臺灣核心實作指引(TW Core IG)
0.3.0 - Trial Use
臺灣核心實作指引(TW Core IG)
0.3.0 - Trial Use
This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code | Version: 2.77 | |||
| Active as of 2024-06-14 | Computable Name: LOINCDocumentSection | |||
Copyright/Legal: This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use |
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LOINC Code Document Section值集。 代碼版本：2.77；代碼更新日期：2024-06-14；資料所屬單位：Regenstrief Institute。
References
Generated Narrative: ValueSet loinc-doc-section-code
http://loinc.org| Code | Display |
| 10154-3 | Chief complaint Narrative - Reported |
| 10157-6 | History of family member diseases Narrative |
| 10160-0 | History of Medication use Narrative |
| 10164-2 | History of Present illness Narrative |
| 10183-2 | Hospital discharge medications Narrative |
| 10184-0 | Hospital discharge physical findings Narrative |
| 10187-3 | Review of systems Narrative - Reported |
| 10210-3 | Physical findings of General status Narrative |
| 10216-0 | Surgical operation note fluids Narrative |
| 10218-6 | Surgical operation note postoperative diagnosis Narrative |
| 10223-6 | Surgical operation note surgical procedure Narrative |
| 10222-8 | Surgical operation note surgical complications [Interpretation] Narrative |
| 11329-0 | History general Narrative - Reported |
| 11348-0 | History of Past illness Narrative |
| 11369-6 | History of Immunization Narrative |
| 57852-6 | Problem list Narrative - Reported |
| 11493-4 | Hospital discharge studies summary Narrative |
| 11535-2 | Hospital discharge Dx Narrative |
| 11537-8 | Surgical drains Narrative |
| 18776-5 | Plan of care note |
| 18841-7 | Hospital consultations Document |
| 29299-5 | Reason for visit Narrative |
| 29545-1 | Physical findings Narrative |
| 29549-3 | Medication administered Narrative |
| 29554-3 | Procedure Narrative |
| 29762-2 | Social history Narrative |
| 30954-2 | Relevant diagnostic tests/laboratory data Narrative |
| 42344-2 | Discharge diet (narrative) |
| 42346-7 | Medications on admission (narrative) |
| 42348-3 | Advance directives |
| 42349-1 | Reason for referral (narrative) |
| 46240-8 | History of Hospitalizations+Outpatient visits Narrative |
| 46241-6 | Hospital admission diagnosis Narrative - Reported |
| 46264-8 | History of medical device use |
| 47420-5 | Functional status assessment note |
| 47519-4 | History of Procedures Document |
| 48765-2 | Allergies and adverse reactions Document |
| 48768-6 | Payment sources Document |
| 51848-0 | Evaluation note |
| 55109-3 | Complications Document |
| 55122-6 | Surgical operation note implants Narrative |
| 59768-2 | Procedure indications [Interpretation] Narrative |
| 59769-0 | Postprocedure diagnosis Narrative |
| 59770-8 | Procedure estimated blood loss Narrative |
| 59771-6 | Procedure implants Narrative |
| 59772-4 | Planned procedure Narrative |
| 59773-2 | Procedure specimens taken Narrative |
| 59775-7 | Procedure disposition Narrative |
| 59776-5 | Procedure findings Narrative |
| 61149-1 | Objective Narrative |
| 61150-9 | Subjective Narrative |
| 69730-0 | Instructions |
| 8648-8 | Hospital course Narrative |
| 8653-8 | Hospital Discharge instructions |
| 8716-3 | Vital signs |
Generated Narrative: ValueSet
Expansion based on Loinc v2.78
This value set contains 55 concepts
| Code | System | Display |
| 10154-3 | http://loinc.org | Chief complaint Narrative - Reported |
| 10157-6 | http://loinc.org | History of family member diseases Narrative |
| 10160-0 | http://loinc.org | History of Medication use Narrative |
| 10164-2 | http://loinc.org | History of Present illness Narrative |
| 10183-2 | http://loinc.org | Hospital discharge medications Narrative |
| 10184-0 | http://loinc.org | Hospital discharge physical findings Narrative |
| 10187-3 | http://loinc.org | Review of systems Narrative - Reported |
| 10210-3 | http://loinc.org | Physical findings of General status Narrative |
| 10216-0 | http://loinc.org | Surgical operation note fluids Narrative |
| 10218-6 | http://loinc.org | Surgical operation note postoperative diagnosis Narrative |
| 10223-6 | http://loinc.org | Surgical operation note surgical procedure Narrative |
| 10222-8 | http://loinc.org | Surgical operation note surgical complications [Interpretation] Narrative |
| 11329-0 | http://loinc.org | History general Narrative - Reported |
| 11348-0 | http://loinc.org | History of Past illness Narrative |
| 11369-6 | http://loinc.org | History of Immunization Narrative |
| 57852-6 | http://loinc.org | Problem list Narrative - Reported |
| 11493-4 | http://loinc.org | Hospital discharge studies summary Narrative |
| 11535-2 | http://loinc.org | Hospital discharge Dx Narrative |
| 11537-8 | http://loinc.org | Surgical drains Narrative |
| 18776-5 | http://loinc.org | Plan of care note |
| 18841-7 | http://loinc.org | Hospital consultations Document |
| 29299-5 | http://loinc.org | Reason for visit Narrative |
| 29545-1 | http://loinc.org | Physical findings Narrative |
| 29549-3 | http://loinc.org | Medication administered Narrative |
| 29554-3 | http://loinc.org | Procedure Narrative |
| 29762-2 | http://loinc.org | Social history Narrative |
| 30954-2 | http://loinc.org | Relevant diagnostic tests/laboratory data Narrative |
| 42344-2 | http://loinc.org | Discharge diet (narrative) |
| 42346-7 | http://loinc.org | Medications on admission (narrative) |
| 42348-3 | http://loinc.org | Advance directives |
| 42349-1 | http://loinc.org | Reason for referral (narrative) |
| 46240-8 | http://loinc.org | History of Hospitalizations+Outpatient visits Narrative |
| 46241-6 | http://loinc.org | Hospital admission diagnosis Narrative - Reported |
| 46264-8 | http://loinc.org | History of medical device use |
| 47420-5 | http://loinc.org | Functional status assessment note |
| 47519-4 | http://loinc.org | History of Procedures Document |
| 48765-2 | http://loinc.org | Allergies and adverse reactions Document |
| 48768-6 | http://loinc.org | Payment sources Document |
| 51848-0 | http://loinc.org | Evaluation note |
| 55109-3 | http://loinc.org | Complications Document |
| 55122-6 | http://loinc.org | Surgical operation note implants Narrative |
| 59768-2 | http://loinc.org | Procedure indications [Interpretation] Narrative |
| 59769-0 | http://loinc.org | Postprocedure diagnosis Narrative |
| 59770-8 | http://loinc.org | Procedure estimated blood loss Narrative |
| 59771-6 | http://loinc.org | Procedure implants Narrative |
| 59772-4 | http://loinc.org | Planned procedure Narrative |
| 59773-2 | http://loinc.org | Procedure specimens taken Narrative |
| 59775-7 | http://loinc.org | Procedure disposition Narrative |
| 59776-5 | http://loinc.org | Procedure findings Narrative |
| 61149-1 | http://loinc.org | Objective Narrative |
| 61150-9 | http://loinc.org | Subjective Narrative |
| 69730-0 | http://loinc.org | Instructions |
| 8648-8 | http://loinc.org | Hospital course Narrative |
| 8653-8 | http://loinc.org | Hospital Discharge instructions |
| 8716-3 | http://loinc.org | Vital signs |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |