AppendixA
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
|
