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 (epsos-issue-25) Value set epSOSSections without dataset binding
Clarification needed (issue id 2.16.840.1.113883.2.4.3.11.60.22.6.25)
Last assignment to Alexander Henket

Issue Value set epSOSSections without dataset binding
Id epsos-issue-25
Type Clarification needed
Status  Closed, assigned
Priority normal
Object(s) Value set epsos-valueset-26 (2013‑06‑03)
Description
The Value Set is used for naming the sections used by the three CDA-documents.
Value Set Name Value Set Id Version / effective date Status
epSOSSections 1.3.6.1.4.1.12559.11.10.1.3.1.42.26 2.34 - 2013‑06‑03 Draft
Source Code System:
  • 2.16.840.1.113883.6.1 LOINC
Level/ Type Code Display Name Code System Description
0-L 10160-0 History of medication use LOINC The medications section shall contain a description of the relevant medications for the patient, e.g. an ambulatory prescription list. It shall include entries for medications as described in the Entry Content Module. All prescribed medicine whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
0-L 10162-6 History of pregnancies  LOINC
0-L 10164-2 History of present illness LOINC The history of present illness section shall contain a description of the sequence of events preceding the patient’s current complaints. Step by step description of ethiopathogenesis of current problem patient is being treated for.
0-L 11348-0 History of past illness LOINC The History of Past Illness section shall contain a description of the conditions the patient suffered in the past. It shall include entries for problems as described in the Entry Content Modules. Illness which set on and resolved in the past.
0-L 11369-6 History of immunization LOINC The immunizations section shall contain a description of the immunizations administered to the patient in the past. It shall include entries for medication administration as described in the Entry Content Modules. Active immunizations received in the past.
0-L 11450-4 Problem list LOINC The active problem section shall contain a description of the conditions currently being monitored for the patient. It shall include entries for patient conditions as described in the Entry Content Module. Chronic, recurring or persistent illnesses, requiring repeated reassessment and/or continuos/periodic therapy.
0-L 18776-5 Plan of treatment LOINC The care plan section shall contain a description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient. Therapeutic recommendations that do not include drugs
0-L 29554-3 Procedures LOINC The procedure entry is used to record procedures that have occurred, or which are planned for in the future.
0-L 29762-2 Social history LOINC
0-L 30954-2 Relevant diagnostic tests/laboratory data LOINC
0-L 46264-8 History of medical device use LOINC The medical devices section contains text describing the patient history of medical device use. Documented necessity to use a device replacing/supporting completely/partially a body organ/organ system function.
0-L 47420-5 Functional status assessment LOINC The Coded Functional Status Assessment Section provided a machine readable and description of the patient’s status of normal functioning at the time the document was created. Pain Scale Assessment, Braden Score Assessment, and Geriatric Depression Scale are subsections of the Functional Status Assessment Section
0-L 47519-4 History of Procedures LOINC The list of surgeries section shall include entries for procedures and references to procedure reports when known as described in the Entry Content Modules. Surgical or other invasive procedures in the past, on vital organs/body cavities/vascular or central nervous system.
0-L 48765-2 Allergies, adverse reactions, alerts LOINC The adverse and other adverse reactions section shall contain a description of the substance intolerances and the associated adverse reactions suffered by the patient. It shall include entries for intolerances and adverse reactions as described in the Entry Content Modules Presence/absence of potentially life threatening reaction to substances/factors, to which patient can be exposed in the environment, or during treatment, of allergic or other known nature.
0-L 57828-6 Prescriptions LOINC
0-L 60590-7 Medication dispensed LOINC
0-L 8716-3 Physical findings LOINC The vital signs section contains coded measurement results of a patient’s vital signs.
Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear in @nullFlavor attribute instead of @code.
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tracking Tracking 2013‑11‑28 17:08:13 - status: Closed
  Author Alexander Henket
Description Conveyed at template level only. Also the valueSet cannot be used as is, as only applies per context. So the valueSet is probably just for convenience.
arrowright Assignment to Alexander Henket (id#4) on 2013‑11‑10 19:49:14
  Author assigned by Giorgio Cangioli (id#5)
tracking Tracking 2013‑11‑10 19:49:04 - status: Open
  Author Giorgio Cangioli
Description value set introduced for listing the codes used for the CDA section.code
tracking Tracking 2013‑10‑16 13:52:13 - status: Open
  Author Alexander Henket
Description Issue:

This value set does not have a clear binding to anything in the dataset. Advice needed for mapping. May be HL7 Template only?