Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
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 2.2.1 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
| Page standards status: Trial-use | Maturity Level: 4 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/ValueSet/pas-loinc-attachment-codes> a fhir:ValueSet ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "pas-loinc-attachment-codes"] ; fhir:Resource.language [ fhir:value "en"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet pas-loinc-attachment-codes</b></p><a name=\"pas-loinc-attachment-codes\"> </a><a name=\"hcpas-loinc-attachment-codes\"> </a><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"https://loinc.org/11526-1/\">11526-1</a></td><td>Pathology study</td></tr><tr><td><a href=\"https://loinc.org/11488-4/\">11488-4</a></td><td>Consult note</td></tr><tr><td><a href=\"https://loinc.org/80792-5/\">80792-5</a></td><td>Pulmonary Diagnostic study note</td></tr><tr><td><a href=\"https://loinc.org/47420-5/\">47420-5</a></td><td>Functional status assessment note</td></tr><tr><td><a href=\"https://loinc.org/34117-2/\">34117-2</a></td><td>History and physical note</td></tr><tr><td><a href=\"https://loinc.org/74156-1/\">74156-1</a></td><td>Oncology Plan of care and summary note</td></tr><tr><td><a href=\"https://loinc.org/18776-5/\">18776-5</a></td><td>Plan of care note</td></tr><tr><td><a href=\"https://loinc.org/80785-9/\">80785-9</a></td><td>Radiation oncology Plan of care note</td></tr><tr><td><a href=\"https://loinc.org/11506-3/\">11506-3</a></td><td>Progress note</td></tr><tr><td><a href=\"https://loinc.org/11504-8/\">11504-8</a></td><td>Surgical operation note</td></tr><tr><td><a href=\"https://loinc.org/18842-5/\">18842-5</a></td><td>Discharge summary</td></tr><tr><td><a href=\"https://loinc.org/34133-9/\">34133-9</a></td><td>Summary of episode note</td></tr><tr><td><a href=\"https://loinc.org/18761-7/\">18761-7</a></td><td>Transfer summary note</td></tr><tr><td><a href=\"https://loinc.org/80565-5/\">80565-5</a></td><td>Medication administration record</td></tr><tr><td><a href=\"https://loinc.org/28570-0/\">28570-0</a></td><td>Procedure note</td></tr><tr><td><a href=\"https://loinc.org/57133-1/\">57133-1</a></td><td>Referral note</td></tr><tr><td><a href=\"https://loinc.org/52027-0/\">52027-0</a></td><td>Abortion consent Document</td></tr><tr><td><a href=\"https://loinc.org/52028-8/\">52028-8</a></td><td>Hysterectomy consent Document</td></tr><tr><td><a href=\"https://loinc.org/52029-6/\">52029-6</a></td><td>Sterilization consent Document</td></tr><tr><td><a href=\"https://loinc.org/53245-7/\">53245-7</a></td><td>Driver license</td></tr><tr><td><a href=\"https://loinc.org/57828-6/\">57828-6</a></td><td>Prescription list</td></tr><tr><td><a href=\"https://loinc.org/18682-5/\">18682-5</a></td><td>Ambulance records</td></tr><tr><td><a href=\"https://loinc.org/52063-5/\">52063-5</a></td><td>Prescription for durable medical equipment (DME)</td></tr><tr><td><a href=\"https://loinc.org/52062-7/\">52062-7</a></td><td>Transcutaneous electrical neural stimulation (TENS) attachment</td></tr><tr><td><a href=\"https://loinc.org/52073-4/\">52073-4</a></td><td>Vision services attachment</td></tr><tr><td><a href=\"https://loinc.org/52070-0/\">52070-0</a></td><td>Workers compensation attachment</td></tr><tr><td><a href=\"https://loinc.org/80405-4/\">80405-4</a></td><td>Provider Certification [Type]</td></tr><tr><td><a href=\"https://loinc.org/53242-4/\">53242-4</a></td><td>Charge ticket or encounter form</td></tr><tr><td><a href=\"https://loinc.org/52042-9/\">52042-9</a></td><td>Continuous positive airway pressure (CPAP) attachment</td></tr><tr><td><a href=\"https://loinc.org/52040-3/\">52040-3</a></td><td>Dental X-rays and other images (not DICOM)</td></tr><tr><td><a href=\"https://loinc.org/18748-4/\">18748-4</a></td><td>Diagnostic imaging study</td></tr><tr><td><a href=\"https://loinc.org/53243-2/\">53243-2</a></td><td>Advanced beneficiary notice</td></tr><tr><td><a href=\"https://loinc.org/53247-3/\">53247-3</a></td><td>Eligibility acknowledgement</td></tr><tr><td><a href=\"https://loinc.org/52071-8/\">52071-8</a></td><td>Employee assistance program attachment</td></tr><tr><td><a href=\"https://loinc.org/67796-3/\">67796-3</a></td><td>EMS patient care report - version 3 Document NEMSIS</td></tr><tr><td><a href=\"https://loinc.org/77601-3/\">77601-3</a></td><td>Enhanced note</td></tr><tr><td><a href=\"https://loinc.org/52043-7/\">52043-7</a></td><td>Enteral nutrition attachment</td></tr><tr><td><a href=\"https://loinc.org/11514-7/\">11514-7</a></td><td>Chiropractic Episode of care medical records</td></tr><tr><td><a href=\"https://loinc.org/11521-2/\">11521-2</a></td><td>Occupational therapy Episode of care medical records</td></tr><tr><td><a href=\"https://loinc.org/11515-4/\">11515-4</a></td><td>Physical therapy Episode of care medical records</td></tr><tr><td><a href=\"https://loinc.org/11516-2/\">11516-2</a></td><td>Physician Episode of care medical records</td></tr><tr><td><a href=\"https://loinc.org/11517-0/\">11517-0</a></td><td>Podiatry Episode of care medical records</td></tr><tr><td><a href=\"https://loinc.org/11518-8/\">11518-8</a></td><td>Psychology Episode of care medical records</td></tr><tr><td><a href=\"https://loinc.org/11519-6/\">11519-6</a></td><td>Social service Episode of care medical records</td></tr><tr><td><a href=\"https://loinc.org/11520-4/\">11520-4</a></td><td>Speech therapy Episode of care medical records</td></tr><tr><td><a href=\"https://loinc.org/52030-4/\">52030-4</a></td><td>Explanation of benefits</td></tr><tr><td><a href=\"https://loinc.org/52031-2/\">52031-2</a></td><td>Explanation of benefits to subscriber</td></tr><tr><td><a href=\"https://loinc.org/52044-5/\">52044-5</a></td><td>External infusion pump attachment</td></tr><tr><td><a href=\"https://loinc.org/103567-4/\">103567-4</a></td><td>Path report IG</td></tr><tr><td><a href=\"https://loinc.org/52064-3/\">52064-3</a></td><td>Worker's compensation first report of injury attachment</td></tr><tr><td><a href=\"https://loinc.org/52045-2/\">52045-2</a></td><td>Gait trainers attachment</td></tr><tr><td><a href=\"https://loinc.org/52033-8/\">52033-8</a></td><td>General correspondence attachment</td></tr><tr><td><a href=\"https://loinc.org/11485-0/\">11485-0</a></td><td>Anesthesia records</td></tr><tr><td><a href=\"https://loinc.org/52035-3/\">52035-3</a></td><td>Home health claims</td></tr><tr><td><a href=\"https://loinc.org/52036-1/\">52036-1</a></td><td>Home health prior authorization</td></tr><tr><td><a href=\"https://loinc.org/52046-0/\">52046-0</a></td><td>Hospital beds attachment</td></tr><tr><td><a href=\"https://loinc.org/52032-0/\">52032-0</a></td><td>Appeal denial letter</td></tr><tr><td><a href=\"https://loinc.org/52047-8/\">52047-8</a></td><td>Immunosuppressive drug attachment</td></tr><tr><td><a href=\"https://loinc.org/77600-5/\">77600-5</a></td><td>Interval note</td></tr><tr><td><a href=\"https://loinc.org/94093-2/\">94093-2</a></td><td>Itemized bill</td></tr><tr><td><a href=\"https://loinc.org/15508-5/\">15508-5</a></td><td>Labor and delivery records</td></tr><tr><td><a href=\"https://loinc.org/11502-2/\">11502-2</a></td><td>Laboratory report</td></tr><tr><td><a href=\"https://loinc.org/52048-6/\">52048-6</a></td><td>Lymphedema pump attachment</td></tr><tr><td><a href=\"https://loinc.org/52049-4/\">52049-4</a></td><td>Manual wheelchair attachment</td></tr><tr><td><a href=\"https://loinc.org/11503-0/\">11503-0</a></td><td>Medical records</td></tr><tr><td><a href=\"https://loinc.org/28011-5/\">28011-5</a></td><td>Emergency department Medical records</td></tr><tr><td><a href=\"https://loinc.org/94118-7/\">94118-7</a></td><td>Medical records in response to authorization denial</td></tr><tr><td><a href=\"https://loinc.org/52037-9/\">52037-9</a></td><td>Member ID card copy</td></tr><tr><td><a href=\"https://loinc.org/52065-0/\">52065-0</a></td><td>Automobile liability attachment</td></tr><tr><td><a href=\"https://loinc.org/52050-2/\">52050-2</a></td><td>Motorized wheelchair attachment</td></tr><tr><td><a href=\"https://loinc.org/76641-0/\">76641-0</a></td><td>Neurology study</td></tr><tr><td><a href=\"https://loinc.org/52072-6/\">52072-6</a></td><td>Non-emergency transportation attachment</td></tr><tr><td><a href=\"https://loinc.org/53246-5/\">53246-5</a></td><td>Non-medical services attachment</td></tr><tr><td><a href=\"https://loinc.org/52066-8/\">52066-8</a></td><td>Notice of Discharge Medicare Appeal Rights (NODMAR) form</td></tr><tr><td><a href=\"https://loinc.org/53244-0/\">53244-0</a></td><td>Notice of privacy practices receipt</td></tr><tr><td><a href=\"https://loinc.org/52051-0/\">52051-0</a></td><td>Orthotic/Prosthetic attachment</td></tr><tr><td><a href=\"https://loinc.org/52052-8/\">52052-8</a></td><td>Osteogenesis stimulator attachment</td></tr><tr><td><a href=\"https://loinc.org/52053-6/\">52053-6</a></td><td>Oxygen attachment</td></tr><tr><td><a href=\"https://loinc.org/52054-4/\">52054-4</a></td><td>Parenteral nutrition attachment</td></tr><tr><td><a href=\"https://loinc.org/52067-6/\">52067-6</a></td><td>Past filing limit justification</td></tr><tr><td><a href=\"https://loinc.org/52034-6/\">52034-6</a></td><td>Payer letter</td></tr><tr><td><a href=\"https://loinc.org/28629-4/\">28629-4</a></td><td>Perimetry study</td></tr><tr><td><a href=\"https://loinc.org/74030-8/\">74030-8</a></td><td>Periodontal service attachment</td></tr><tr><td><a href=\"https://loinc.org/28633-6/\">28633-6</a></td><td>Polysomnography (sleep) study</td></tr><tr><td><a href=\"https://loinc.org/52055-1/\">52055-1</a></td><td>Power operated vehicle attachment</td></tr><tr><td><a href=\"https://loinc.org/57073-9/\">57073-9</a></td><td>Prenatal records</td></tr><tr><td><a href=\"https://loinc.org/52041-1/\">52041-1</a></td><td>Blood glucose monitor attachment</td></tr><tr><td><a href=\"https://loinc.org/52068-4/\">52068-4</a></td><td>Property and casualty state mandated forms</td></tr><tr><td><a href=\"https://loinc.org/52075-9/\">52075-9</a></td><td>Purchase invoice</td></tr><tr><td><a href=\"https://loinc.org/18823-5/\">18823-5</a></td><td>Alcohol and/or substance abuse service attachment</td></tr><tr><td><a href=\"https://loinc.org/18824-3/\">18824-3</a></td><td>Cardiac service attachment</td></tr><tr><td><a href=\"https://loinc.org/18825-0/\">18825-0</a></td><td>Medical social services attachment</td></tr><tr><td><a href=\"https://loinc.org/18826-8/\">18826-8</a></td><td>Occupational therapy service attachment</td></tr><tr><td><a href=\"https://loinc.org/19002-5/\">19002-5</a></td><td>Physical therapy service attachment</td></tr><tr><td><a href=\"https://loinc.org/18594-2/\">18594-2</a></td><td>Psychiatric service attachment</td></tr><tr><td><a href=\"https://loinc.org/52184-9/\">52184-9</a></td><td>Pulmonary therapy service attachment</td></tr><tr><td><a href=\"https://loinc.org/19003-3/\">19003-3</a></td><td>Respiratory therapy service attachment</td></tr><tr><td><a href=\"https://loinc.org/29206-0/\">29206-0</a></td><td>Speech therapy service attachment</td></tr><tr><td><a href=\"https://loinc.org/52056-9/\">52056-9</a></td><td>Repair of durable medical equipment attachment</td></tr><tr><td><a href=\"https://loinc.org/52057-7/\">52057-7</a></td><td>Seat lift mechanism attachment</td></tr><tr><td><a href=\"https://loinc.org/52058-5/\">52058-5</a></td><td>Seating system attachment</td></tr><tr><td><a href=\"https://loinc.org/52039-5/\">52039-5</a></td><td>Skilled Nursing Facility (SNF) record</td></tr><tr><td><a href=\"https://loinc.org/101657-5/\">101657-5</a></td><td>Special investigation unit (SIU) medical record request Document</td></tr><tr><td><a href=\"https://loinc.org/52059-3/\">52059-3</a></td><td>Speech generating device attachment</td></tr><tr><td><a href=\"https://loinc.org/52060-1/\">52060-1</a></td><td>Standers/standing frame attachment</td></tr><tr><td><a href=\"https://loinc.org/52038-7/\">52038-7</a></td><td>Subscriber Information including retroactive and presumptive eligibility</td></tr><tr><td><a href=\"https://loinc.org/52061-9/\">52061-9</a></td><td>Support surface attachment</td></tr><tr><td><a href=\"https://loinc.org/52069-2/\">52069-2</a></td><td>Tax ID number - IRS form W9</td></tr><tr><td><a href=\"https://loinc.org/103595-5/\">103595-5</a></td><td>Certificate of Medical Necessity</td></tr><tr><td><a href=\"https://loinc.org/103596-3/\">103596-3</a></td><td>Durable medical equipment proof of delivery receipt</td></tr><tr><td><a href=\"https://loinc.org/103597-1/\">103597-1</a></td><td>Pain management form or template</td></tr><tr><td><a href=\"https://loinc.org/46212-7/\">46212-7</a></td><td>Pre operative photo</td></tr><tr><td><a href=\"https://loinc.org/52459-5/\">52459-5</a></td><td>CMS certification number (CCN) Provider</td></tr></table></li></ul></div>" ] ; fhir:DomainResource.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ; fhir:Extension.valueCode [ fhir:value "fm" ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ; fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ; fhir:Extension.valueCanonical [ fhir:value "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas" ; fhir:link <http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas> ] ] ] ], [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ; fhir:Extension.valueCode [ fhir:value "trial-use" ; fhir:Element.extension [ fhir:index -1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ; fhir:Extension.valueCanonical [ fhir:value "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas" ; fhir:link <http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas> ] ] ] ] ; fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/ValueSet/pas-loinc-attachment-codes"] ; fhir:ValueSet.identifier [ fhir:index -1 ; fhir:Identifier.system [ fhir:value "http://loinc.org" ] ; fhir:Identifier.value [ fhir:value "valid-hl7-attachment-requests" ] ], [ fhir:index -1 ; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ; fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.12009.10.2.6" ] ] ; fhir:ValueSet.version [ fhir:value "2.2.1"] ; fhir:ValueSet.name [ fhir:value "PASLOINCAttachmentCodesValueSet"] ; fhir:ValueSet.title [ fhir:value "PAS LOINC Attachment Codes Value Set"] ; fhir:ValueSet.status [ fhir:value "active"] ; fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ; fhir:ValueSet.date [ fhir:value "2022-06-29"^^xsd:date] ; fhir:ValueSet.publisher [ fhir:value "HL7 International / Financial Management"] ; fhir:ValueSet.contact [ fhir:index -1 ; fhir:ContactDetail.name [ fhir:value "HL7 International / Financial Management" ] ; fhir:ContactDetail.telecom [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "http://hl7.org/Special/committees/fm" ] ], [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "fmlists@lists.hl7.org" ] ] ], [ fhir:index -1 ; fhir:ContactDetail.name [ fhir:value "Jean Duteau" ] ; fhir:ContactDetail.telecom [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "mailto:jean@duteaudesign.com" ] ] ], [ fhir:index -1 ; fhir:ContactDetail.name [ fhir:value "HL7 International / Financial Management" ] ; fhir:ContactDetail.telecom [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm" ] ] ] ; fhir:ValueSet.description [ fhir:value "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](https://loinc.org/attachments/)."] ; fhir:ValueSet.jurisdiction [ fhir:index -1 ; fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ; fhir:Coding.code [ fhir:value "US" ] ; fhir:Coding.display [ fhir:value "United States of America" ] ] ] ; fhir:ValueSet.copyright [ fhir:value "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."] ; fhir:ValueSet.compose [ fhir:ValueSet.compose.include [ fhir:index -1 ; fhir:ValueSet.compose.include.system [ fhir:value "http://loinc.org" ] ; fhir:ValueSet.compose.include.concept [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11526-1" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Pathology study" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11488-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Consult note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "80792-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Pulmonary Diagnostic study note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "47420-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Functional status assessment note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "34117-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "History and physical note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "74156-1" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Oncology Plan of care and summary note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18776-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Plan of care note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "80785-9" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Radiation oncology Plan of care note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11506-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Progress note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11504-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Surgical operation note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18842-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Discharge summary" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "34133-9" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Summary of episode note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18761-7" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Transfer summary note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "80565-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Medication administration record" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "28570-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Procedure note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "57133-1" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Referral note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52027-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Abortion consent Document" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52028-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Hysterectomy consent Document" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52029-6" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Sterilization consent Document" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "53245-7" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Driver license" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "57828-6" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Prescription list" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18682-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Ambulance records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52063-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Prescription for durable medical equipment (DME)" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52062-7" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Transcutaneous electrical neural stimulation (TENS) attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52073-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Vision services attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52070-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Workers compensation attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "80405-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Provider Certification [Type]" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "53242-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Charge ticket or encounter form" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52042-9" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Continuous positive airway pressure (CPAP) attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52040-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Dental X-rays and other images (not DICOM)" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18748-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Diagnostic imaging study" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "53243-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Advanced beneficiary notice" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "53247-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Eligibility acknowledgement" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52071-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Employee assistance program attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "67796-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "EMS patient care report - version 3 Document NEMSIS" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "77601-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Enhanced note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52043-7" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Enteral nutrition attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11514-7" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Chiropractic Episode of care medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11521-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Occupational therapy Episode of care medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11515-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Physical therapy Episode of care medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11516-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Physician Episode of care medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11517-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Podiatry Episode of care medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11518-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Psychology Episode of care medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11519-6" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Social service Episode of care medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11520-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Speech therapy Episode of care medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52030-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Explanation of benefits" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52031-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Explanation of benefits to subscriber" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52044-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "External infusion pump attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "103567-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Path report IG" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52064-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Worker's compensation first report of injury attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52045-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Gait trainers attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52033-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "General correspondence attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11485-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Anesthesia records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52035-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Home health claims" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52036-1" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Home health prior authorization" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52046-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Hospital beds attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52032-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Appeal denial letter" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52047-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Immunosuppressive drug attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "77600-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Interval note" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "94093-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Itemized bill" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "15508-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Labor and delivery records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11502-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Laboratory report" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52048-6" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Lymphedema pump attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52049-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Manual wheelchair attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "11503-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "28011-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Emergency department Medical records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "94118-7" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Medical records in response to authorization denial" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52037-9" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Member ID card copy" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52065-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Automobile liability attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52050-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Motorized wheelchair attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "76641-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Neurology study" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52072-6" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Non-emergency transportation attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "53246-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Non-medical services attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52066-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Notice of Discharge Medicare Appeal Rights (NODMAR) form" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "53244-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Notice of privacy practices receipt" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52051-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Orthotic/Prosthetic attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52052-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Osteogenesis stimulator attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52053-6" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Oxygen attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52054-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Parenteral nutrition attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52067-6" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Past filing limit justification" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52034-6" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Payer letter" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "28629-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Perimetry study" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "74030-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Periodontal service attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "28633-6" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Polysomnography (sleep) study" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52055-1" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Power operated vehicle attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "57073-9" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Prenatal records" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52041-1" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Blood glucose monitor attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52068-4" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Property and casualty state mandated forms" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52075-9" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Purchase invoice" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18823-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Alcohol and/or substance abuse service attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18824-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Cardiac service attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18825-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Medical social services attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18826-8" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Occupational therapy service attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "19002-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Physical therapy service attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "18594-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Psychiatric service attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52184-9" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Pulmonary therapy service attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "19003-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Respiratory therapy service attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "29206-0" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Speech therapy service attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52056-9" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Repair of durable medical equipment attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52057-7" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Seat lift mechanism attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52058-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Seating system attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52039-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Skilled Nursing Facility (SNF) record" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "101657-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Special investigation unit (SIU) medical record request Document" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52059-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Speech generating device attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52060-1" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Standers/standing frame attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52038-7" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Subscriber Information including retroactive and presumptive eligibility" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52061-9" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Support surface attachment" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52069-2" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Tax ID number - IRS form W9" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "103595-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Certificate of Medical Necessity" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "103596-3" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Durable medical equipment proof of delivery receipt" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "103597-1" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Pain management form or template" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "46212-7" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "Pre operative photo" ] ], [ fhir:index -1 ; fhir:ValueSet.compose.include.concept.code [ fhir:value "52459-5" ] ; fhir:ValueSet.compose.include.concept.display [ fhir:value "CMS certification number (CCN) Provider" ] ] ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/ValueSet/pas-loinc-attachment-codes.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/ValueSet/pas-loinc-attachment-codes.ttl> .
IG © 2020+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-pas#2.2.1 based on FHIR 4.0.1.
Generated
2026-08-28
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