C-CDA on FHIR
2.0.0-ballot - STU 2 Ballot

C-CDA on FHIR, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ccda-on-fhir/ and changes regularly. See the Directory of published versions

## ValueSet: HPDocumentType

Official URL: http://hl7.org/fhir/us/ccda/ValueSet/2.16.840.1.113883.1.11.20.22 | Version: 2.0.0-ballot
Standards status: Trial-use | Computable Name: HPDocumentType
Copyright/Legal: 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

(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.

References

- History and Physical

### Logical Definition (CLD)

version: 6; Last updated: 2020-08-19 06:35:26+0000;

Information Source: #UQHxYsUhbLhPRes1

- Include these codes as defined in `http://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

### Expansion

Expansion from tx.fhir.org based on Loinc v2.80

This value set contains 122 concepts

Code | System | Display (en-US)
11492-6 | http://loinc.org | Provider-unspecifed, History and physical note
28626-0 | http://loinc.org | Physician History and physical note
34094-3 | http://loinc.org | Cardiology Hospital Admission history and physical note
34095-0 | http://loinc.org | Comprehensive history and physical note
34096-8 | http://loinc.org | Nursing facility Comprehensive history and physical note
34115-6 | http://loinc.org | Medical student Hospital History and physical note
34116-4 | http://loinc.org | Physician Nursing facility History and physical note
34117-2 | http://loinc.org | History and physical note
34138-8 | http://loinc.org | Targeted history and physical note
34763-3 | http://loinc.org | General medicine Admission history and physical note
34774-0 | http://loinc.org | Surgery History and physical note
47039-3 | http://loinc.org | Hospital Admission history and physical note
51849-8 | http://loinc.org | Admission history and physical note
57056-4 | http://loinc.org | Labor and delivery admission history and physical note
67856-5 | http://loinc.org | Nursing facility History and physical note
68560-2 | http://loinc.org | Obstetrics and Gynecology History and physical note
68573-5 | http://loinc.org | Ophthalmology History and physical note
68580-0 | http://loinc.org | Orthopaedic surgery History and physical note
68592-5 | http://loinc.org | Plastic surgery History and physical note
68599-0 | http://loinc.org | Psychiatry History and physical note
68614-7 | http://loinc.org | Adolescent medicine History and physical note
68622-0 | http://loinc.org | Heart failure+Transplant cardiology History and physical note
68628-7 | http://loinc.org | Allergy and Immunology History and physical note
68637-8 | http://loinc.org | Audiology History and physical note
68644-4 | http://loinc.org | Child and adolescent psychiatry History and physical note
68655-0 | http://loinc.org | Clinical genetics History and physical note
68665-9 | http://loinc.org | Developmental-behavioral pediatrics History and physical note
68676-6 | http://loinc.org | Multi-specialty program History and physical note
68683-2 | http://loinc.org | Neonatal perinatal medicine History and physical note
68690-7 | http://loinc.org | Neurological surgery History and physical note
68699-8 | http://loinc.org | Neurology with special qualifications in child neurology History and physical note
68711-1 | http://loinc.org | Pain medicine History and physical note
68721-0 | http://loinc.org | Pediatric cardiology History and physical note
68731-9 | http://loinc.org | Pediatric dermatology History and physical note
68735-0 | http://loinc.org | Pediatric endocrinology History and physical note
68740-0 | http://loinc.org | Pediatric gastroenterology History and physical note
68751-7 | http://loinc.org | Pediatric hematology-oncology History and physical note
68760-8 | http://loinc.org | Pediatric infectious diseases History and physical note
68770-7 | http://loinc.org | Pediatric nephrology History and physical note
68775-6 | http://loinc.org | Pediatric otolaryngology History and physical note
68781-4 | http://loinc.org | Pediatric pulmonology History and physical note
68791-3 | http://loinc.org | Pediatric rheumatology History and physical note
68797-0 | http://loinc.org | Pediatric surgery History and physical note
68807-7 | http://loinc.org | Pediatric urology History and physical note
68817-6 | http://loinc.org | Pediatrics History and physical note
68825-9 | http://loinc.org | Pediatrics Hospital History and physical note
68833-3 | http://loinc.org | Primary care History and physical note
68843-2 | http://loinc.org | Speech-language pathology History and physical note
68849-9 | http://loinc.org | Transplant surgery History and physical note
68858-0 | http://loinc.org | Pediatric transplant hepatology History and physical note
77401-8 | http://loinc.org | Anesthesiology Admission history and physical note
77412-5 | http://loinc.org | Cardiology History and physical note
77415-8 | http://loinc.org | Critical care medicine Admission history and physical note
77420-8 | http://loinc.org | Critical care medicine History and physical note
78246-6 | http://loinc.org | Mental health Admission history and physical note
78247-4 | http://loinc.org | Surgery Admission history and physical note
78248-2 | http://loinc.org | Colon and rectal surgery Admission history and physical note
78249-0 | http://loinc.org | Emergency department Admission history and physical note
78306-8 | http://loinc.org | Mental health History and physical note
78307-6 | http://loinc.org | Emergency department History and physical note
78308-4 | http://loinc.org | General medicine History and physical note
78386-0 | http://loinc.org | Neonatal perinatal medicine Admission history and physical note
78387-8 | http://loinc.org | Nephrology Admission history and physical note
78388-6 | http://loinc.org | Neurological surgery Admission history and physical note
78389-4 | http://loinc.org | Neurology Admission history and physical note
78390-2 | http://loinc.org | Nurse Admission history and physical note
78391-0 | http://loinc.org | Nurse practitioner Admission history and physical note
78392-8 | http://loinc.org | Oncology Admission history and physical note
78463-7 | http://loinc.org | Nephrology History and physical note
78464-5 | http://loinc.org | Neurology History and physical note
78465-2 | http://loinc.org | Oncology History and physical note
78497-5 | http://loinc.org | Cardiopulmonary Admission history and physical note
78507-1 | http://loinc.org | Pediatrics Admission history and physical note
78508-9 | http://loinc.org | Cardiothoracic surgery Admission history and physical note
78509-7 | http://loinc.org | Orthopaedic surgery Admission history and physical note
78510-5 | http://loinc.org | Vascular surgery Admission history and physical note
78511-3 | http://loinc.org | Oral and Maxillofacial Surgery Admission history and physical note
78538-6 | http://loinc.org | Palliative care Admission history and physical note
78643-4 | http://loinc.org | Palliative care History and physical note
78713-5 | http://loinc.org | Ophthalmology Admission history and physical note
78718-4 | http://loinc.org | Obstetrics and Gynecology Admission history and physical note
78724-2 | http://loinc.org | Pediatric surgery Admission history and physical note
78727-5 | http://loinc.org | Plastic surgery Admission history and physical note
78731-7 | http://loinc.org | Transplant surgery Admission history and physical note
78733-3 | http://loinc.org | Urology Admission history and physical note
80574-7 | http://loinc.org | Cardiac surgery Admission history and physical note
80733-9 | http://loinc.org | Otolaryngology Admission history and physical note
80799-0 | http://loinc.org | Surgical oncology Admission history and physical note
80809-7 | http://loinc.org | Geriatric medicine Admission history and physical note
80813-9 | http://loinc.org | Geriatric medicine History and physical note
83552-0 | http://loinc.org | Nurse practitioner History and physical note
83715-3 | http://loinc.org | Physical medicine and rehab History and physical note
83786-4 | http://loinc.org | Primary care Physician History and physical note
83812-8 | http://loinc.org | Physician assistant History and physical note
83819-3 | http://loinc.org | Attending History and physical note
83830-0 | http://loinc.org | Dentistry History and physical note
83858-1 | http://loinc.org | Podiatry History and physical note
83886-2 | http://loinc.org | Psychiatry Hospital History and physical note
83901-9 | http://loinc.org | Psychology History and physical note
83959-7 | http://loinc.org | Social worker History and physical note
83995-1 | http://loinc.org | Spinal cord injury medicine History and physical note
84019-9 | http://loinc.org | Surgery Outpatient History and physical note
84041-3 | http://loinc.org | Urology History and physical note
84048-8 | http://loinc.org | Vascular surgery History and physical note
84077-7 | http://loinc.org | Dermatology History and physical note
84097-5 | http://loinc.org | Endocrinology History and physical note
84104-9 | http://loinc.org | Gastroenterology History and physical note
84366-4 | http://loinc.org | Otolaryngology History and physical note
85179-0 | http://loinc.org | Custodial care facility History and physical note
85196-4 | http://loinc.org | Long term care facility History and physical note
85201-2 | http://loinc.org | Observation unit History and physical note
85203-8 | http://loinc.org | Patient's home History and physical note
85245-9 | http://loinc.org | Internal medicine History and physical note
85850-6 | http://loinc.org | Cardiothoracic surgery History and physical note
85860-5 | http://loinc.org | Womens health Outpatient History and physical note
85867-0 | http://loinc.org | Womens health History and physical note
87259-8 | http://loinc.org | Addiction medicine History and physical note
88353-8 | http://loinc.org | Polytrauma History and physical note
89213-3 | http://loinc.org | Obstetrics History and physical note
89215-8 | http://loinc.org | Gynecology Admission history and physical note
89221-6 | http://loinc.org | Gynecology History and physical note
89443-6 | http://loinc.org | Obstetrics Admission history and physical note

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