641000000108",
"display": "AHP (allied health professional) note"
},
{
"code": "24681000000104",
"display": "Telephone consultation"
},
{
"code": "824321000000109",
"display": "Summary record"
},
{
"code": "823651000000106",
"display": "Clinical note"
},
{
"code": "823681000000100",
"display": "Outpatient letter"
},
{
"code": "823691000000103",
"display": "Clinical letter"
},
{
"code": "823701000000103",
"display": "Discharge letter"
},
{
"code": "824331000000106",
"display": "Inpatient final discharge letter"
},
{
"code": "824341000000102",
"display": "Immediate inpatient discharge letter"
},
{
"code": "25611000000107",
"display": "Referral letter"
},
{
"code": "823721000000107",
"display": "Social Services letter"
},
{
"code": "823761000000104",
"display": "Administrative letter"
},
{
"code": "909921000000109",
"display": "DNA (did not attend) letter"
},
{
"code": "823781000000108",
"display": "MDT (multidisciplinary team) letter"
},
{
"code": "1325651000000108",
"display": "Pregnancy bereavement record"
},
{
"code": "820241000000102",
"display": "Medical photograph"
},
{
"code": "962381000000101",
"display": "Nuclear medicine images"
},
{
"code": "1219151000000104",
"display": "Ultrasound scan image"
},
{
"code": "25831000000103",
"display": "Image (document)"
},
{
"code": "416779005",
"display": "Anesthesia record"
},
{
"code": "820501000000102",
"display": "Nutritional record"
},
{
"code": "820511000000100",
"display": "Endoscopy record"
},
{
"code": "820251000000104",
"display": "Interventional radiology record"
},
{
"code": "823831000000103",
"display": "AHP (allied health professional) therapy record"
},
{
"code": "823661000000109",
"display": "Operation note"
},
{
"code": "823841000000107",
"display": "Radiotherapy record"
},
{
"code": "725869001",
"display": "Record of implantation of cardiac electronic device"
},
{
"code": "1129271000000109",
"display": "Direct current cardioversion record"
},
{
"code": "1363671000000109",
"display": "Colposcopy clinical record"
},
{
"code": "1198111000000109",
"display": "Molecular radiotherapy record"
},
{
"code": "1076911000000107",
"display": "Combined laboratory report"
},
{
"code": "4321000179101",
"display": "Hematology report"
},
{
"code": "1054291000000102",
"display": "Cellular pathology report"
},
{
"code": "1054281000000104",
"display": "Virology report"
},
{
"code": "4341000179107",
"display": "Microbiology report"
},
{
"code": "1054181000000105",
"display": "Blood transfusion report"
},
{
"code": "909871000000100",
"display": "Histocompatibility and immunogenetics"
},
{
"code": "1054161000000101",
"display": "Genetic report"
},
{
"code": "824781000000106",
"display": "Drug administration chart"
},
{
"code": "824791000000108",
"display": "Prescription and administration record"
},
{
"code": "820271000000108",
"display": "Chemotherapy record"
},
{
"code": "1099461000000101",
"display": "Medication review"
},
{
"code": "1325821000000102",
"display": "SACT (Systemic Anti-Cancer Therapy) record"
},
{
"code": "185361000000102",
"display": "Medication"
},
{
"code": "826501000000100",
"display": "Miscellaneous record"
},
{
"code": "824801000000107",
"display": "Front sheet"
},
{
"code": "24761000000103",
"display": "Scanned document"
},
{
"code": "823871000000101",
"display": "Forensic autopsy report"
},
{
"code": "229054004",
"display": "Child protection register"
},
{
"code": "824831000000101",
"display": "Consent form"
},
{
"code": "307930005",
"display": "Death certificate"
},
{
"code": "826511000000103",
"display": "Exemption form"
},
{
"code": "820291000000107",
"display": "Infectious disease notification"
},
{
"code": "826621000000105",
"display": "Legal notice"
},
{
"code": "826631000000107",
"display": "Mental Health Act notice"
},
{
"code": "826521000000109",
"display": "Refusal form"
},
{
"code": "308575004",
"display": "Employment report"
},
{
"code": "310854009",
"display": "Housing report"
},
{
"code": "308619006",
"display": "War pensions report"
},
{
"code": "270372007",
"display": "Disabled driver orange badge report"
},
{
"code": "270370004",
"display": "CLE - fit to hold driving licence"
},
{
"code": "307881004",
"display": "DSS RMO RM2 report"
},
{
"code": "270358003",
"display": "Life assurance - preliminary report"
},
{
"code": "308621001",
"display": "RM10-DHSS DMO report"
},
{
"code": "820301000000106",
"display": "Adoption report"
},
{
"code": "823951000000100",
"display": "Adult incapacity report"
},
{
"code": "826541000000102",
"display": "Power of attorney and legal guardianship record"
},
{
"code": "826651000000100",
"display": "Notification and legal document"
},
{
"code": "408403008",
"display": "Patient held record"
},
{
"code": "823881000000104",
"display": "Do not attempt cardiopulmonary resuscitation order"
},
{
"code": "827701000000106",
"display": "Living will and advance directive record"
},
{
"code": "772790007",
"display": "Organ donor card"
},
{
"code": "822761000000108",
"display": "Patient preferences record"
},
{
"code": "1054091000000108",
"display": "Research study adverse event document"
},
{
"code": "1054071000000109",
"display": "Research study withdrawal document"
},
{
"code": "827711000000108",
"display": "Electrocardiograph"
},
{
"code": "822771000000101",
"display": "Pulmonary investigation record"
},
{
"code": "822781000000104",
"display": "Vascular investigation record"
},
{
"code": "822801000000103",
"display": "Gastroenterology investigation record"
},
{
"code": "822791000000102",
"display": "Cardiac investigation record"
},
{
"code": "827721000000102",
"display": "Urodynamics record"
},
{
"code": "822811000000101",
"display": "Neurological investigation record"
},
{
"code": "824861000000106",
"display": "Ambulance service patient report form"
},
{
"code": "371527006",
"display": "Radiology report"
},
{
"code": "822821000000107",
"display": "Echography report"
},
{
"code": "822831000000109",
"display": "Audiology investigation record"
},
{
"code": "823891000000102",
"display": "AHP (allied health professional) investigation record"
},
{
"code": "962401000000101",
"display": "Visual field report"
},
{
"code": "4271000179106",
"display": "Nuclear medicine report"
},
{
"code": "983701000000101",
"display": "Non Procurator Fiscal post mortem report"
},
{
"code": "725870000",
"display": "Diagnostic coronary angiography report"
},
{
"code": "725956001",
"display": "Ambulatory blood pressure monitoring report"
},
{
"code": "770573007",
"display": "Airway endoscopy report"
},
{
"code": "770574001",
"display": "Endoscopic retrograde cholangiopancreatography report"
},
{
"code": "770572002",
"display": "Endoscopic ultrasound report"
},
{
"code": "770575000",
"display": "Endobronchial ultrasound report"
},
{
"code": "782660000",
"display": "Combined upper and lower gastrointestinal tract endoscopy report"
},
{
"code": "782659005",
"display": "Cystoscopy report"
},
{
"code": "1129261000000102",
"display": "Cardiac electrophysiology report"
},
{
"code": "1129251000000100",
"display": "Walking test report"
},
{
"code": "1129241000000103",
"display": "Tilt test report"
},
{
"code": "1129231000000107",
"display": "Bielschowsky head tilt test report"
},
{
"code": "4201000179104",
"display": "Imaging report"
},
{
"code": "1219161000000101",
"display": "Eye investigation report"
},
{
"code": "149691000000109",
"display": "Remote health monitoring report"
},
{
"code": "229059009",
"display": "Document type"
},
{
"code": "823901000000101",
"display": "Non-statutory provider document"
},
{
"code": "823931000000107",
"display": "Private provider note"
},
{
"code": "823941000000103",
"display": "Third party document"
}
]
}
]
}
}