Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 1 |
{
"resourceType" : "ValueSet",
"id" : "CMSMappableLocationCodes",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet CMSMappableLocationCodes</b></p><a name=\"CMSMappableLocationCodes\"> </a><a name=\"hcCMSMappableLocationCodes\"> </a><a name=\"CMSMappableLocationCodes-en-US\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Import all the codes that are contained in <a href=\"http://terminology.hl7.org/6.0.2/ValueSet-v3-ServiceDeliveryLocationRoleType.html\">ServiceDeliveryLocationRoleType</a></li><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-data-absent-reason.html\"><code>http://terminology.hl7.org/CodeSystem/data-absent-reason</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-data-absent-reason.html#data-absent-reason-unknown\">unknown</a></td><td style=\"color: #cccccc\">Unknown</td><td>The value is expected to exist but is not known.</td></tr></table></li><li>Include these codes as defined in <a href=\"CodeSystem-temp.html\"><code>http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-2\">2</a></td><td style=\"color: #cccccc\">Telehealth Provided Other than in Patient's Home</td><td>The location where health services and health related services are provided or received, through telecommunication technology. Patient is not located in their home when receiving health services or health related services through telecommunication technology.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-4\">4</a></td><td style=\"color: #cccccc\">Homeless Shelter</td><td>A facility or location whose primary purpose is to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters).</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-5\">5</a></td><td style=\"color: #cccccc\">Indian Health Service</td><td>A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization. (Effective January 1, 2003)</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-6\">6</a></td><td style=\"color: #cccccc\">Indian Health Service</td><td>A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services rendered by, or under the supervision of, physicians to American Indians and Alaska Natives admitted as inpatients or outpatients.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-7\">7</a></td><td style=\"color: #cccccc\">Tribal 638</td><td>A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to tribal members who do not require hospitalization. (Effective January 1, 2003)</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-8\">8</a></td><td style=\"color: #cccccc\">Tribal 638</td><td>A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to tribal members admitted as inpatients or outpatients.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-9\">9</a></td><td style=\"color: #cccccc\">Correctional Facility</td><td>A prison, jail, reformatory, work farm, detention center, or any other similar facility maintained by either Federal, State or local authorities for the purpose of confinement or rehabilitation of adult or juvenile criminal offenders.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-10\">10</a></td><td style=\"color: #cccccc\">Telehealth Provided in Patient's Home</td><td>The location where health services and health related services are provided or received, through telecommunication technology. Patient is located in their home (which is a location other than a hospital or other facility where the patient receives care in a private residence) when receiving health services or health related services through telecommunication technology.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-12\">12</a></td><td style=\"color: #cccccc\">Home</td><td>Location, other than a hospital or other facility, where the patient receives care in a private residence.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-13\">13</a></td><td style=\"color: #cccccc\">Assisted Living Facility</td><td>Congregate residential facility with self-contained living units providing assessment of each resident's needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-14\">14</a></td><td style=\"color: #cccccc\">Group Home *</td><td>A residence, with shared living areas, where clients receive supervision and other services such as social and/or behavioral services, custodial service, and minimal services (e.g., medication administration).</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-16\">16</a></td><td style=\"color: #cccccc\">Temporary Lodging</td><td>A short term accommodation such as a hotel, camp ground, hostel, cruise ship or resort where the patient receives care, and which is not identified by any other POS code.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-17\">17</a></td><td style=\"color: #cccccc\">Walk-in Retail Health Clinic</td><td>A walk-in health clinic, other than an office, urgent care facility, pharmacy or independent clinic and not described by any other Place of Service code, that is located within a retail operation and provides, on an ambulatory basis, preventive and primary care services. (This code is available for use immediately with a final effective date of May 1, 2010)</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-19\">19</a></td><td style=\"color: #cccccc\">Off Campus-Outpatient Hospital</td><td>A portion of an off-campus hospital provider based department which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization. (Effective January 1, 2016)</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-20\">20</a></td><td style=\"color: #cccccc\">Urgent Care Facility</td><td>Location, distinct from a hospital emergency room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-22\">22</a></td><td style=\"color: #cccccc\">On Campus-Outpatient Hospital</td><td>A portion of a hospital's main campus which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization. (Description change effective January 1, 2016)</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-25\">25</a></td><td style=\"color: #cccccc\">Birthing Center</td><td>A facility, other than a hospital's maternity facilities or a physician's office, which provides a setting for labor, delivery, and immediate post-partum care as well as immediate care of new born infants.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-27\">27</a></td><td style=\"color: #cccccc\">Outreach Site/ Street</td><td>A non-permanent location on the street or found environment, not described by any other POS code, where health professionals provide preventive, screening, diagnostic, and/or treatment services to unsheltered homeless individuals.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-34\">34</a></td><td style=\"color: #cccccc\">Hospice</td><td>A facility, other than a patient's home, in which palliative and supportive care for terminally ill patients and their families are provided.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-49\">49</a></td><td style=\"color: #cccccc\">Independent Clinic</td><td>A location, not part of a hospital and not described by any other Place of Service code, that is organized and operated to provide preventive, diagnostic, therapeutic, rehabilitative, or palliative services to outpatients only.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-50\">50</a></td><td style=\"color: #cccccc\">Federally Qualified Health Center</td><td>A facility located in a medically underserved area that provides Medicare beneficiaries preventive primary medical care under the general direction of a physician.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-52\">52</a></td><td style=\"color: #cccccc\">Psychiatric Facility-Partial Hospitalization</td><td>A facility for the diagnosis and treatment of mental illness that provides a planned therapeutic program for patients who do not require full time hospitalization, but who need broader programs than are possible from outpatient visits to a hospital-based or hospital-affiliated facility.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-53\">53</a></td><td style=\"color: #cccccc\">Community Mental Health Center</td><td>A facility that provides the following services: outpatient services, including specialized outpatient services for children, the elderly, individuals who are chronically ill, and residents of the CMHC's mental health services area who have been discharged from inpatient treatment at a mental health facility; 24 hour a day emergency care services; day treatment, other partial hospitalization services, or psychosocial rehabilitation services; screening for patients being considered for admission to State mental health facilities to determine the appropriateness of such admission; and consultation and education services.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-57\">57</a></td><td style=\"color: #cccccc\">Non-residential Substance Abuse Treatment Facility</td><td>A location which provides treatment for substance (alcohol and drug) abuse on an ambulatory basis.\u00a0 Services include individual and group therapy and counseling, family counseling, laboratory tests, drugs and supplies, and psychological testing.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-58\">58</a></td><td style=\"color: #cccccc\">Non-residential Opioid Treatment Facility</td><td>A location that provides treatment for opioid use disorder on an ambulatory basis. Services include methadone and other forms of Medication Assisted Treatment (MAT). (Effective January 1, 2020)</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-60\">60</a></td><td style=\"color: #cccccc\">Mass Immunization Center</td><td>A location where providers administer pneumococcal pneumonia and influenza virus vaccinations and submit these services as electronic media claims, paper claims, or using the roster billing method. This generally takes place in a mass immunization setting, such as, a public health center, pharmacy, or mall but may include a physician office setting.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-62\">62</a></td><td style=\"color: #cccccc\">Comprehensive Outpatient Rehabilitation Facility</td><td>A facility that provides comprehensive rehabilitation services under the supervision of a physician to outpatients with physical disabilities. Services include physical therapy, occupational therapy, and speech pathology services.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-65\">65</a></td><td style=\"color: #cccccc\">End-Stage Renal Disease Treatment Facility</td><td>A facility other than a hospital, which provides dialysis treatment, maintenance, and/or training to patients or caregivers on an ambulatory or home-care basis.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-71\">71</a></td><td style=\"color: #cccccc\">Public Health Clinic</td><td>A facility maintained by either State or local health departments that provides ambulatory primary medical care under the general direction of a physician.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-72\">72</a></td><td style=\"color: #cccccc\">Rural Health Clinic</td><td>A certified facility which is located in a rural medically underserved area that provides ambulatory primary medical care under the general direction of a physician.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-99\">99</a></td><td style=\"color: #cccccc\">Other Place of Service</td><td>Other place of service not identified above.</td></tr></table></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"
}
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}
}
],
"url" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/CMSMappableLocationCodes",
"version" : "2.1.0",
"name" : "CMSMappableLocationCodes",
"title" : "CMS Mappable Location Codes",
"status" : "active",
"experimental" : false,
"date" : "2024-11-20T17:59:38+00:00",
"publisher" : "HL7 International / Financial Management",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fm"
}
]
}
],
"description" : "Extends the base HL7-defined value set codes with supplementary codes needed to provide full coverage to the CMS location code set",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"compose" : {
"include" : [
{
"valueSet" : [
🔗 "http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"
]
},
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"concept" : [
{
"code" : "unknown"
}
]
},
{
"system" : "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp",
"concept" : [
{
"code" : "2"
},
{
"code" : "4"
},
{
"code" : "5"
},
{
"code" : "6"
},
{
"code" : "7"
},
{
"code" : "8"
},
{
"code" : "9"
},
{
"code" : "10"
},
{
"code" : "12"
},
{
"code" : "13"
},
{
"code" : "14"
},
{
"code" : "16"
},
{
"code" : "17"
},
{
"code" : "19"
},
{
"code" : "20"
},
{
"code" : "22"
},
{
"code" : "25"
},
{
"code" : "27"
},
{
"code" : "34"
},
{
"code" : "49"
},
{
"code" : "50"
},
{
"code" : "52"
},
{
"code" : "53"
},
{
"code" : "57"
},
{
"code" : "58"
},
{
"code" : "60"
},
{
"code" : "62"
},
{
"code" : "65"
},
{
"code" : "71"
},
{
"code" : "72"
},
{
"code" : "99"
}
]
}
]
}
}
IG © 2019+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-crd#2.1.0 based on FHIR 4.0.1. Generated 2024-11-20
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