U.S. Health and Human Services
Office of the National Coordinator for Health IT
Clinical Element Data Dictionary (CEDD)
Value Set Index
Draft Version 0.1
November 3, 2011
Office of the National Coordinator for
Health Information Technology
Revision History
Date
11/3/2011
Document
Version
0.1
Document Revision Description
Working draft of the S&I Framework Clinical Element Data Dictionary (CEDD) –
Value Set Index. This value set index is meant to capture the value sets used in
the S&I Framework across initiatives. It is currently being reviewed internally
within ONC and with the S&I Framework CEDD and TOC Implementation
Guidance SWG’s
This working draft includes work from the following initiatives:
 Transitions of Care
 Provider Directory
TBD
0.2
In development. This will include the following initiatives:
 Laboratory Reporting Interface
 Query Health
Office of the National Coordinator for
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Table of Contents
1. Introduction ..................................................................................................................................................... 4
Use of Value Set Metadata ..............................................................................................................................4
1.1.1 Use of “Local to S&I Framework” Value Set URL’s..............................................................................5
1.1.2 Rules for Publication of Value Set Codes ............................................................................................5
Advance Directive Type Value Set ...................................................................................................................5
Allergy/Adverse Event Food and Other Allergens Value Set ...........................................................................6
Allergy/Adverse Event Reaction Value Set ......................................................................................................6
Allergy/Adverse Event Type Value Set ............................................................................................................6
Care Transition – Body Site Value Set .............................................................................................................7
Care Transition – Contact Type Value Set .......................................................................................................7
Care Transition – Country Value Set ...............................................................................................................8
Care Transition – Medication Brand Name Value Set .....................................................................................8
Care Transition - Medication Clinical Drug Name Value Set ...........................................................................9
Care Transition - Medication Drug Class Value Set .........................................................................................9
Care Transition – Patient Class Value Set ......................................................................................................10
Care Transition – Postal Code Value Set .......................................................................................................10
Care Transition - Problem Value Set .............................................................................................................11
Care Transition – Provider Role Value Set .....................................................................................................18
Care Transition – Provider Type Value Set ....................................................................................................18
Care Transition – Race Value Set ...................................................................................................................20
Care Transition – Relationship Value Set ......................................................................................................20
Care Transition - Severity Value Set ..............................................................................................................21
Care Transition – State Value Set ..................................................................................................................21
Encounter Type Value Set .............................................................................................................................22
Health Insurance Subscriber Relationship Value Set.....................................................................................22
Health Insurance Type Value Set ...................................................................................................................23
Ingredient Name Value Set ...........................................................................................................................24
Immunizations Administered Vaccines Value Set Recommendation ............................................................24
Immunization Reason Value Set ....................................................................................................................27
Medication Fill Status Value Set ....................................................................................................................28
Medication Method of Delivery Value Set ....................................................................................................28
Medication Product Form Value Set .............................................................................................................29
Medication Route Value Set ..........................................................................................................................29
Medication Type Value Set ............................................................................................................................29
Problem Status Value Set ..............................................................................................................................30
Problem Type Value Set ................................................................................................................................30
Procedure Value Set ......................................................................................................................................31
Provider Directory State License Value Set ...................................................................................................33
Provider Directory Address Usage Value Set ................................................................................................33
Provider Directory Degree Value Set.............................................................................................................33
Provider Directory Telephone Usage Value Set ............................................................................................34
Result Status Value Set ..................................................................................................................................34
Results Value Set ...........................................................................................................................................34
Social History Type Value Set ........................................................................................................................36
Vital Signs Result Type Value Set ...................................................................................................................37
2. Appendix A – Value Set References ................................................................................................................ 38
Office of the National Coordinator for
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1. Introduction
This index contains recommended value sets drawn from work with the Health IT Standards Committee, Beacon
Communities, and State HIE programs. These value sets have also been drawn from the Consolidated CDA Guide
and its supporting value sets. This index draws heavily from work done in the development of HITSP C80 and much
of its while also recognizing some of the unique challenges that are faced when dealing with value sets.


Many value sets are short, but some are dynamic and large (the list of lab tests in LOINC, Results in
SNOMED, not to mention diagnostic codes, etc.)
Variations in the size and dynamic nature of terminologies that make it difficult for to find the ultimate
“source of truth”. This is especially critical when these sets are points of conformance.
The following rules apply in the use of these value sets:



Wherever possible, this guidance will adhere to the recommendations of the Health IT Standards
Committee on vocabularies and controlled terminologies. In those cases where a value set that aligns to
these recommendations cannot be found, an alternative value set is proposed that may use a different
vocabulary.
Implementers from the ONC Beacon Communities and ONC State HIE Programs (sometimes referred to as
ONC Initiative Partners, or OIPs) have provided value set recommendations in some areas where
implementers wish to provide a set of most commonly used codes
In almost all cases, the value set adopted has been aligned to the Consolidated CDA Guide.
The CEDD Value Set Index will also be represented in the S&I Repository and on the S&I Framework CEDD Wiki site,
with a web page that explains what the S&I Framework has reused or defined for value sets and include the links
to the sources, including UMLS, HL7, CDC, et al. This work has not been defined as of publication of Draft version
0.1 of this document, but further information will be added as work progresses.
Use of Value Set Metadata
Value Set Metadata
Source
Value Set Metadata Description
This is the source of the value set, identifying the originator or publisher of the
information. It is assumed that the originator of a value set and the publisher of it
may be different organizations. The Value Set Source metadata points to the
authoritative source for the value set as specified by the S&I Framework, and this
source may be owned by either of these organizations.
The S&I Framework created specific value sets based upon external vocabularies
for certain contexts. When this occurs the Value Set Source is identified as S&I
Framework and the context of its use is described in the Value Set Description
metadata.
URL
Type of Binding
Every value set used in the S&I Framework is linked to an online location where
the content of the value set is available. This is to help implementers identify the
source of record for a specific set of concepts
This attribute will record whether the value set is bound to data elements
statically or dynamically. A statically bound value set has its values fixed until a
Office of the National Coordinator for
Health Information Technology
new version of the value set is released.
A dynamically bound value set has its definitions fixed, but the values in the set
may vary as new versions of the code system upon which they are based are
released
The purpose of the value set is defined, in specific context for the S&I
Framework. This explains the use of the collection of concepts in the value set.
This is the official name of the code system as determined by its source.
Description
Code System
1.1.1
Use of “Local to S&I Framework” Value Set URL’s
The S&I Framework intends to point to the ultimate source of truth for a particular value set, vocabulary subset,
and any other source for coded values (such as an enumerated list). When the term “Local to S&I Framework” is
used in the index, it denotes that the S&I Framework wiki page listed captures the value set but ultimately points
to a “source of truth”.
1.1.2
Rules for Publication of Value Set Codes
Value sets are published in the S&I Framework Index under the following conditions:
 The value set is small and stable enough to be listed here
 The value set was developed by the S&I Framework in coordination with other
 The owner of the underlying code system has agreed to allow either the S&I Framework or the public to
freely publish
 The information is available from another published source (in which case it is directly cited within the
index)
It is important to understand the licensing implications of using value sets from the S&I Framework.
(Licensing implications are being researched internal to the S&I Framework. Language to be added post-working
draft)
Advance Directive Type Value Set
In alignment with the CDA Consolidation Guide, the Transitions of Care Initiative recommends the following value
set for coding Advance Directive types.
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Code
52765003
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
URL TBD
Static
Used as part of the Transitions of Care Implementation
Guidance, and also part of the Consolidated CDA Guide
SNOMED-CT
Name
Intubation
Office of the National Coordinator for
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Code
61420007
71388002
78823007
89666000
225204009
281789004
304251008
Name
Tube Feedings
Other Directive
Life Support
CPR
IV Fluid and Support
Antibiotics
Resuscitation
Allergy/Adverse Event Food and Other Allergens Value Set
The value set for coding food and other allergens in the S&I Framework is to use any ingredient name drawn from
the FDA Structured Product Labeling (SPL) subset.

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change. Proper attribution is provided to HITSP C80 in the References section of this
document.
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
SNOMED-CT
Allergy/Adverse Event Reaction Value Set
For the S&I Framework, any problem drawn from the VA/KP Problem List Subset of SNOMED CT may be used to
describe an event reaction.


NOTE: This set of SNOMED terms and codes is freely reusable worldwide without licensing or intellectual
property restrictions.
NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
http://evs.nci.nih.gov/ftp1/FDA/ProblemList/
Static
SNOMED-CT
Allergy/Adverse Event Type Value Set
The value set used to code for allergy and/or adverse event type in a care transition uses the following list of
SNOMED-CT concept codes, which describe the type of product and intolerance suffered by the patient:
Office of the National Coordinator for
Health Information Technology

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
Static
SNOMED-CT
Concept Name
Propensity to adverse reactions (disorder)
Propensity to adverse reactions to substance (disorder)
Propensity to adverse reactions to drug (disorder)
Propensity to adverse reactions to food (disorder)
Allergy to substance (disorder)
Drug allergy (disorder)
Drug intolerance (disorder)
Food intolerance (disorder)
Propensity to adverse reactions (disorder)
Concept Code (SNOMED-CT)
420134006
418038007
419511003
418471000
419199007
416098002
59037007
235719002
420134006
Care Transition – Body Site Value Set
The value set for representing a Body Site in the S&I Framework contains values descending from the SNOMED-CT
Anatomical Structure (91723000) hierarchy or Acquired body structure (body structure) (280115004) or
Anatomical site notations for tumor staging (body structure) (258331007) or Body structure, altered from its
original anatomical structure (morphologic abnormality) (118956008) or Physical anatomical entity (body
structure) (91722005) This indicates the anatomical site.

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
Consolidated CDA
http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html
Dynamic
This value set indicates the specific anatomical site to be identified as
part of the data associated with a care transition. Used in the
Transitions of Care Implementation Guidance and referenced from the
Consolidated CDA Guide.
SNOMED-CT
Care Transition – Contact Type Value Set
For a care transition, the value set to use for identifying family relationships is the HL7 RoleClassCode. This
represents the type of individual support provided, such as immediate emergency contacts, next of kin, family
relations, guardians, agents, et cetera
Office of the National Coordinator for
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Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
URL TBD
Static
This value set is used in the Transitions of Care Implementation
Guidance to capture a contact type as part of building family
relationships for a patient.
HL7 Version 3.0 Vocabulary
RoleClass
HL7 RoleClass Code
Usage Note
personal relationship
next of kin
caregiver
agent
guarantor
emergency contact
PRS
NOK
CAREGIVER
AGNT
GUAR
ECON
Care Transition – Country Value Set
The value set for coding any country in the S&I Framework is to use ISO 3166-1 Codes for the representation of
names of countries and their subdivisions: Part 1 Countries.

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
Consolidated CDA
http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm
Dynamic
ISO 3166-1 Codes for the representation of names of countries and
their subdivisions: Part 1 Countries
Care Transition – Medication Brand Name Value Set
The value set for a Medication Brand Name in a care transition uses any RxNorm normal forms for concepts type of
Brand Name or Brand Name Packs. The Brand name concepts can be found in the RxNORM file RXCONSO.RRF
selecting all terms where SAB=RXNORM (selecting the normal forms), and TTY=BN (selecting the brand names) or
TTY=BPCK (selecting the brand name packs)

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
Value Set Metadata Element Description
S&I Framework (Reuse through HITSP C80)
Office of the National Coordinator for
Health Information Technology
URL
Type of Binding
Description
Code System
Local to S&I Framework
URL TBD
Dynamic
This value set is used to identify the product brand
name of drugs, such as Tylenol, Claritin, etc. Its primary
usage is within the Transition of Care Implementation
Guidance to define a medication brand name within the
active medication list.
RxNORM
Care Transition - Medication Clinical Drug Name Value Set
The value set for a Medication Clinical Drug Name in the S&I Framework uses any RxNorm normal forms for
concepts type of Ingredient Name or Generic Packs.
The ingredient name concepts can be found in the RxNORM file RXCONSO.RRF selecting all terms where
SAB=RXNORM (selecting the normal forms), and TTY=IN (selecting the ingredient names) or TTY=GPCK (selecting
the generic packs)

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework (Reuse through HITSP C80)
Local to S&I Framework
URL TBD
Dynamic
Primary usage is within the Transition of Care
Implementation Guidance to define a medication
clinical drug name within the active medication list.
RxNORM
Care Transition - Medication Drug Class Value Set
The value set for a care transition is to use any NDF-RT Code drawn from the following NDF-RT SPL Subsets:



Physiologic Effect
Structural Class
Mechanism of Action

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Value Set Metadata Element Description
S&I Framework (Reuse through HITSP C80)
http://evs.nci.nih.gov/ftp1/FDA/ndfrt/
Dynamic
Primary usage is within the Transitions of Care
Implementation Guidance to identify a specific
Office of the National Coordinator for
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medication drug class for a medication that is within the
active medication list.
NDF-RT
Code System
Care Transition – Patient Class Value Set
This value set is used within the S&I Framework to categorize patients by site where an encounter occurred.

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Concept
Code
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
URL TBD
Static
Health Level Seven (HL7) Version 3.0 Vocabulary
ActEncounterCode
Concept Name
EMER
Emergency
IMP
Inpatient Encounter
AMB
Ambulatory
Definition
A patient encounter that takes place at a dedicated healthcare service
delivery location where the patient receives immediate evaluation and
treatment, provided until the patient can be discharged or responsibility for
the patient's care is transferred elsewhere (for example, the patient could
be admitted as an inpatient or transferred to another facility.)
A patient encounter where a patient is admitted by a hospital or equivalent
facility, assigned to a location where patients generally stay at least
overnight and provided with room, board, and continuous nursing service
A comprehensive term for healthcare provided in a healthcare facility (e.g.,
a practitioners office, clinic setting, or hospital) on a nonresident basis. The
term ambulatory usually implies that the patient has come to the location
and is not assigned to a bed. Sometimes referred to as an outpatient
encounter
Care Transition – Postal Code Value Set
This value set is used within the S&I Framework to represent United States postal codes (known in various
countries as a post code, postcode, or ZIP code) appended to a postal address for the purpose of sorting mail. The
value set allows the use of any United States Postal Service (USPS) postal code.

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Value Set Metadata Element Description
Consolidated CDA
http://zip4.usps.com/zip4/welcome.jsp
Dynamic
Office of the National Coordinator for
Health Information Technology
Code System
United States Postal Service (USPS)
Care Transition - Problem Value Set
The Health IT Standards Committee recommends the use of SNOMED-CT to capture problems. It is expected,
however, that during a care transition, there may be multiple codes used from different terminologies, including
ICD-9 and ICD-10.
The value set specified for problems within the S&I Framework is based off SNOMED-CT and includes ICD-9 and
ICD-10 codes for common problems. For SNOMED-CT, the value set is limited to terms descending from the Clinical
Findings (404684003) or Situation with Explicit Context (243796009) hierarchies.
This value set is not intended to be comprehensive but represents the recommendations for specific codes that are
common to an active problem list. Implementers should note that a list of ICD-9, ICD-10 and SNOMED-CT codes are
provided for commonly used problems that have been identified as most likely to be coded during a care
transition.
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Problem Name
Acute Respiratory
Failure
Asthma
Chronic Kidney Disease
Congestive Heart Failure
COPD
Cystic Fibrosis
Depression screening
Diabetes
Diabetes
Diabetes
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Dynamic
Note that the usage of this value set is currently specific
to a care transition as defined in the S&I Framework
SNOMED-CT
Problem Codes
518.84
493.0, 493.1, 493.2, 493.8, 493.9, 495.8
585.1-6
428
496
277.00, 277.01, 277.02, 277.03, 277.09
V79.0
250, 250.0, 250.00, 250.01, 250.02, 250.03, 250.10, 250.11, 250.12,
250.13, 250.20, 250.21, 250.22, 250.23, 250.30, 250.31, 250.32, 250.33,
250.4, 250.40, 250.41, 250.42, 250.43, 250.50, 250.51, 250.52, 250.53,
250.60, 250.61, 250.62, 250.63, 250.7, 250.70, 250.71, 250.72, 250.73,
250.8, 250.80, 250.81, 250.82, 250.83, 250.9, 250.90, 250.91, 250.92,
250.93, 357.2, 362.0, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06,
362.07, 366.41, 648.0, 648.00, 648.01, 648.02, 648.03, 648.04
31, E10.36, E11.36, E11.9, E13, E13.32, E13.33, E13.34, E13.35, E13.43,
O24.42
111552007, 111558006, 11530004, 123763000, 127013003, 127014009,
190321005, 190328004, 190330002, 190331003, 190336008, 190353001,
190361006, 190368000, 190369008, 190371008, 190372001, 190383005,
190389009, 190390000, 190392008, 190406000, 190407009, 190410002,
190411003, 190412005, 190416001, 190417004, 190418009, 190419001,
Code Set
ICD-9
ICD-9
ICD-9
ICD-9
ICD-9
ICD-9
ICD-9
ICD-9
ICD-10
SNOMEDCT
Office of the National Coordinator for
Health Information Technology
Problem Name
Diabetes (Exclusion)
Diabetic Retinopathy
Diabetic Retinopathy
Diabetic Retinopathy
Emphysema
Gestational Diabetes
Gestational Diabetes
Gestational Diabetes
Hypertension
Hyperlipidemia
Ischemic Vascular
Disease
Microalbuminuria
Nephropathy
Problem Codes
190422004, 193184006, 197605007, 198609003, 199223000, 199227004,
199229001, 199230006, 199231005, 199234002, 201250006, 201251005,
201252003, 23045005, 230572002, 230577008, 237599002, 237600004,
237601000, 237604008, 237613005, 237618001, 237619009, 237627000,
25907005, 26298008, 267379000, 267380002, 2751001, 275918005,
28032008, 28453007, 290002008, 309426007, 310387003, 311366001,
312912001, 313435000, 313436004, 314537004, 314771006, 314772004,
314893005, 314902007, 314903002, 33559001, 34140002, 359611005,
359638003, 359642000, 360546002, 371087003, 38542009, 39058009,
39181008, 408539000, 408540003, 413183008, 414890007, 414906009,
420414003, 420422005, 421750000, 421847006, 421895002, 422183001,
422228004, 422275004, 423263001, 424736006, 424989000, 425159004,
425442003, 426705001, 426875007, 427089005, 428896009, 42954008,
44054006, 4627003, 46635009, 50620007, 51002006, 5368009,
54181000, 57886004, 59079001, 5969009, 70694009, 73211009,
74263009, 75524006, 75682002, 76751001, 81531005, 81830002,
8801005, 91352004, 9859006
648.8, 249, 251.8, 962
E10.3, E10.31, E10.311, E10.319, E11.31, E11.311, E11.319, E11.32,
E11.321, E11.329, E11.33, E11.331, E11.339, E11.34, E11.341, E11.349
193349004, 193350004, 232020009, 232021008, 232022001, 232023006,
25093002, 25412000, 311782002, 312903003, 312904009, 312905005,
312906006, 312907002, 312908007, 312909004, 312912001, 314010006,
314011005, 314014002, 314015001, 390834004, 399625000, 399862001,
399863006, 399864000, 399865004, 399866003, 399868002, 399869005,
399870006, 399871005, 399872003, 399873008, 399874002, 399875001,
399876000, 399877009, 408409007, 408410002, 408411003, 408412005,
408413000, 408414006, 408415007, 408416008, 414892004, 414894003,
414908005, 414910007, 417677008, 420486006, 420789003, 421779007,
422034002, 4855003, 59276001, 62585004
362.01, 362.02, 362.03, 362.04, 362.05, 362.06
491.20-491.22, 518.20, 506.4, 518.1, 998.81, 958.7
648.8, 648.80, 648.81, 648.82, 648.83, 648.84
R73.02, R73.09
11687002, 420491007, 420738003, 420989005, 421223006, 421389009,
421443003, 422155003, 46894009, 71546005, 75022004
401.-405.XX
272.X
411, 413, 414.0, 414.2, 414.8, 414.9, 429.2, 433-434, 440.1, 440.2, 440.4,
444, 445
791.0
250.4, 250.40, 250.41, 250.42, 250.43, 403, 403.0, 403.00, 403.01, 403.1,
403.10, 403.11, 403.9, 403.90, 403.91, 404, 404.0, 404.00, 404.01, 404.02,
404.03, 404.1, 404.10, 404.11, 404.12, 404.13, 404.9, 404.90, 404.91,
404.92, 404.93, 405.01, 405.11, 405.91, 580, 580.0, 580.4, 580.8, 580.81,
580.89, 580.9, 581, 581.0, 581.1, 581.2, 581.3, 581.8, 581.81, 581.89,
581.9, 582, 582.0, 582.1, 582.2, 582.4, 582.8, 582.81, 582.89, 582.9, 583,
583.0, 583.1, 583.2, 583.4, 583.6, 583.7, 583.8, 583.81, 583.89, 583.9,
584, 584.5, 584.6, 584.7, 584.8, 584.9, 585, 585.1, 585.2, 585.3, 585.4,
Code Set
ICD-9
ICD-10
SNOMEDCT
ICD-9
ICD-9
ICD-9
ICD-10
SNOMEDCT
ICD-9
ICD-9
ICD-9
ICD-9
ICD-9
Office of the National Coordinator for
Health Information Technology
Problem Name
Nephropathy
Nephropathy
Problem Codes
585.5, 585.6, 585.9, 586, 587, 588, 588.0, 588.1, 588.8, 588.81, 588.89,
588.9, 753.0, 753.1, 753.10, 753.11, 753.12, 753.13, 753.14, 753.15,
753.16, 753.17, 753.19, 791.0, V42.0, V45.1, V45.11, V45.12, V56, V56.0,
V56.1, V56.2, V56.3, V56.31, V56.32, V56.8
G56, G56.8, G56.80, G56.81, G56.82, G56.9, G56.90, G56.91, G56.92, G57,
G57.8, G57.80, G57.81, G57.82, G57.9, G57.90, G57.91, G57.92, G58,
G58.0, G58.7, G58.8, G58.9, G59, G61, G61.0, G61.1, G61.8, G61.81,
G61.89, G61.9, G62, G62.0, G62.9
193003, 290006, 1426004, 1592005, 1776003, 2900003, 3321001,
4292005, 4390004, 4451004, 4495005, 4576001, 4676006, 5397007,
5753006, 6134000, 7703001, 7724006, 8199003, 8436004, 8468007,
8964003, 8996006, 9918001, 10123006, 10697004, 10833000, 11013005,
11026009, 11109001, 11659006, 12897005, 13010001, 13335004,
13530005, 13886001, 13889008, 14178006, 14343001, 14669001,
14853005, 14973001, 15842009, 16147005, 16297002, 16507009,
16652001, 16756008, 16934004, 17121006, 17380002, 17901006,
18417009, 18796000, 19351000, 20341008, 20483002, 20917003,
21764004, 21952001, 22011005, 22702000, 22846003, 23697004,
23754003, 24790002, 25646005, 25765006, 25821008, 26235008,
26367008, 27174002, 28196006, 28545001, 28770003, 28918009,
29908007, 30124006, 30275001, 30295007, 31005002, 32093003,
32278006, 32659003, 32916005, 33561005, 33763006, 34165000,
35455006, 35546006, 36171008, 36184004, 36225005, 36388008,
36402006, 36473002, 36568005, 36689008, 36891003, 37133005,
37183000, 37891007, 38481006, 39018007, 39291006, 39734002,
40095003, 40233000, 40488004, 40894000, 41305006, 41729002,
41962002, 42399005, 42496002, 42927005, 43064006, 43258006,
43629001, 43738009, 44323002, 44513007, 44730006, 45281005,
45456005, 45646000, 45743004, 45812003, 45816000, 46177005,
46395002, 48061001, 48631008, 48638002, 48655003, 48713002,
48796009, 49008000, 49220004, 49809007, 50581000, 50909009,
51055000, 51292008, 51677000, 52042003, 52254009, 52342006,
52777008, 52845002, 53378008, 53556002, 54155004, 54181000,
54480007, 54781007, 54879000, 54967001, 55006001, 55536001,
55655006, 55856005, 56108007, 56346006, 57088004, 57469000,
57557005, 57684003, 57965003, 58276006, 58574008, 58797008,
59400006, 59530001, 59758007, 59780005, 60989005, 61474001,
61598006, 61680002, 61852001, 62216007, 62240004, 63510008,
64323009, 65127006, 65443008, 66993009, 67132008, 68815009,
69718008, 70092007, 71064009, 71110009, 71275003, 71909003,
72613009, 73030000, 73286009, 73305009, 74594005, 75030003,
75150001, 75652008, 75712001, 76224000, 76521009, 76910007,
77186001, 77624000, 77945009, 78209002, 78311009, 78544004,
79385002, 80902009, 81363003, 81896006, 81986001, 81987005,
82525005, 83563007, 83850008, 83866005, 84121007, 85020001,
85487008, 85901000, 86210009, 86234004, 86235003, 86249007,
86463003, 86564006, 87571007, 88102009, 88380005, 88531004,
90241004, 90493000, 90688005, 90708001, 91003006, 92165001,
Code Set
ICD-10
SNOMEDCT
Office of the National Coordinator for
Health Information Technology
Problem Name
Problem Codes
92624000, 92921005, 92975004, 93290000, 93425004, 94889006,
95444008, 95474000, 95568003, 95570007, 95571006, 95572004,
95575002, 95577005, 95578000, 95579008, 95580006, 95582003,
95889002, 102455002, 105999006, 106000008, 109477002, 110996009,
111395007, 111403005, 111404004, 111406002, 111407006, 112066009,
118951003, 123609007, 123610002, 123611003, 123612005, 123752003,
123753008, 123755001, 124147007, 126874009, 126880001, 126881002,
127013003, 128996006, 129128006, 168041003, 187144000, 188250002,
188251003, 194774006, 194780003, 194781004, 197577008, 197589005,
197590001, 197591002, 197593004, 197594005, 197595006, 197596007,
197597003, 197598008, 197599000, 197600002, 197601003, 197603000,
197605007, 197606008, 197607004, 197627003, 197628008, 197629000,
197650009, 197659005, 197660000, 197661001, 197663003, 197664009,
197670003, 197671004, 197679002, 197688006, 197707007, 197708002,
197712008, 197738008, 197739000, 197752005, 197753000, 197801000,
197802007, 197813005, 197817006, 197820003, 198841006, 198842004,
198843009, 198844003, 198845002, 198846001, 198949009, 199110003,
199132007, 199134008, 199135009, 199136005, 199137001, 200117009,
200118004, 204938007, 204941003, 204942005, 204949001, 204950001,
204957003, 204962002, 204980006, 204984002, 204985001, 210197003,
210207004, 210811000, 213231008, 226309007, 230970001, 236367002,
236369004, 236374007, 236376009, 236377000, 236380004, 236381000,
236382007, 236383002, 236384008, 236385009, 236395002, 236402009,
236403004, 236404005, 236405006, 236406007, 236423003, 236424009,
236425005, 236428007, 236429004, 236430009, 236431008, 236432001,
236433006, 236434000, 236435004, 236436003, 236437007, 236438002,
236439005, 236441006, 236442004, 236443009, 236444003, 236445002,
236448000, 236452000, 236453005, 236454004, 236455003, 236456002,
236457006, 236460004, 236461000, 236463002, 236464008, 236467001,
236469003, 236470002, 236471003, 236472005, 236474006, 236475007,
236477004, 236478009, 236479001, 236480003, 236481004, 236482006,
236483001, 236484007, 236485008, 236486009, 236487000, 236488005,
236490006, 236491005, 236492003, 236493008, 236495001, 236498004,
236499007, 236500003, 236502006, 236503001, 236504007, 236505008,
236506009, 236507000, 236508005, 236511006, 236514003, 236515002,
236516001, 236517005, 236518000, 236519008, 236520002, 236521003,
236522005, 236523000, 236526008, 236527004, 236528009, 236530006,
236531005, 236532003, 236534002, 236535001, 236569000, 236570004,
236583003, 236584009, 236586006, 236587002, 236590008, 236592000,
236614007, 236708007, 236710009, 236713006, 237230004, 239932005,
240317003, 253860008, 253862000, 253864004, 253865003, 253866002,
253867006, 253869009, 253872002, 253875000, 253876004, 253881008,
253883006, 253886003, 254914004, 254915003, 254916002, 254919009,
254920003, 254922006, 254923001, 254924007, 262612001, 262891006,
262893009, 262894003, 262900003, 266549004, 266556005, 267430007,
268232000, 268234004, 268854008, 269257004, 269301005, 269489006,
270494003, 270517006, 271387005, 271432005, 274401005, 275408006,
275510005, 276583007, 276584001, 276585000, 276586004, 276627004,
277010001, 277011002, 278531007, 282348002, 282664001, 283905005,
288004005, 289923007, 298127003, 301814009, 302233006, 302849000,
Code Set
Office of the National Coordinator for
Health Information Technology
Problem Name
Obesity
Polycystic ovaries
Polycystic ovaries
Problem Codes
302910002, 302922004, 307309005, 307532008, 307604008, 307618001,
309426007, 309785008, 310387003, 311366001, 311496007, 359563005,
361146001, 361147005, 361264003, 363224005, 363234001, 363287001,
363288006, 363518003, 367540006, 370488005, 370493008, 370494002,
371011007, 371019009, 371020003, 373421000, 373422007, 373584008,
373585009, 373599008, 399094007, 399190000, 399340005, 405573009,
405584002, 420279001, 421893009, 422593004, 423322005, 423533009,
423919000, 425369003, 425384007, 425414000, 425455002, 426136000,
427555000, 427649000, 428255004, 428720002, 429224003, 429489008,
430535006, 431480000, 431501001, 431855005, 431856006, 431857002,
432294000, 432461000, 433036004, 433144002, 433146000, 433229006,
438783006, 439990003, 440018001, 441815006
278
256.4
E28.2
Polycystic ovaries
69878008
Pregnancy (normal)
630, 631, 632, 633.00, 633.01, 633.10, 633.11, 633.20, 633.21, 633.80,
633.81, 633.90, 633.91, 634.00, 634.01, 634.02, 634.10, 634.11, 634.12,
634.20, 634.21, 634.22, 34.30, 634.31, 634.32, 634.40, 634.41, 634.42,
634.50, 634.51, 634.52, 634.60, 634.61, 634.62, 634.70, 634.71, 634.72,
634.80, 634.81, 634.82, 634.90, 634.91, 634.92, 635.00, 635.01, 635.02,
635.10, 635.11, 635.12, 635.20, 635.21, 635.22, 635.30, 635.31, 635.32,
635.40, 635.41, 635.42, 635.50, 635.51, 635.52, 635.60, 635.61, 635.62,
635.70, 635.71, 635.72, 635.80, 635.81, 635.82, 635.90, 635.91, 635.92,
636.00, 636.01, 636.02, 636.10, 636.11, 636.12, 636.20, 636.21, 636.22,
636.30, 636.31, 636.32, 636.40, 636.41, 636.42, 636.50, 636.51, 636.52,
636.60, 636.61, 636.62, 636.70, 636.71, 636.72, 636.80, 636.81, 636.82,
636.90, 636.91, 636.92, 637.00, 637.01, 637.02, 637.10, 637.11, 637.12,
637.20, 637.21, 637.22, 637.30, 637.31, 637.32, 637.40, 637.41, 637.42,
637.50, 637.51, 637.52, 637.60, 637.61, 637.62, 637.70, 637.71, 637.72,
637.80, 637.81, 637.82, 637.90, 637.91, 637.92, 638.0, 638.1, 638.2,
638.3, 638.4, 638.5, 638.6, 638.7, 638.8, 638.9, 639.0, 639.1, 639.2, 639.3,
639.4, 639.5, 639.6, 639.8, 639.9, 640.00, 640.01, 640.03, 640.80, 640.81,
640.83, 640.90, 640.91, 640.93, 641.00, 641.01, 641.03, 641.10, 641.11,
641.13, 641.20, 641.21, 641.23, 641.30, 641.31, 641.33, 641.80, 641.81,
641.83, 641.90, 641.91, 641.93, 642.00, 642.01, 642.02, 642.03, 642.04,
642.10, 642.11, 642.12, 642.13, 642.14, 642.20, 642.21, 642.22, 642.23,
642.24, 642.30, 642.31, 642.32, 642.33, 642.34, 642.40, 642.41, 642.42,
642.43, 642.44, 642.50, 642.51, 642.52, 642.53, 642.54, 642.60, 642.61,
642.62, 642.63, 642.64, 642.70, 642.71, 642.72, 642.73, 642.74, 642.90,
642.91, 642.92, 642.93, 642.94, 643.00, 643.01, 643.03, 643.10, 643.11,
643.13, 643.20, 643.21, 643.23, 643.80, 643.81, 643.83, 643.90, 643.91,
643.93, 644.00, 644.03, 644.10, 644.13, 644.20, 644.21, 645.10, 645.11,
642.13, 645.20, 645.21, 645.23, 646.00, 646.01, 646.03, 646.10, 646.11,
646.12, 646.13, 646.14, 646.20, 646.21, 646.22, 646.23, 646.24, 646.30,
646.31, 646.33, 646.40, 646.41, 646.42, 646.43, 646.44, 646.50, 646.51,
646.52, 646.53, 646.54, 646.60, 646.61, 646.62, 646.63, 646.64, 646.70,
646.71, 646.73, 646.80, 646.81, 646.82, 646.83, 646.84, 646.90, 646.91,
646.93, 647.00, 647.01, 647.02, 647.03, 647.04, 647.10, 647.11, 647.12,
Code Set
ICD-9
ICD-9
ICD-10
SNOMEDCT
ICD-9
Office of the National Coordinator for
Health Information Technology
Problem Name
Problem Codes
647.13, 647.14, 647.20, 647.21, 647.22, 647.23, 647.24, 647.30, 647.31,
647.32, 647.33, 647.34, 647.40, 647.41, 647.42, 647.43, 647.44, 647.50,
647.51, 647.52, 647.53, 647.54, 647.60, 647.61, 647.62, 647.63, 647.64,
647.80, 647.81, 647.82, 647.83, 647.84, 647.90, 647.91, 647.92, 647.93,
647.94, 648.00, 648.01, 648.02, 648.03, 648.04, 648.10, 648.11, 648.12,
648.13, 648.14, 648.20, 648.21, 648.22, 648.23, 648.24, 648.30, 648.31,
648.32, 648.33, 648.34, 648.40, 648.41, 648.42, 648.43, 648.44, 648.50,
648.51, 648.52, 648.53, 648.54, 648.60, 648.61, 648.62, 648.63, 648.64,
648.70, 648.71, 648.72, 648.73, 648.74, 648.80, 648.81, 648.82, 648.83,
648.84, 648.90, 648.91, 648.92, 648.93, 648.94, 649.00, 649.01, 649.02,
649.03, 649.04, 649.10, 649.11, 649.12, 649.13, 649.14, 649.20, 649.21,
649.22, 649.23, 649.24, 649.30, 649.31, 649.32, 649.33, 649.34, 649.40,
649.41, 649.42, 649.43, 649.44, 649.50, 649.51, 649.53, 649.60, 649.61,
649.62, 649.63, 649.64, 649.70, 649.71, 649.73, 650, 651.00, 651.01,
651.03, 651.10, 651.11, 651.13, 651.20, 651.21, 651.23, 651.30, 651.31,
651.33, 651.40, 651.41, 651.43, 651.50, 651.51, 651.53, 651.60, 651.61,
651.63, 651.70, 651.71, 651.73, 651.80, 651.81, 651.83, 651.90, 651.91,
651.93, 652.00, 652.01, 652.03, 652.10, 652.11, 652.13, 652.20, 652.21,
652.23, 652.30, 652.31, 652.33, 652.40, 652.41, 652.43, 652.50, 652.51,
652.53, 652.60, 652.61, 652.63, 652.70, 652.71, 652.73, 652.80, 652.81,
652.83, 652.90, 652.91, 652.93, 653.00, 653.01, 653.03, 653.10, 653.11,
653.13, 653.20, 653.21, 653.23, 653.30, 653.31, 653.33, 653.40, 653.41,
653.43, 653.50, 653.51, 653.53, 653.60, 653.61, 653.63, 653.70, 653.71,
653.73, 653.80, 653.81, 653.83, 653.90, 653.91, 653.93, 654.00, 654.01,
654.02, 654.03, 654.04, 654.10, 654.11, 654.12, 654.13, 654.14, 654.20,
654.21, 654.23, 654.30, 654.31, 654.32, 654.33, 654.34, 654.40, 654.41,
654.42, 654.43, 654.44, 654.50, 654.51, 654.52, 654.53, 654.54, 654.60,
654.61, 654.62, 654.63, 654.64, 654.70, 654.71, 654.72, 654.73, 654.74,
654.80, 654.81, 654.82, 654.83, 654.84, 654.90, 654.91, 654.92, 654.93,
654.94, 655.00, 655.01, 655.03, 655.10, 655.11, 655.13, 655.20, 655.21,
655.23, 655.30, 655.31, 655.33, 655.40, 655.41, 655.43, 655.50, 655.51,
655.53, 655.60, 655.61, 655.63, 655.70, 655.71, 655.73, 655.80, 655.81,
655.83, 655.90, 655.91, 655.93, 656.00, 656.01, 656.03, 656.10, 656.11,
656.13, 656.20, 656.21, 656.23, 656.30, 656.31, 656.33, 656.40, 656.41,
656.43, 656.50, 656.51, 656.53, 656.60, 656.61, 656.63, 656.70, 656.71,
656.73, 656.80, 656.81, 656.83, 656.90, 656.91, 656.93, 657.00, 657.01,
657.03, 658.00, 658.01, 658.03, 658.10, 658.11, 658.13, 658.20, 658.21,
658.23, 658.30, 658.31, 658.33, 658.40, 658.41, 658.43, 658.80, 658.81,
658.83, 658.90, 658.91, 658.93, 659.00, 659.01, 659.03, 659.10, 659.11,
659.13, 659.20, 659.21, 659.23, 659.30, 659.31, 659.33, 659.40, 659.41,
659.43, 659.50, 659.51, 659.53, 659.60, 659.61, 659.63, 659.70, 659.71,
659.73, 659.80, 659.81, 659.83, 659.90, 659.91, 659.93, 660.00, 660.01,
660.03, 660.10, 660.11, 660.13, 660.20, 660.21, 660.23, 660.30, 660.31,
660.33, 660.40, 660.41, 660.43, 660.50, 660.51, 660.53, 660.60, 660.61,
660.63, 660.70, 660.71, 660.73, 660.80, 660.81, 660.83, 660.90, 660.91,
660.93, 661.00, 661.01, 661.03, 661.10, 661.11, 661.13, 661.20, 661.21,
661.23, 661.30, 661.31, 661.33, 661.40, 661.41, 661.43, 661.90, 661.91,
661.93, 662.00, 662.01, 662.03, 662.10, 662.11, 662.13, 662.20, 662.21,
662.23, 662.30, 662.31, 662.33, 663.00, 663.01, 663.03, 663.10, 663.11,
663.13, 663.20, 663.21, 663.23, 663.30, 663.31, 663.33, 663.40, 663.41,
Code Set
Office of the National Coordinator for
Health Information Technology
Problem Name
PregProblem nancy
(normal)
Steroid Induced
Diabetes
Steroid Induced
Diabetes
Problem Codes
663.43, 663.50, 663.51, 663.53, 663.60, 663.61, 663.63, 663.80, 663.81,
663.83, 663.90, 663.91, 663.93, 664.00, 664.01, 664.04, 664.10, 664.11,
664.14, 664.20, 664.21, 664.24, 664.30, 664.31, 664.34, 664.40, 664.41,
664.44, 664.50, 664.51, 664.54, 664.60, 664.61, 664.64, 664.80, 664.81,
664.84, 664.90, 664.91, 664.94, 665.00, 665.01, 665.03, 665.10, 665.11,
665.20, 665.22, 665.24, 665.30, 665.31, 665.34, 665.40, 665.41, 665.44,
665.50, 665.51, 665.54, 665.60, 665.61, 665.64, 665.70, 665.71, 665.72,
665.74, 665.80, 665.81, 665.82, 665.83, 665.84, 665.90, 665.91, 665.92,
665.93, 665.94, 666.00, 666.02, 666.04, 666.10, 666.12, 666.14, 666.20,
666.22, 666.24, 666.30, 666.32, 666.34, 667.00, 667.02, 667.04, 667.10,
667.12, 667.14, 668.00, 668.01, 668.02, 668.03, 668.04, 668.10, 668.11,
668.12, 668.13, 668.14, 668.20, 668.21, 668.22, 668.23, 668.24, 668.80,
668.81, 668.82, 668.83, 668.84, 668.90, 668.91, 668.92, 668.93, 668.94,
669.00, 669.01, 669.02, 669.03, 669.04, 669.10, 669.11, 669.12, 669.13,
669.14, 669.20, 669.21, 669.22, 669.23, 669.24, 669.30, 669.32, 669.34,
669.40, 669.41, 669.42, 669.43, 669.44, 669.50, 669.51, 669.60, 669.61,
669.70, 669.71, 669.80, 669.81, 669.82, 669.83, 669.84, 669.90, 669.91,
669.92, 669.93, 669.94, 670.00, 670.02, 670.04, 670.10, 670.12, 670.14,
670.20, 670.22, 670.24, 670.30, 670.32, 670.34, 670.80, 670.82, 670.84,
671.00, 671.01, 671.02, 671.03, 671.04, 671.10, 671.11, 671.12, 671.13,
671.14, 671.20, 671.21, 671.22, 671.23, 671.24, 671.30, 671.31, 671.33,
671.40, 671.42, 671.44, 671.50, 671.51, 671.52, 671.53, 671.54, 671.80,
671.81, 671.82, 671.83, 671.84, 671.90, 671.91, 671.92, 671.93, 671.94,
672.00, 672.02, 672.04, 673.00, 673.01, 673.02, 673.03, 673.04, 673.10,
673.11, 673.12, 673.13, 673.14, 673.20, 673.21, 673.22, 673.23, 673.24,
673.30, 673.31, 673.32, 673.33, 673.34, 673.80, 673.81, 673.82, 673.83,
673.84, 674.00, 674.01, 674.02, 674.03, 674.04, 674.10, 674.12, 674.14,
674.20, 674.22, 674.24, 674.30, 674.32, 674.34, 674.40, 674.42, 674.44,
674.50, 674.51, 674.52, 674.53, 674.54, 674.80, 674.82, 674.84, 674.90,
674.92, 674.94, 675.00, 675.01, 675.02, 675.03, 675.04, 675.10, 675.11,
675.12, 675.13, 675.14, 675.20, 675.21, 675.22, 675.23, 675.24, 675.80,
675.81, 675.82, 675.83, 675.84, 675.90, 675.91, 675.92, 675.93, 675.94,
676.00, 676.01, 676.02, 676.03, 676.04, 676.10, 676.11, 676.12, 676.13,
676.14, 676.20, 676.21, 676.22, 676.23, 676.24, 676.30, 676.31, 676.32,
676.33, 676.34, 676.40, 676.41, 676.42, 676.43, 676.44, 676.50, 676.51,
676.52, 676.53, 676.54, 676.60, 676.61, 676.62, 676.63, 676.64, 676.80,
676.81, 676.82, 676.83, 676.84, 676.90, 676.91, 676.92, 676.93, 676.94,
V22.0, V22.1, V22.2, V23.0, V23.1, V23.2, V23.3, V23.41, V23.49, V23.5,
V23.7, V23.81, V23.82, V23.83, V23.84, V23.85, V23.86, V23.89, V23.9,
V28.0, V28.1, V28.2, V28.3, V28.4, V28.5, V28.6, V28.81, V28.82, V28.89,
V28.9
16356006, 198624007, 198626009, 198627000, 239101008, 289908002,
31601007, 34801009, 38720006, 41991004, 43990006, 44782008,
60000008, 60810003, 64254006, 65147003, 69532007, 79290002,
79586000, 80997009, 82661006, 87605005, 90968009, 9899009
249, 249.0
249.00, 249.01, 249.1, 249.10, 249.11, 249.2, 249.20, 249.21, 249.3,
249.30, 249.31, 249.4, 249.40, 249.41, 249.5, 249.50, 249.51, 249.6,
249.60, 249.61, 249.7, 249.70, 249.71, 249.8, 249.80, 249.81, 249.9,
Code Set
SNOMEDCT
ICD-9
ICD-9
Office of the National Coordinator for
Health Information Technology
Problem Name
Steroid Induced
Diabetes
Steroid Induced
Diabetes
Tobacco Use
Problem Codes
249.90, 249.91, 251.8, 962.0
E08, E10, T38
Code Set
ICD-10
190416008, 190447002, 53126001
305.1, 649.0x, 989.84
SNOMEDCT
ICD-9
Care Transition – Provider Role Value Set
The value set for a Provider Role in the S&I Framework uses the HL7 2.5.1 vocabulary specified in the Consolidated
CDA Guide, as specified under Provider Role. This classifies providers according to the role they play in the
healthcare of the individual
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
Static
HL7 2.5.1 ProviderRole
Care Transition – Provider Type Value Set
The value set for a Provider Type in a care transition uses the National Uniform Claim Committee (NUCC) Health
Care Provider Taxonomy. This Provider Type value set classifies providers according to the type of license or
accreditation they hold or the service they provide.
A list of the most common provider types is provided below. At this time, the concept codes are not available from
NUCC and this table outlines the high level “Provider Type” classification only:
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Provider Type Concept Name
Behavioral Health & Social
Service Providers
Chiropractic Providers
Dental Providers
Value Set Metadata Element Description
Consolidated CDA
http://www.nucc.org/index.php?option=com_content&task=vi
ew&id=14&Itemid=40
Dynamic
National Uniform Claim Committee (NUCC)
Health Care Provider Taxonomy
Definition
Broad classification aggregating providers who are trained and educated to
perform services related to behavioral health, mental health, and counseling
and may be licensed or practice within the scope or licensure or training
A provider qualified by a Doctor of Chiropractic (D.C.) licensed by the State and
who practices chiropractic medicine -that discipline within the healing arts
which deals with the nervous system and its relationship to the spinal column
and its interrelationship with other body systems
Broad category to identify practitioners who render services related the
practice of dentistry. Dentistry is defined as the evaluation, diagnosis,
Office of the National Coordinator for
Health Information Technology
Provider Type Concept Name
Dietary and Nutritional Service
Providers
Emergency Medical Service
Providers
Eye and Vision Service Providers
Nursing Service Providers
Pharmacy Service Providers
(Individuals)
Allopathic & Osteopathic
Physicians
Podiatric Medicine and Surgery
Providers
Respiratory, Developmental,
Rehabilitative and Restorative
Service Providers
Speech, Language and Hearing
Providers
Agencies
Ambulatory Health Care
Facilities
Hospitals
Laboratories
Managed Care Organizations
Nursing & Custodial Care
Facilities
Residential Treatment Facilities
Definition
prevention and/or treatment (nonsurgical, surgical or related procedures) of
diseases, disorders and/or conditions of the oral cavity, maxillofacial area
and/or the adjacent and associated structures and their impact on the human
body; provided by a dentist, within the scope of his/her education, training and
experience, in accordance with the ethics of the profession and applicable law
Broad category defining practitioners who help prevent and treat illness by
promoting healthy eating habits, scientifically evaluating diets and suggesting
modifications. They may also assess the nutritional needs of patients, develop
and implement nutritional care plans
Broad category for individuals who complete additional training and education
in the area of pre-hospital emergency services and are licensed and/or practice
within the scope of that training
Broad category grouping individuals who renders services related to the human
eye and visual systems, but are not an allopathic or osteopathic physicians
Providers who are trained and educated to perform and administer services
related to health promotion, disease prevention, acute and chronic care,
spiritual guidance and comfort for healing and health, restoration of health and
health maintenance across the life span
A broad category grouping providers who render services relating to the
preparation and dispensing of drugs
A broad category grouping state licensed providers in allopathic or osteopathic
medicine whose scope of practice is determined by education
Broad category grouping licensed providers who renders services related to the
human foot
A provider who is trained and educated to perform services related to
respiratory care, physical therapy, occupational therapy, developmental
therapy, rehabilitation and restorative services and may be licensed, certified
or practice within the scope of training
A provider who renders services to improve communicative skills of people
with language, speech and hearing impairments
A non-facility provider that renders outpatient outreach services that are not
provided at a specific location. The licensure or registration is assigned to the
agency rather than to the individual practitioners as would be the case in a
group practice
A facility or distinct part of one used for the diagnosis and treatment of
outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to
organizations serving specialized treatment requirements or distinct
patient/client groups (e.g., radiology, poor, and public health)
A healthcare organization that has a governing body, an organized medical
staff and professional staff and inpatient facilities and provides medical nursing
and related services for ill and injured patients 24 hrs per day, seven days per
week. For licensing purposes, each state has its own definition of hospital
A room or building equipped for scientific experimentation, research, testing,
or clinical studies of materials, fluids, or tissues obtained from patients
Not Available
Broad category identifying licensed facilities with inpatient beds specializing in
nursing and custodial care
Live in facilities where patients or clients, who because of their physical,
mental, or emotional condition, are not able to live independently, and who
Office of the National Coordinator for
Health Information Technology
Provider Type Concept Name
Suppliers
Physician Assistants & Advanced
Practice Nursing Providers
Nursing Service Related
Providers
Definition
receive treatment appropriate to their particular needs in a less restrictive
environment than an inpatient facility. For example, an RTC may provide
educational training and therapy for children with emotional disturbances or
continuing care and therapy for people with severe mental handicaps
Suppliers, pharmacies, and other healthcare providers who supply healthcare
related products or medications and associated professional and
administrative services
A broad grouping of providers who are: 1) trained, educated, and certified to
perform basic medical and minor surgical services (or to assist the physician in
performance of more complex services) under general physician supervision;
and 2) trained, educated at a post-graduate level, and certified to perform
autonomous and specialized roles as nurse practitioners, midwives, nurse
anesthetists, or clinical nurse specialists
Providers not otherwise classified, who perform or administer services in or
related to the delivery or research of healthcare services, disease, and
restoration of health. An individual provider who is not represented in one of
the identified categories but whose data may be needed for clinical,
operational or administrative processes
Care Transition – Race Value Set
A Value Set of codes for Classifying data based upon race. Race is always reported at the discretion of the person
for whom this attribute is reported, and reporting must be completed according to Federal guidelines for race
reporting. Any code descending from the Race concept (1000-9) in that terminology may be used in the exchange

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
Dynamic
CDC Race and Ethnicity Codes
Care Transition – Relationship Value Set
The value set to use in the S&I Framework for identifying family relationships is the HL7 RoleCode.
A Personal Relationship in this value set records the role of a person in relation to another person. This value set is
to be used when recording the relationships between different people who are not necessarily related by family
ties, but also includes family relationships.
Value Set Metadata Element
Source
URL
Type of Binding
Description
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
Dynamic
Used in the Transitions of Care Implementation
Guidance, and shared with the Consolidated CDA Guide
Office of the National Coordinator for
Health Information Technology
Code System
Health Level Seven (HL7) Version 3.0 Vocabulary
RoleCode
HL7 RoleClass Code
Usage Note
personal relationship
next of kin
caregiver
agent
guarantor
emergency contact
PRS
NOK
CAREGIVER
AGNT
GUAR
ECON
Care Transition - Severity Value Set
The value set for severity of an allergy, adverse event or problem in the S&I Framework uses the following list of
SNOMED-CT concept codes, which describe the severity being experienced.

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Concept Code
255604002
371923003
6736007
371924009
24484000
399166001
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
Dynamic
SNOMED-CT
Concept Name (Fully Qualified
SNOMED-CT Name)
Mild (qualifier value)
Mild to moderate (qualifier value)
Moderate (severity modifier)
(qualifier value)
Moderate to severe (qualifier value)
Severe (severity modifier) (qualifier
value)
Fatal (qualifier value)
Definition
Usage Notes
Not Available
Not Available
Not Available
Mild
Mild to moderate
Moderate
Not Available
Not Available
Moderate to severe
Severe
Not Available
Fatal
Care Transition – State Value Set
The value set for a coding a state value in the S&I Framework is to use any FIPS 5-2 Codes (Identification of the
States, the District of Columbia and the Outlying Areas of the United States, and Associated Areas Publication # 52, May, 1987).

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Office of the National Coordinator for
Health Information Technology
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework (Reused from HITSP C80)
http://www.itl.nist.gov/fipspubs/fip5-2.htm
Dynamic
Codes for the Identification of the States, the District of
Columbia and the Outlying Areas of the United States,
and Associated Areas Publication # 5-2, May, 1987
Also referred to as FIPS 5-2
Encounter Type Value Set
Per the recommendation of the Health IT Standards Committee, encounters SHOULD be coded using SNOMED-CT.
A full value set in support of this recommendation is under development. The current value set provided in this
implementation guidance is based on the HITSP C80 recommendation to use CPT-4 codes as a transition
mechanism towards SNOMED-CT.
The value set for Encounter Type in the S&I Framework is drawn from the codes of the Current Procedure and
Terminology (CPT) designated for Evaluation and Management (99200 – 99299). The value set provided shows the
most common Encounters and their CPT coded procedure types as identified by ONC State HIE programs and ONC
Beacon Communities.
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Encounter Type
Out Patient Office Visit
Hospital Observation Services
Office Consultations
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
CPT
Coded Procedure Type
99201-99205, 99211-99215
99217-99220
99241-99245
Code Set
CPT
CPT
CPT
Health Insurance Subscriber Relationship Value Set

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
http://www.hl7.org/memonly/downloads/v3edition.cfm#V32008
Static
HL7 V3 RoleCode
Office of the National Coordinator for
Health Information Technology
Concept Code
FAMDEP
FSTUD
HANDIC
INJ
PSTUD
SELF
SPON
STUD
Concept Name
Family dependent
Full-time student
Handicapped dependent
Injured plaintiff
Part-time student
Self
Sponsored dependent
Student
Health Insurance Type Value Set
The S&I Framework supports recommendations of the Accredited Standards Committee (ASC) X12 Standards
Release 004010 for usage of the Health Insurance Type value set. This value set uses the ASC X12 vocabulary for
Insurance Type Code (ASC X12 Data Element 1336).


NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
NOTE: Further updates of this value set will be needed in support of the HIPAA 5010 transition.
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
Dynamic
ASC X12
Concept Code
12
Concept Name
Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan
13
Medicare Secondary End-Stage Renal Disease Beneficiary in the 12 month coordination period
with an employers group health plan
Medicare Secondary, No-fault Insurance including Auto is Primary
Medicare Secondary Workers Compensation
Medicare Secondary Public Health Service (PHS)or Other Federal Agency
Medicare Secondary Black Lung
Medicare Secondary Veterans Administration
Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)
Medicare Secondary, Other Liability Insurance is Primary
Auto Insurance Policy
Commercial
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Medicare Conditionally Primary
Disability
Disability Benefits
14
15
16
41
42
43
47
AP
C1
CO
CP
D
DB
Office of the National Coordinator for
Health Information Technology
Concept Code
EP
FF
GP
HM
HN
HS
Concept Name
Exclusive Provider Organization
Family or Friends
Group Policy
Health Maintenance Organization (HMO)
Health Maintenance Organization (HMO) - Medicare Risk
Special Low Income Medicare Beneficiary
IN
IP
LC
LD
LI
LT
MA
MB
MC
MH
MI
MP
OT
PE
PL
PP
PR
PS
QM
RP
SP
TF
WC
WU
Indemnity
Individual Policy
Long Term Care
Long Term Policy
Life Insurance
Litigation
Medicare Part A
Medicare Part B
Medicaid
Medigap Part A
Medigap Part B
Medicare Primary
Other
Property Insurance – Personal
Personal
Personal Payment (Cash - No Insurance)
Preferred Provider Organization (PPO)
Point of Service (POS)
Qualified Medicare Beneficiary
Property Insurance - Real
Supplemental Policy
Tax Equity Fiscal Responsibility Act (TEFRA)
Workers Compensation
Wrap Up Policy
Ingredient Name Value Set
This value set is used in the S&I Framework to identify unique ingredient identifiers (UNIIs) for substances in drugs,
biologics, foods, and devices.
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
Consolidated CDA
http://www.fda.gov/ForIndustry/DataStandards/StructuredPro
ductLabeling/ucm162523.htm
Dynamic
UNII
Immunizations Administered Vaccines Value Set Recommendation
The Health IT Standards Committee (HITSC) recommends CVX Codes for vaccinations (acknowledging that
vaccinations are treated as medications in some contexts and as a separate category in others). The value set for a
Office of the National Coordinator for
Health Information Technology
care transition uses CVX codes to populate the Coded Product Name in the Immunizations Section of the care
transition.
Value Set Metadata
Element
Source
URL
Type of Binding
Description
S&I Framework - Centers for Disease Control & Prevention (CDC)
http://www.cdc.gov/vaccines/programs/iis/stds/cvx.htm
Static
This value set provides CVX codes common to a care transition.
Code System
Per HITSP C80 - See HL7 Table 0292 in Appendix A of HL7 2.5.1 and CDC Website for
updates. Mapping between CPT and CVX is also available in CDC CVX Web Site
Codes for Vaccine Administered (CVX code)
CVX Code
54
55
24
19
27
26
29
12
28
20
106
110
50
120
130
01
22
30
52
83
84
85
104
08
42
43
44
45
47
Value Set Metadata Element Description
Immunization Description
Adenovirus, type 4
Adenovirus, type 7
Anthrax
BCG
Botulinum antitoxin
Cholera
CMVIG
Diphtheria antitoxin
DT (pediatric)
DTaP
DTaP, 5 pertussis antigens
DTaP-Hep B-IPV
DTaP-Hib
DTaP-Hib-IPV
DTaP-IPV
DTP
DTP-Hib
HBIG
Hep A, adult
Hep A, ped/adol, 2 dose
Hep A, ped/adol, 3 dose
Hep A, unspecified formulation
Hep A-Hep B
Hep B, adolescent or pediatric
Hep B, adolescent/high risk infant
Hep B, adult
Hep B, dialysis
Hep B, unspecified formulation
Hib (HbOC)
Office of the National Coordinator for
Health Information Technology
CVX Code
46
49
48
17
51
62
118
86
14
87
135
111
144
140
141
88
16
10
134
39
66
05
32
136
114
03
94
04
07
127
128
125
126
02
23
100
133
33
18
40
90
34
Immunization Description
Hib (PRP-D)
Hib (PRP-OMP)
Hib (PRP-T)
Hib, unspecified formulation
Hib-Hep B
HPV, quadrivalent
HPV, bivalent
IG
IG, unspecified formulation
IGIV
Influenza, high dose seasonal
Influenza, live, intranasal
Influenza, seasonal, intradermal, preservative free
Influenza, seasonal, injectable, preservative free
Influenza, seasonal, injectable
Influenza, unspecified formulation
Influenza, whole
IPV
Japanese Encephalitis IM
Japanese encephalitis SC
Lyme disease
Measles
Meningococcal MPSV4
Meningococcal MCV4O
Meningococcal MCV4P
MMR
MMRV
M/R
Mumps
Novel influenza-H1N1-09
Novel Influenza-H1N1-09, all formulations
Novel Influenza-H1N1-09, nasal
Novel influenza-H1N1-09, preservative-free
OPV
Plague
Pneumococcal conjugate PCV 7
Pneumococcal conjugate PCV 13
Pneumococcal polysaccharide PPV23
Rabies, intramuscular injection
Rabies, intradermal injection
Rabies, unspecified formulation
RIG
Office of the National Coordinator for
Health Information Technology
CVX Code
Immunization Description
Rotavirus, pentavalent
Rotavirus, monovalent
RSV-MAb
RSV-IGIV
Rubella
Td (adult), adsorbed
Td (adult) preservative free
Tdap
Tetanus toxoid, adsorbed
TIG
Typhoid, oral
Typhoid, parenteral
Typhoid, parenteral, AKD (U.S. military)
Typhoid, unspecified formulation
Typhoid, ViCPs
Vaccinia immune globulin
VZIG
Varicella
Yellow fever
Zoster
116
119
93
71
06
09
113
115
35
13
25
41
53
91
101
79
36
21
37
121
Immunization Reason Value Set
The S&I Framework uses this value set to identify the reason why an immunization did not occur

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component with the following change
o Addition of VACSAF
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Concept Code
IMMUNE
Concept Name
Immunity
MEDPREC
Medical precaution
Value Set Metadata Element Description
Consolidated CDA
http://www.hl7.org/memonly/downloads/v3edition.cfm#V32008
Dynamic
Per HITSP C80 - The HL7 ActNoImmunicationReason value set is
reproduced below in Table 2-88 No Immunization Reason Value
Set Definition
Health Level Seven (HL7) Version 3.0 Vocabulary
ActReason
Definition
Testing has shown that the patient already has immunity to
the agent targeted by the immunization
The patient currently has a medical condition for which the
vaccine is contraindicated or for which precaution is
Office of the National Coordinator for
Health Information Technology
OSTOCK
Out of Stock
PATOBJ
Patient objection
PHILISOP
Philosophical objection
RELIG
Religious objection
VACEFF
Vaccine efficacy
concerns
VACSAF
Vaccine safety concerns
warranted
There was no supply of the product on hand to perform the
service
The patient or their guardian objects to receiving the
vaccine
The patient or their guardian objects to receiving the
vaccine because of philosophical beliefs
The patient or their guardian objects to receiving the
vaccine on religious grounds
The intended vaccine has expired or is otherwise believed to
no longer be effective
Example: Due to temperature exposure
Medication Fill Status Value Set
The S&I Framework uses this value set to identify whether a medication has been fulfilled, such as completed and
aborted

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Concept Code
Completed
Concept Name
Completed
Aborted
Aborted
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
Static
Health Level Seven (HL7) Version 3.0 Vocabulary
ActStatus
Definition
An Act that has terminated normally after all of its constituents have been
performed
The Act has been terminated prior to the originally intended completion
Medication Method of Delivery Value Set
The Centers for Medicare and Medicaid Services (CMS) published to the Federal Register July 1, 2010 an Interim
Final Rule (IFR) entitled, "Identification of Backward Compatible Version of Adopted Standard for E-Prescribing and
the Medicare Prescription Drug Program (NCPDP SCRIPT 10.6)." The regulation names NCPDP SCRIPT 10.6 effective
for use July 1, 2010 and continues to support NCPDP SCRIPT 8.1.
The S&I Framework proposed recommendation for a value set for Medication Method of Delivery is to use NCPDP
Script 10.6 to code values for delivery method.
Value Set Metadata Element
Source
URL
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
Office of the National Coordinator for
Health Information Technology
Type of Binding
Description
Code System
Dynamic
NCPDP SCRIPT
Medication Product Form Value Set
This is the physical form of the product as presented to the individual. The S&I Framework value set defines the
use of NCI concept code for pharmaceutical dosage form: C42636

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
U.S. Food and Drug Administration (FDA)
http://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/u
cm162038.htm
Dynamic
Examples: tablet, capsule, liquid or ointment
National Cancer Institute (NCI) Thesaurus
Medication Route Value Set
This indicates the method for the medication received by the individual. The S&I Framework value set defines the
use of NCI concept code for route of administration: C38114

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
U.S. Food and Drug Administration (FDA)
http://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/u
cm162034.htm
Dynamic
Example: Mouth, intravenously, topically, etc..
National Cancer Institute (NCI) Thesaurus
Medication Type Value Set
In support of the concept of an Active Medication List, as defined in the Transitions of Care (TOC) Clinical Element
Data Dictionary (CEDD), the S&I Framework value set for Medication Type is based on SNOMED-CT. The tables of
SNOMED-CT concept codes that are shown below are used:

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Value Set Metadata Element Description
National Library of Medicine UMLS
Local to S&I Framework
Static
Office of the National Coordinator for
Health Information Technology
Description
This is a classification based on how the medication is
marketed.
SNOMED-CT
Code System
Concept Name (Fully Qualified SNOMED-CT
Name)
Over the counter products (product)
Prescription drug (product)
Concept Code
329505003
73639000
Usage Note
Over the counter products
Prescription Drug
Problem Status Value Set
The Health IT Standards Committee recommends the use of SNOMED-CT to capture problems. For an Active
Problem List (as specified in the Transitions of Care Clinical Element Data Dictionary (CEDD) ), the value set for
Problem Status is derived from SNOMED-CT. The following SNOMED-CT concept codes are used:
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Concept Code
Concept Name
(Fully Qualified
SNOMED-CT
Name)
413322009
Resolved
55561003
Active
73425007
Inactive
90734009
7087005
255227004
415684004
410516002
Chronic
Intermittent
Recurrent
Rule out
Ruled out
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
Static
SNOMED-CT
Definition
The problem has been resolved (as of the time reported) - the problem is
one that still exists for the patient but is not currently a cause for concern
(e.g., diabetes that is under control)
The problem is currently active (as of the time reported) - the problem
exists and is a current cause for concern
The problem is currently inactive (as of the time reported) - the problem
no longer exists as a problem for the patient as of the time of recording
(it may reoccur, but that would be a new instance)
Problem Type Value Set
The Health IT Standards Committee recommends the use of SNOMED-CT to capture problems. For an Active
Problem List (as specified in the Transitions of Care Clinical Element Data Dictionary (CEDD) ), the value set for
Problem Type is derived from SNOMED-CT. The following SNOMED-CT concept codes are used:
Office of the National Coordinator for
Health Information Technology

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Concept Code
404684003
418799008
55607006
409586006
64572001
282291009
248536006
Value Set Metadata Element Description
Consolidated CDA
Local to S&I Framework
Static
This value set indicates the level of medical judgment
used to determine the existence of a problem. It is used
as part of the Transitions of Care Implementation
Guide.
SNOMED-CT
Concept Name (Fully Qualified
SNOMED-CT Name)
Clinical finding (finding)
Finding reported by subject or
history provider (finding)
Problem (finding)
Complaint (finding)
Disease (disorder)
Diagnosis interpretation
(observable entity)
Finding of functional performance
and activity (finding)
Definition
Usage Note
Finding
Symptom
Problem
Complaint
Condition
Diagnosis
Functional limitation
Procedure Value Set
The Health IT Standards Committee recommends SNOMED-CT for procedures. The value set recommended within
the Consolidated CDA Guide, however, is CPT-4. Thus, at this time, a supporting value set for the HITSC Procedure
recommendation CANNOT be provided. The value set used for coding Procedure Types for a care transition is
listed in the following table. The table below lists the most desired CPT Coded Procedure types.
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Procedure
Home Services
Well baby/child care visits
Preventive Counseling
Group Counseling
Health Risk Assessment Intervention
Unlisted Preventive Medicine Service
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
Dynamic
CPT-4, SNOMED-CT, ICD-9, ICD-10
Coded Procedure Type
99341-99345, 99347-99350
99392-99396
99401-99404
99411, 99412
99420
99429
Code Set
CPT
CPT
CPT
CPT
CPT
CPT
Office of the National Coordinator for
Health Information Technology
Procedure
Health & Behavior Assessment/Intervention
(Non-physician only)
Individual psychotherapy
Interactive psychiatric diagnostic interview
examination
Physician educational services in a group
setting
Physical medicine and rehabilitation
Preventive medicine services
Psychiatric diagnostic interview examination
Smoking Cessation Treatment
Smoking and tobacco-use cessation counseling
visit
Smoking Cessation Classes, non-physician
provider
Eye Exams
Eye Exams
Nephropathy-related procedures
Nephropathy-related procedures
Nephropathy-related procedures
Coded Procedure Type
96150-96155
90804-90809
90802
99078
97003
99381-99389
90801
S9075
4000F, 4001F, 4004F, 99406,
99407
S9453
134395001, 390735007,
390847009, 390855002
67028, 67030, 67031, 67036,
67038, 67039, 67040, 67041,
67042, 67043, 67101, 67105,
67107, 67108, 67110, 67112,
67113, 67121, 67141, 67145,
67208, 67210, 67218
, 67220, 67221, 67227, 67228,
92002, 92004, 92012, 92014,
92018, 92019, 92225, 92226,
92230, 92235, 92240, 92250,
92260
11932001, 14684005,
225230008, 225231007,
233575001, 233578004,
233581009, 233582002,
233583007, 233584001,
233585000, 233586004,
233587008, 233588003,
233589006, 233590002,
236434000, 236435004,
238318009, 238319001,
238321006, 238322004,
238323009, 265764009,
302497006, 34897002,
427053002, 428648006,
46177005, 57274006, 676002,
67970008, 68341005,
71192002, 73257006
Z49, Z49.0, Z49.01, Z49.02,
Z49.3, Z49.31, Z49.32, Z99.2
36145, 36800, 36810, 36815,
36818, 36819-36821, 36831,
Code Set
CPT
CPT
CPT
CPT
CPT
CPT
CPT
CPT
CPT
CPT
SNOMED CT
CPT
SNOMED-CT
ICD-10
CPT-4
Office of the National Coordinator for
Health Information Technology
Procedure
Nephropathy-related procedures
Coded Procedure Type
36832, 36833, 50300, 50320,
50340, 50360, 50365, 50370,
50380, 90920, 90921, 90924,
90925, 90935, 90937, 90940,
90945, 90947, 90957, 90958,
90959, 90960, 90961, 90962,
90965, 90966, 90969, 90970,
90989, 90993, 90997, 90999,
99512
38.95, 39.27, 39.42, 39.43,
39.53, 39.93, 39.94, 39.95,
54.98, 55.4, 55.5, 55.6
Code Set
ICD-9
Provider Directory State License Value Set
The S&I Framework recommended usage of the following enumerated list of values for identifying state licenses:
Value Set Metadata Element
Source
URL
Type of Binding
Description
Cod e System
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
S&I Framework Enumerated List (code system n/a)
Provider Directory Address Usage Value Set
The S&I Framework recommended usage of the following enumerated list of values for identifying the usage of a
specific provider address:
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
S&I Framework Enumerated List (code system n/a)
Provider Directory Degree Value Set
The S&I Framework recommended usage of the following enumerated list of values for identifying degrees:
Value Set Metadata Element
Source
URL
Type of Binding
Description
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
Office of the National Coordinator for
Health Information Technology
Code System
S&I Framework Enumerated List (code system n/a)
Provider Directory Telephone Usage Value Set
The S&I Framework recommended usage of the following enumerated list of values for identifying the usage of a
specific telephone number:
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
This value set was developed within the Provider
Directory initiative to capture information surrounding
the usage of a telephone number.
S&I Framework Enumerated List (code system n/a)
Result Status Value Set

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component without change
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
HL7 V3
Concept Code
completed
Concept Name
Completed
aborted
active
cancelled
held
Aborted
Active
Cancelled
Held
new
suspended
New
Suspended
Definition
An Act that has terminated normally after all of its constituents have been
performed
The Act has been terminated prior to the originally intended completion
The Act can be performed or is being performed
The Act has been abandoned before activation
An Act that is still in the preparatory stages has been put aside. No action
can occur until the Act is released
An Act that is in the preparatory stages and may not yet be acted upon
An Act that has been activated (actions could or have been performed
against it), but has been temporarily disabled. No further action should be
taken against it until it is released
Results Value Set
The value set to use for Results in the S&I Framework is based on LOINC. The value set contains a recommended
selection of LOINC result codes that can be used to populate a Results Section. This was developed within the S&I
Framework specific to its initiatives that involve the exchange of general results information.
Office of the National Coordinator for
Health Information Technology
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
Result Text
24 hour Urine Creatinine Clearance
ALT/SGPT
AST/SGOT
BNP
BUN
Chol/HDL Ratio
Creatinine
Digoxin level
Estimated Average Glucose
FBS
Fe
Fecal Occult Blood Test (FOBT)
Ferritin
Folate
Glucose Random
Glucose
HBA1c
Hct
HDL
Hep B Surface Antibody
Hep C Antibody
Hgb
INR
iPTH
Iron Saturation
LDL
LDL/HDL Ratio
LVEF
Micro albumin / Creatinine Ratio
Platelets
PSA
RBC count
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
URL TBD
Static
This value set was developed in consultation with the
ONC Beacon Communities and State HIE programs and
is designed to capture common results
LOINC
Result Code (LOINC)
2162-6, 14399-0, 14682-9
1742-6
1920-8
42637-9
3094-0
9830-1
2161-8
27353-2
2335-8
2276-4
2284-8
10966-0, 15076-3, 22705-8,
2339-0, 2341-6, 2349-9, 2350-7,
2351-5, 5914-7
4548-4, 4549-2, 17855-8, 178568
4544-3
2086-7, 2085-9
718-7
6301-6
2090-9, 2089-1, 18262-6, 134577
11054-4
30000-4
2857-1
789-8
Office of the National Coordinator for
Health Information Technology
Result Text
Serum Albumin
Serum Calcium
Serum Chloride
Serum CPK
Serum Creatinine
Serum Lead Level
Serum Magnesium
Serum Phosphorus
Serum Potassium
Serum Sodium
TIBC
Total Cholesterol
Triglycerides
TSH
Urine Collection Duration
Urine Dip Stick
Urine Micro albumin
Urine Volume
Vitamin B12
WBC count
Tobacco Assessment
Tobacco Cessation Intervention
Tobacco Counseling
Nephropathy screening
Patient Health Questionnaire (PHQ-2)
Patient Health Questionnaire (PHQ-2)
PHQ-2 total score
Result Code (LOINC)
1751-7
17861-6
2075-0
2157-6
2160-0
19123-9
2777-1
2823-3
2951-2
2500-7
2565-0
3049-4
3016-3
13362-9
20454-5, 50561-0, 53525-2,
5804-0
28009-9
6690-2
11218-5, 12842-1, 13705-9,
13801-6, 14585-4, 14956-7,
14957-5, 14958-3, 14959-1,
1753-3, 1754-1, 1755-8, 1757-4,
18373-1, 20621-9, 21059-1,
21482-5, 26801-1, 27298-9,
2887-8, 2888-6, 2889-4, 2890-2,
30000-4, 30001-2, 30003-8,
32209-9, 32294-1, 32551-4,
34366-5, 35663-4, 40486-3,
40662-9, 40663-7, 43605-5,
43606-3, 43607-1, 44292-1,
47558-2, 49023-5, 50949-7,
53121-0, 53530-2, 53531-0,
53532-8, 9318-7
55757-9
58120-7
55758-7
Social History Type Value Set
The S&I Framework recommends reuse of the Social History Type value set that is used in the HL7 Consolidated
CDA Guide.
Value Set Metadata Element
Value Set Metadata Element Description
Office of the National Coordinator for
Health Information Technology
Source
URL
Consolidated CDA
Local to S&I Framework
URL TBD
Static
Used in the Transitions of Care Implementation Guide
and identified in the Consolidated CDA Guide
SNOMED-CT
Type of Binding
Description
Code System
Code
229819007
256235009
160573003
364393001
364703007
425400000
363908000
228272008
Name
Tobacco use and exposure (observable entity)
Exercise (observable entity)
Alcohol intake (observable entity)
Nutritional observable (observable entity)
Employment detail (observable entity)
Toxic exposure status (observable entity)
Details of drug misuse behavior (observable entity)
Health-related behavior (observable entity)
Usage Note
Smoking
Exercise
ETOH (Alcohol) Use
Diet
Employment
Toxic Exposure
Drug Use
Other Social History
Vital Signs Result Type Value Set
The Transitions of Care Initiative recommends the use of LOINC to capture a core set of Vital Signs Results. These
vital sign values are captured in the Vital Sign Result Type of the Vital Signs Section.
The following value set is derived from HITSP C80 and includes BMI measurements as a vital sign observation.

NOTE: This value set is adopted from HITSP C80 - Clinical Document and Message Terminology
Component with the following change
o Includes BMI measurements as a vital sign observation.
Value Set Metadata Element
Source
URL
Type of Binding
Description
Code System
LOINC Concept Code
9279-1
8867-4
2710-2
8480-6
8462-4
8310-5
8302-2
8306-3
8287-5
Value Set Metadata Element Description
S&I Framework
Local to S&I Framework
Static
Used in the Transitions of Care Implementation Guide
and identified in the Consolidated CDA Guide
LOINC
Description of Vital Sign
Respiration Rate
Heart Beat
Oxygen Saturation
Intravascular Systolic
Intravascular Diastolic
Body Temperature
Body Height (Measured)
Body Height (Lying)
Circumference Occipital Frontal (Tape Measure)
Office of the National Coordinator for
Health Information Technology
3141-9
39156-5
41909-3
Body Weight (Measured)
Body-Mass-Index measurement
Body-Mass-Index
2. Appendix A – Value Set References
This appendix is under development in coordination with the S&I Framework CEDD and TOC Implementation
Guidance SWGs.