Release 5 Draft Ballot

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions Value Set

Orders and Observations Work Group Maturity Level: 1Draft Use Context: Any

This is a value set defined by the FHIR project.


Defining URL:
Title:Document Class Value Set

This is the code specifying the high-level kind of document (e.g. Prescription, Discharge Summary, Report, etc.). Note: Class code for documents comes from LOINC, and is based upon one of the following:The type of service described by the document. It is described at a very high level in Section 7.3 of the LOINC Manual. The type study performed. It was determined by identifying modalities for study reports. The section of the chart where the document is placed. It was determined from the SETs created for Claims Attachment requests.

Committee:Orders and Observations Work Group
OID:2.16.840.1.113883. (for OID based terminology systems)

This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at

Source ResourceXML / JSON

This value set is used in the following places:

This value set includes codes based on the following rules:


This expansion generated 19 Oct 2021

This value set contains 50 concepts

Expansion based on:

image media consists of one or more unmoving images, including photographs, computer-generated graphs and charts, and scanned documents
video media consists of a series of frames that capture a moving image
audio media consists of a sound recording
STYLESHEET stylesheet for use
WORKFLOW_DEFINITION DefinitionsThe workflow definition
57017-6 http://loinc.orgCode for Privacy Policies
11369-6 http://loinc.orgHistory of Immunization
11485-0 http://loinc.orgAnesthesia records
11486-8 http://loinc.orgChemotherapy records
11488-4 http://loinc.orgConsult Note
11506-3 http://loinc.orgProvider-unspecified progress note
11543-6 http://loinc.orgNursery records
15508-5 http://loinc.orgLabor and delivery records
18726-0 http://loinc.orgRadiology studies (set)
18761-7 http://loinc.orgProvider-unspecified transfer summary
18842-5 http://loinc.orgDischarge summary
26436-6 http://loinc.orgLaboratory Studies (set)
26441-6 http://loinc.orgCardiology studies (set)
26442-4 http://loinc.orgObstetrical studies (set)
27895-2 http://loinc.orgGastroenterology endoscopy studies (set)
27896-0 http://loinc.orgPulmonary studies (set)
27897-8 http://loinc.orgNeuromuscular electrophysiology studies (set)
27898-6 http://loinc.orgPathology studies (set)
28570-0 http://loinc.orgProvider-unspecified procedure note
28619-5 http://loinc.orgOphthalmology/optometry studies (set)
28634-4 http://loinc.orgMiscellaneous studies (set)
29749-9 http://loinc.orgDialysis records
29750-7 http://loinc.orgNeonatal intensive care records
29751-5 http://loinc.orgCritical care records
29752-3 http://loinc.orgPerioperative records
34109-9 http://loinc.orgEvaluation and management note
34117-2 http://loinc.orgProvider-unspecified, History and physical note
34121-4 http://loinc.orgInterventional procedure note
34122-2 http://loinc.orgPathology procedure note
34133-9 http://loinc.orgSummarization of episode note
34140-4 http://loinc.orgTransfer of care referral note
34748-4 http://loinc.orgTelephone encounter note
34775-7 http://loinc.orgGeneral surgery Pre-operative evaluation and management note
47039-3 http://loinc.orgInpatient Admission history and physical note
47042-7 http://loinc.orgCounseling note
47045-0 http://loinc.orgStudy report Document
47046-8 http://loinc.orgSummary of death
47049-2 http://loinc.orgNon-patient Communication
57016-8 http://loinc.orgPrivacy Policy Acknowledgment Document
56445-0 http://loinc.orgMedication Summary Document
53576-5 http://loinc.orgPersonal health monitoring report Document
56447-6 http://loinc.orgPlan of care note
18748-4 http://loinc.orgDiagnostic imaging study
11504-8 http://loinc.orgSurgical operation note
57133-1 http://loinc.orgReferral note


See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

LvlA few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code