Standard Health Record

Value Sets defined as part of this Implementation Guide

Name Definition
AbsenceContextVS

A code describing whether the finding is question is absent, unknown, or not suspected.

AdverseEventGradeVS

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AgeGroupVS

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AllergyVerificationStatusVS

Whether the allergy has been verified or not. Intentionally a subset of the codes in FHIR, since refuted would be reflected by correcting the ‘elevated risk’ element, and records entered in error are not included in SHR.

AnatomicalDirectionVS

Anatomical location or specimen further detailing directionality. Codes are from NCI

AnatomicalLocationVS

Codes that describe normal and pathologic anatomic systems, regions, cavities, and spaces.

AtRiskContextVS

A code describing the sense in which the subject has risk of a hypothetical (future) finding. At present, this value set contains only one code, but it is presented as a value set to allow for more nuanced meanings in the future.

AttributionCategoryVS

Whether the adverse event is attributed to a treatment, course of the disease, medical error, unrelated to either, or unknown.

BodyPositionVS

The body position with respect to gravity.

BreastCancerDetectionVS

Basis for cancer detection, from HL7 CDA® R2 Implementation Guide: Clinical Oncology Treatment Plan and Summary, Release 1 - US Realm Standard for Trial Use Release 3, October 2016, Volume 2 — Templates and Supporting Material.

BreastCancerStageVS

Codes representing the overall stage of the cancer, based on criteria defined by the staging system being used. The preferred staging system is American Joint Committee on Cancer, 8th Edition, Breast Cancer Chapter. Codes and descriptions have been redacted due to copyright restrictions.

BreastCancerTypeVS

Histologic types of breast cancer. Codes are drawn from ICD-O-3. Codes are presented as local codes due to the lack of a ICD-O-3 terminology server available to the FHIR IG publisher.

BreastSiteVS

Topography of the breast. Codes are drawn from ICD-O-3. Codes are presented as local codes due to the lack of a ICD-O-3 terminology server available to the FHIR IG publisher.

BreastSpecimenCollectionMethodVS

The surgical method used to obtain the tissue sample.

BreastSpecimenTypeVS

The type of specimen obtained from the breast.

ClinicalFindingAbsentVS

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ClockDirectionVS

The relative direction of an object described using the analogy of a 12-hour clock to describe angles and directions. One imagines a clock face lying either upright or flat in front of oneself, and identifies the twelve hour markings with the directions in which they point.

CodingQualifierVS

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ConditionCategoryVS

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CurrencyVS

Value set containing ISO 4217 currency codes.

DegreeOfLymphaticInvolvementVS

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DeltaFlagVS

Indicators for degree of change (delta) from the last or previous measurement.

DeltaFlagVS

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DeviceVS

Codes describing medical devices.

DiagnosticServiceVS

The type of laboratory service used in producing a laboratory result

DiseaseFindingVS

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EncounterUrgencyVS

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EpisodeOfCareCompletionVS

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ExceptionValueVS

Reasons that a value associated with a test or other finding is missing. Includes all codes from http://hl7.org/fhir/ValueSet/data-absent-reason version 3.3.0 and additional codes covering other missing value circumstances.

ExpectationContextVS

A code describing the sense in which a finding is expected.

FoodSubstanceVS

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GoalContextVS

A code describing the sense in which a finding is a goal or objective.

HER2ISHMethodVS

Value set containing In Situ Hybridization methods of determining HER2 status

HER2StatusVS

HER2 status overall result

HER2byIHCScoreVS

Value set containing possible scores resulting from determining HER2 status by immunohistochemistry. Based on LNC#LL4396-9 answer list.

HealthcareRoleVS

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LanguageQualifierVS

A code indicating whether the language is preferred, secondary, or practiced in an unconventional or limited way.

LowerBoundTypeVS

Indicates the actual value is gt (>) or gte (>=) the given value.

MammaprintRiskScoreInterpretationVS

Intepretation of Mammaprint Recurrence Score

ManifestationVS

An observable sign or symptom of an underlying physical or psychological cause.

MedDRAVS

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MedicationChangeReasonVS

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MedicationChangeTypeVS

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MedicationNonAdherenceReasonVS

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MedicationNotUsedReasonVS

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MilitaryServiceDischargeStatusVS

The way in which a separation from the armed services was achieved.

MilitaryServiceEraVS

Values were taken from Final HMIS Data Standards March 2010 (Homeless Management Information System), field 5.05E Veteran’s Information. See: https://www.onecpd.info/resources/documents/FinalHMISDataStandards_March2010.pdf.

MilitaryStatusVS

The current status of the person in armed services.

MitoticCountScoreVS

Value set containing the scores for Nottingham Histologic Score Mitotic Rate

MorphologyBehaviorVS

The morphologic behavior of the cancer. These are the suffix to the ICD-O-3 histologic type codes. Codes are presented as local codes due to the lack of a ICD-O-3 terminology server available to the FHIR IG publisher.

NoKnownAllergyVS

Codes that express no known allergies to food, environmtal agents, drugs, etc.

NottinghamCombinedGradeVS

Combined score from the Nottingham grading system.

NottinghamNullVS

Data absent reasons (null values) for Nottingham Combined Grade scores. Removes non-applicable values from the ExceptionValueVS, and adds values that align with LOINC normative answer list LL4561-8

NuclearGradeVS

The nuclear grade describes how closely the nuclei of cancer cells look like the nuclei of normal breast cells. In general, the higher the nuclear grade, the more abnormal the nuclei are and the more aggressive the tumor cells tend to be. The nuclear grade is a part of overall tumor grade.

NuclearPleomorphismScoreVS

Value set containing the scores for nuclear pleomorphism.

OncotypeDxDCISRiskScoreInterpretationVS

Intepretation of OncotypeDX DCIS (Ductal Carcinoma In Situ) Recurrence Score

OncotypeDxInvasiveRiskScoreInterpretationVS

Intepretation of OncotypeDX Recurrence Score for invasive cancers.

PerformanceGradingScaleVS

A simple performance grading scale. Also useful for grading quality.

PositiveNegativeEquivocalVS

Interpretation of a test result as positive, negative or equivocal.

PositiveNegativeVS

Value set containing the values positive and negative. VSAC value set OID 2.16.840.1.113762.1.4.1166.62.

PresenceContextVS

A code describing whether the finding in question is present, possible, suspected, etc.

ProgressionEvidenceVS

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ProgressionVS

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QualitativeDateTimeVS

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QualitativeFrequencyVS

Code set indicating the frequency of an event in qualitative terms.

QualitativeLikelihoodVS

The likelihood of an event or state, expressed qualitatively. Qualitative likelihoods are associated with judgments and assessments. Values are based on US Intelligence Community’s standard language used to describe judgements of likelihood.

QualitativeValueScaleVS

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ReasonEncounterDidNotHappenVS

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ReceptorVS

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RecurrenceRiskScoreInterpretationVS

Interpretations of risk as high, intermediate, or low. Answer set taken from LOINC LL3198-0

ReferralSourceTypeVS

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ResearchSubjectTerminationReasonVS

The reason for a research subject leaving a research study.

SemiquantitativeDurationVS

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SemiquantitativeFrequencyVS

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SettingVS

What type of place is found at a given location. More than one descriptor may be applicable.

StageTimingPrefixVS

When staging was done, relative to treatment events.

StagingMethodVS

The methodology or standard used to assign the cancer’s overall stage.

StainingIntensityVS

Part of the Allred scoring, based on the intensity of that staining, on a scale of 0 (Negative) to 3 (Strong).

StatisticTypeVS

How to interpret a reported quantity, i.e, whether the quantity is an maximum, minimum, mean, median, etc.

StudyArmTypeVS

The role of each arm in the clinical trial.

TelecomQualifierVS

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ThreePriorityVS

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TimeUnitOfMeasureVS

Units of measure related to time.

ToxicReactionVS

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TreatmentCooperationVS

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TubuleFormationScoreVS

Value set containing the extent (scope) of tubule formation.

USMilitaryBranchVS

The code indicating the branch of the US military.

UnitsOfLengthVS

Units of measure related to length or distance.

UpperBoundTypeVS

Indicates the actual value is lt (<) or lte (<=) the given value.

YesNoUnknownVS

Code set indicating yes, no, or unknown.

YesNoVS

Code set indicating yes or no.