Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-snapshot - STU 2.2 - Public Review United States of America flag

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-snapshot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

ValueSet: PAS LOINC Attachment Codes Value Set

2.2.0-snapshot
Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/pas-loinc-attachment-codes Version:
Standards status: Trial-use Active as of 2022-06-29 Maturity Level: 4 Computable Name: PASLOINCAttachmentCodesValueSet
Other Identifiers: http://loinc.org#Logical Observation Identifier Names and Codes (LOINC)#valid-hl7-attachment-requests, OID:1.3.6.1.4.1.12009.10.2.6

Copyright/Legal: This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

This value set includes LOINC terms that can be sent by a payer as part of an HL7 attachment request for additional information. It has been curated by the HL7 Payer/Provider Information Exchange (PIE) Work Group. More information about using LOINC in HIPAA attachments and the source of this value set can be found at LOINC Attahments.

References

Logical Definition (CLD)

  • Include these codes as defined in http://loinc.org version Not Stated (use latest from terminology server)
    CodeDisplay
    11526-1Pathology study
    11488-4Consult note
    80792-5Pulmonary Diagnostic study note
    47420-5Functional status assessment note
    34117-2History and physical note
    74156-1Oncology Plan of care and summary note
    18776-5Plan of care note
    80785-9Radiation oncology Plan of care note
    11506-3Progress note
    11504-8Surgical operation note
    18842-5Discharge summary
    34133-9Summary of episode note
    18761-7Transfer summary note
    80565-5Medication administration record
    28570-0Procedure note
    57133-1Referral note
    52027-0Abortion consent Document
    52028-8Hysterectomy consent Document
    52029-6Sterilization consent Document
    53245-7Driver license
    57828-6Prescription list
    18682-5Ambulance records
    52063-5Prescription for durable medical equipment (DME)
    52062-7Transcutaneous electrical neural stimulation (TENS) attachment
    52073-4Vision services attachment
    52070-0Workers compensation attachment
    80405-4Provider Certification [Type]
    53242-4Charge ticket or encounter form
    52042-9Continuous positive airway pressure (CPAP) attachment
    52040-3Dental X-rays and other images (not DICOM)
    18748-4Diagnostic imaging study
    53243-2Advanced beneficiary notice
    53247-3Eligibility acknowledgement
    52071-8Employee assistance program attachment
    67796-3EMS patient care report - version 3 Document NEMSIS
    77601-3Enhanced note
    52043-7Enteral nutrition attachment
    11514-7Chiropractic Episode of care medical records
    11521-2Occupational therapy Episode of care medical records
    11515-4Physical therapy Episode of care medical records
    11516-2Physician Episode of care medical records
    11517-0Podiatry Episode of care medical records
    11518-8Psychology Episode of care medical records
    11519-6Social service Episode of care medical records
    11520-4Speech therapy Episode of care medical records
    52030-4Explanation of benefits
    52031-2Explanation of benefits to subscriber
    52044-5External infusion pump attachment
    103567-4Path report IG
    52064-3Worker's compensation first report of injury attachment
    52045-2Gait trainers attachment
    52033-8General correspondence attachment
    11485-0Anesthesia records
    52035-3Home health claims
    52036-1Home health prior authorization
    52046-0Hospital beds attachment
    52032-0Appeal denial letter
    52047-8Immunosuppressive drug attachment
    77600-5Interval note
    94093-2Itemized bill
    15508-5Labor and delivery records
    11502-2Laboratory report
    52048-6Lymphedema pump attachment
    52049-4Manual wheelchair attachment
    11503-0Medical records
    28011-5Emergency department Medical records
    94118-7Medical records in response to authorization denial
    52037-9Member ID card copy
    52065-0Automobile liability attachment
    52050-2Motorized wheelchair attachment
    76641-0Neurology study
    52072-6Non-emergency transportation attachment
    53246-5Non-medical services attachment
    52066-8Notice of Discharge Medicare Appeal Rights (NODMAR) form
    53244-0Notice of privacy practices receipt
    52051-0Orthotic/Prosthetic attachment
    52052-8Osteogenesis stimulator attachment
    52053-6Oxygen attachment
    52054-4Parenteral nutrition attachment
    52067-6Past filing limit justification
    52034-6Payer letter
    28629-4Perimetry study
    74030-8Periodontal service attachment
    28633-6Polysomnography (sleep) study
    52055-1Power operated vehicle attachment
    57073-9Prenatal records
    52041-1Blood glucose monitor attachment
    52068-4Property and casualty state mandated forms
    52075-9Purchase invoice
    18823-5Alcohol and/or substance abuse service attachment
    18824-3Cardiac service attachment
    18825-0Medical social services attachment
    18826-8Occupational therapy service attachment
    19002-5Physical therapy service attachment
    18594-2Psychiatric service attachment
    52184-9Pulmonary therapy service attachment
    19003-3Respiratory therapy service attachment
    29206-0Speech therapy service attachment
    52056-9Repair of durable medical equipment attachment
    52057-7Seat lift mechanism attachment
    52058-5Seating system attachment
    52039-5Skilled Nursing Facility (SNF) record
    101657-5Special investigation unit (SIU) medical record request Document
    52059-3Speech generating device attachment
    52060-1Standers/standing frame attachment
    52038-7Subscriber Information including retroactive and presumptive eligibility
    52061-9Support surface attachment
    52069-2Tax ID number - IRS form W9
    103595-5Certificate of Medical Necessity
    103596-3Durable medical equipment proof of delivery receipt
    103597-1Pain management form or template
    46212-7Pre operative photo
    52459-5CMS certification number (CCN) Provider

 

Expansion

Expansion from tx.fhir.org based on Loinc v2.81

This value set contains 113 concepts

SystemCodeDisplay (en)statusJSONXML
http://loinc.org  11526-1Pathology study
http://loinc.org  11488-4Consult note
http://loinc.org  80792-5Pulmonary Diagnostic study note
http://loinc.org  47420-5Functional status assessment note
http://loinc.org  34117-2History and physical note
http://loinc.org  74156-1Oncology Plan of care and summary note
http://loinc.org  18776-5Plan of care note
http://loinc.org  80785-9Radiation oncology Plan of care note
http://loinc.org  11506-3Progress note
http://loinc.org  11504-8Surgical operation note
http://loinc.org  18842-5Discharge summary
http://loinc.org  34133-9Summary of episode note
http://loinc.org  18761-7Transfer summary note
http://loinc.org  80565-5Medication administration record
http://loinc.org  28570-0Procedure note
http://loinc.org  57133-1Referral note
http://loinc.org  52027-0Abortion consent Document
http://loinc.org  52028-8Hysterectomy consent Document
http://loinc.org  52029-6Sterilization consent Document
http://loinc.org  53245-7Driver license
http://loinc.org  57828-6Prescription list
http://loinc.org  18682-5Ambulance records
http://loinc.org  52063-5Prescription for durable medical equipment (DME)
http://loinc.org  52062-7Transcutaneous electrical neural stimulation (TENS) attachment
http://loinc.org  52073-4Vision services attachment
http://loinc.org  52070-0Workers compensation attachment
http://loinc.org  80405-4Provider Certification [Type]TRIAL
http://loinc.org  53242-4Charge ticket or encounter form
http://loinc.org  52042-9Continuous positive airway pressure (CPAP) attachment
http://loinc.org  52040-3Dental X-rays and other images (not DICOM)
http://loinc.org  18748-4Diagnostic imaging study
http://loinc.org  53243-2Advanced beneficiary notice
http://loinc.org  53247-3Eligibility acknowledgement
http://loinc.org  52071-8Employee assistance program attachment
http://loinc.org  67796-3EMS patient care report - version 3 Document NEMSIS
http://loinc.org  77601-3Enhanced noteTRIAL
http://loinc.org  52043-7Enteral nutrition attachment
http://loinc.org  11514-7Chiropractic Episode of care medical records
http://loinc.org  11521-2Occupational therapy Episode of care medical records
http://loinc.org  11515-4Physical therapy Episode of care medical records
http://loinc.org  11516-2Physician Episode of care medical records
http://loinc.org  11517-0Podiatry Episode of care medical records
http://loinc.org  11518-8Psychology Episode of care medical records
http://loinc.org  11519-6Social service Episode of care medical records
http://loinc.org  11520-4Speech therapy Episode of care medical records
http://loinc.org  52030-4Explanation of benefits
http://loinc.org  52031-2Explanation of benefits to subscriber
http://loinc.org  52044-5External infusion pump attachment
http://loinc.org  103567-4Previous cancer therapy (narrative)
http://loinc.org  52064-3Worker's compensation first report of injury attachment
http://loinc.org  52045-2Gait trainers attachment
http://loinc.org  52033-8General correspondence attachment
http://loinc.org  11485-0Anesthesia records
http://loinc.org  52035-3Home health claims
http://loinc.org  52036-1Home health prior authorization
http://loinc.org  52046-0Hospital beds attachment
http://loinc.org  52032-0Appeal denial letter
http://loinc.org  52047-8Immunosuppressive drug attachment
http://loinc.org  77600-5Interval note
http://loinc.org  94093-2Itemized bill
http://loinc.org  15508-5Labor and delivery records
http://loinc.org  11502-2Laboratory report
http://loinc.org  52048-6Lymphedema pump attachment
http://loinc.org  52049-4Manual wheelchair attachment
http://loinc.org  11503-0Medical records
http://loinc.org  28011-5Emergency department Medical records
http://loinc.org  94118-7Medical records in response to authorization denial
http://loinc.org  52037-9Member ID card copy
http://loinc.org  52065-0Automobile liability attachment
http://loinc.org  52050-2Motorized wheelchair attachment
http://loinc.org  76641-0Neurology study
http://loinc.org  52072-6Non-emergency transportation attachment
http://loinc.org  53246-5Non-medical services attachment
http://loinc.org  52066-8Notice of Discharge Medicare Appeal Rights (NODMAR) form
http://loinc.org  53244-0Notice of privacy practices receipt
http://loinc.org  52051-0Orthotic/Prosthetic attachment
http://loinc.org  52052-8Osteogenesis stimulator attachment
http://loinc.org  52053-6Oxygen attachment
http://loinc.org  52054-4Parenteral nutrition attachment
http://loinc.org  52067-6Past filing limit justification
http://loinc.org  52034-6Payer letter
http://loinc.org  28629-4Perimetry study
http://loinc.org  74030-8Periodontal service attachment
http://loinc.org  28633-6Polysomnography (sleep) study
http://loinc.org  52055-1Power operated vehicle attachment
http://loinc.org  57073-9Prenatal records
http://loinc.org  52041-1Blood glucose monitor attachment
http://loinc.org  52068-4Property and casualty state mandated forms
http://loinc.org  52075-9Purchase invoice
http://loinc.org  18823-5Alcohol and/or substance abuse service attachment
http://loinc.org  18824-3Cardiac service attachment
http://loinc.org  18825-0Medical social services attachment
http://loinc.org  18826-8Occupational therapy service attachment
http://loinc.org  19002-5Physical therapy service attachment
http://loinc.org  18594-2Psychiatric service attachment
http://loinc.org  52184-9Pulmonary therapy service attachment
http://loinc.org  19003-3Respiratory therapy service attachment
http://loinc.org  29206-0Speech therapy service attachment
http://loinc.org  52056-9Repair of durable medical equipment attachment
http://loinc.org  52057-7Seat lift mechanism attachment
http://loinc.org  52058-5Seating system attachment
http://loinc.org  52039-5Skilled Nursing Facility (SNF) record
http://loinc.org  101657-5Special investigation unit (SIU) medical record request Document
http://loinc.org  52059-3Speech generating device attachment
http://loinc.org  52060-1Standers/standing frame attachment
http://loinc.org  52038-7Subscriber Information including retroactive and presumptive eligibility
http://loinc.org  52061-9Support surface attachment
http://loinc.org  52069-2Tax ID number - IRS form W9
http://loinc.org  103595-5Certificate of Medical Necessity
http://loinc.org  103596-3Durable medical equipment proof of delivery receipt
http://loinc.org  103597-1Pain management form or template
http://loinc.org  46212-7Pre operative photo
http://loinc.org  52459-5CMS certification number (CCN) Provider

Description of the above table(s).