Difference between revisions of "AppendixA"

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Latest revision as of 17:56, 23 May 2014

Appendix A – Document Type Codes

Part of version 0.3 of Draft Metadata Specification


Correspondence Document Type


Medication record - care record element (record artifact)

163111000000100

Allergies and adverse reactions - care record element (record artifact)

163221000000102

Child protection register (qualifier value)

229054004

Report (record artifact)

229059009

Investigation result (record artifact)

24641000000107

Mail to patient (record artifact)

24711000000100

Referral letter (record artifact)

25611000000107

Mail from patient (record artifact)

25731000000109

Image (document) (record artifact)

25831000000103

Life assurance - preliminary report (record artifact)

270358003

Driving license fitness report (record artifact)

270370004

Disabled driver orange badge report (record artifact)

270372007

DSS RMO RM2 report (record artifact)

307881004

Death certificate (record artifact)

307930005

Employment report (record artifact)

308575004

DLA 370 report (record artifact)

308584004

DS 1500 report (record artifact)

308585003

War pensions report (record artifact)

308619006

RM10-DHSS DMO report (record artifact)

308621001

Housing report (record artifact)

310854009

Care plan (record artifact)

325661000000106

Assessment encounter type (record artifact)

325931000000109

Alert note (record artifact)

37341000000109

Discharge summary (record artifact)

373942005

Patient held record (record artifact)

408403008

Anesthesia record (record artifact)

416779005

Emergency department record (record artifact)

445300006

Record of fluid balance (record artifact)

526591000000108

Nursing assessment record (record artifact)

819981000000101

Allied health professional assessment record (record artifact)

819991000000104

Common assessment framework assessment record (record artifact)

820011000000105

Single shared assessment record (record artifact)

820021000000104

Care programme approach assessment record (record artifact)

820031000000102

Multidisciplinary assessment record (record artifact)

820041000000106

Pre-admission assessment record (record artifact)

820071000000100

Self assessment record (record artifact)

820081000000103

Medical assessment record (record artifact)

820091000000101

Social services assessment record (record artifact)

820101000000109

Discharge care plan (record artifact)

820121000000100

Record of fundal height measurement (record artifact)

820141000000107

Growth chart (record artifact)

820161000000108

Partogram (record artifact)

820191000000102

Patient safety checklist (record artifact)

820211000000103

Inpatient medical note (record artifact)

820221000000109

Medical photograph (record artifact)

820241000000102

Interventional radiology record (record artifact)

820251000000104

Controlled drug dispensing record (record artifact)

820261000000101

Chemotherapy record (record artifact)

820271000000108

Infectious disease notification (record artifact)

820291000000107

Adoption report (record artifact)

820301000000106

Weight chart (record artifact)

820441000000103

Medical note (record artifact)

820451000000100

Multidisciplinary note (record artifact)

820461000000102

Nursing note (record artifact)

820471000000109

Outpatient nursing note (record artifact)

820481000000106

Outpatient medical note (record artifact)

820491000000108

Nutritional record (record artifact)

820501000000102

Endoscopy record (record artifact)

820511000000100

Organ donor card (record artifact)

822751000000105

Patient preferences record (record artifact)

822761000000108

Pulmonary investigation record (record artifact)

822771000000101

Vascular investigation record (record artifact)

822781000000104

Cardiac investigation record (record artifact)

822791000000102

Gastroenterology investigation record (record artifact)

822801000000103

Neurological investigation record (record artifact)

822811000000101

Echography report (record artifact)

822821000000107

Audiology investigation record (record artifact)

822831000000109

Pre-operative assessment record (record artifact)

823561000000105

Scored assessment record (record artifact)

823571000000103

Multidisciplinary care plan (record artifact)

823581000000101

Operating theatre patient checklist (record artifact)

823591000000104

Critical care chart (record artifact)

823601000000105

Vital signs chart (record artifact)

823611000000107

Observation chart (record artifact)

823621000000101

Out of hours note (record artifact)

823631000000104

Allied health professional note (record artifact)

823641000000108

Clinical note (record artifact)

823651000000106

Operation note (record artifact)

823661000000109

Outpatient letter (record artifact)

823681000000100

Clinical letter (record artifact)

823691000000103

Discharge letter (record artifact)

823701000000103

Social Services letter (record artifact)

823721000000107

Transfer of care letter (record artifact)

823731000000109

Admission letter (record artifact)

823741000000100

Letter (record artifact)

823751000000102

Administrative letter (record artifact)

823761000000104

Unscheduled care letter (record artifact)

823771000000106

Multidisciplinary team letter (record artifact)

823781000000108

Allied health professional therapy record (record artifact)

823831000000103

Radiotherapy record (record artifact)

823841000000107

Forensic autopsy report (record artifact)

823871000000101

Do not attempt cardiopulmonary resuscitation order (record artifact)

823881000000104

Allied health professional investigation record (record artifact)

823891000000102

Non-statutory provider document (record artifact)

823901000000101

Private provider note (record artifact)

823931000000107

Third party document (record artifact)

823941000000103

Adult incapacity report (record artifact)

823951000000100

Temperature chart (record artifact)

824231000000100

Summary record (record artifact)

824321000000109

Inpatient final discharge letter (record artifact)

824331000000106

Immediate inpatient discharge letter (record artifact)

824341000000102

Drug administration chart (record artifact)

824781000000106

Prescription and administration record (record artifact)

824791000000108

Patient master index sheet (record artifact)

824801000000107

Consent form (record artifact)

824831000000101

Ambulance service patient report form (record artifact)

824861000000106

Intervention record (record artifact)

826491000000106

Miscellaneous record (record artifact)

826501000000100

Exemption form (record artifact)

826511000000103

Refusal form (record artifact)

826521000000109

Power of attorney and legal guardianship record (record artifact)

826541000000102

Legal notice (record artifact)

826621000000105

Mental Health Act notice (record artifact)

826631000000107

Notification and legal document (record artifact)

826651000000100

Living will and advance directive record (record artifact)

827701000000106

Electrocardiograph (record artifact)

827711000000108

Urodynamics record (record artifact)

827721000000102

Inpatient nursing note (record artifact)

829201000000105