# PAS LOINC Attachment Codes Value Set - Da Vinci Prior Authorization Support (PAS) FHIR IG v2.2.0-ballot

## ValueSet: PAS LOINC Attachment Codes Value Set 

 
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/). 

 **References** 

* [PAS Task](http://hl7.org/fhir/us/davinci-pas/STU2.1/StructureDefinition-profile-task.html)

### Logical Definition (CLD)

 

### Expansion

-------

 [Description of the above table(s)](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#terminology). 



## Resource Content

```json
{
  "resourceType" : "ValueSet",
  "id" : "pas-loinc-attachment-codes",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    },
    {
      "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-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/pas-loinc-attachment-codes",
  "identifier" : [
    {
      "system" : "http://loinc.org",
      "value" : "valid-hl7-attachment-requests"
    },
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:1.3.6.1.4.1.12009.10.2.6"
    }
  ],
  "version" : "2.2.0-ballot",
  "name" : "PASLOINCAttachmentCodesValueSet",
  "title" : "PAS LOINC Attachment Codes Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2022-06-29",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fmlists@lists.hl7.org"
        }
      ]
    },
    {
      "name" : "Jean Duteau",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:jean@duteaudesign.com"
        }
      ]
    },
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "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/).",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "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.",
  "compose" : {
    "include" : [
      {
        "system" : "http://loinc.org",
        "concept" : [
          {
            "code" : "11526-1",
            "display" : "Pathology study"
          },
          {
            "code" : "11488-4",
            "display" : "Consult note"
          },
          {
            "code" : "80792-5",
            "display" : "Pulmonary Diagnostic study note"
          },
          {
            "code" : "47420-5",
            "display" : "Functional status assessment note"
          },
          {
            "code" : "34117-2",
            "display" : "History and physical note"
          },
          {
            "code" : "74156-1",
            "display" : "Oncology Plan of care and summary note"
          },
          {
            "code" : "18776-5",
            "display" : "Plan of care note"
          },
          {
            "code" : "80785-9",
            "display" : "Radiation oncology Plan of care note"
          },
          {
            "code" : "11506-3",
            "display" : "Progress note"
          },
          {
            "code" : "11504-8",
            "display" : "Surgical operation note"
          },
          {
            "code" : "18842-5",
            "display" : "Discharge summary"
          },
          {
            "code" : "34133-9",
            "display" : "Summary of episode note"
          },
          {
            "code" : "18761-7",
            "display" : "Transfer summary note"
          },
          {
            "code" : "80565-5",
            "display" : "Medication administration record"
          },
          {
            "code" : "28570-0",
            "display" : "Procedure note"
          },
          {
            "code" : "57133-1",
            "display" : "Referral note"
          },
          {
            "code" : "52027-0",
            "display" : "Abortion consent Document"
          },
          {
            "code" : "52028-8",
            "display" : "Hysterectomy consent Document"
          },
          {
            "code" : "52029-6",
            "display" : "Sterilization consent Document"
          },
          {
            "code" : "53245-7",
            "display" : "Driver license"
          },
          {
            "code" : "57828-6",
            "display" : "Prescription list"
          },
          {
            "code" : "18682-5",
            "display" : "Ambulance records"
          },
          {
            "code" : "52063-5",
            "display" : "Prescription for durable medical equipment (DME)"
          },
          {
            "code" : "52062-7",
            "display" : "Transcutaneous electrical neural stimulation (TENS) attachment"
          },
          {
            "code" : "52073-4",
            "display" : "Vision services attachment"
          },
          {
            "code" : "52070-0",
            "display" : "Workers compensation attachment"
          },
          {
            "code" : "80405-4",
            "display" : "Provider Certification [Type]"
          },
          {
            "code" : "53242-4",
            "display" : "Charge ticket or encounter form"
          },
          {
            "code" : "52042-9",
            "display" : "Continuous positive airway pressure (CPAP) attachment"
          },
          {
            "code" : "52040-3",
            "display" : "Dental X-rays and other images (not DICOM)"
          },
          {
            "code" : "18748-4",
            "display" : "Diagnostic imaging study"
          },
          {
            "code" : "53243-2",
            "display" : "Advanced beneficiary notice"
          },
          {
            "code" : "53247-3",
            "display" : "Eligibility acknowledgement"
          },
          {
            "code" : "52071-8",
            "display" : "Employee assistance program attachment"
          },
          {
            "code" : "67796-3",
            "display" : "EMS patient care report - version 3 Document NEMSIS"
          },
          {
            "code" : "77601-3",
            "display" : "Enhanced note"
          },
          {
            "code" : "52043-7",
            "display" : "Enteral nutrition attachment"
          },
          {
            "code" : "11514-7",
            "display" : "Chiropractic Episode of care medical records"
          },
          {
            "code" : "11521-2",
            "display" : "Occupational therapy Episode of care medical records"
          },
          {
            "code" : "11515-4",
            "display" : "Physical therapy Episode of care medical records"
          },
          {
            "code" : "11516-2",
            "display" : "Physician Episode of care medical records"
          },
          {
            "code" : "11517-0",
            "display" : "Podiatry Episode of care medical records"
          },
          {
            "code" : "11518-8",
            "display" : "Psychology Episode of care medical records"
          },
          {
            "code" : "11519-6",
            "display" : "Social service Episode of care medical records"
          },
          {
            "code" : "11520-4",
            "display" : "Speech therapy Episode of care medical records"
          },
          {
            "code" : "52030-4",
            "display" : "Explanation of benefits"
          },
          {
            "code" : "52031-2",
            "display" : "Explanation of benefits to subscriber"
          },
          {
            "code" : "52044-5",
            "display" : "External infusion pump attachment"
          },
          {
            "code" : "103567-4",
            "display" : "Path report IG"
          },
          {
            "code" : "52064-3",
            "display" : "Worker's compensation first report of injury attachment"
          },
          {
            "code" : "52045-2",
            "display" : "Gait trainers attachment"
          },
          {
            "code" : "52033-8",
            "display" : "General correspondence attachment"
          },
          {
            "code" : "11485-0",
            "display" : "Anesthesia records"
          },
          {
            "code" : "52035-3",
            "display" : "Home health claims"
          },
          {
            "code" : "52036-1",
            "display" : "Home health prior authorization"
          },
          {
            "code" : "52046-0",
            "display" : "Hospital beds attachment"
          },
          {
            "code" : "52032-0",
            "display" : "Appeal denial letter"
          },
          {
            "code" : "52047-8",
            "display" : "Immunosuppressive drug attachment"
          },
          {
            "code" : "77600-5",
            "display" : "Interval note"
          },
          {
            "code" : "94093-2",
            "display" : "Itemized bill"
          },
          {
            "code" : "15508-5",
            "display" : "Labor and delivery records"
          },
          {
            "code" : "11502-2",
            "display" : "Laboratory report"
          },
          {
            "code" : "52048-6",
            "display" : "Lymphedema pump attachment"
          },
          {
            "code" : "52049-4",
            "display" : "Manual wheelchair attachment"
          },
          {
            "code" : "11503-0",
            "display" : "Medical records"
          },
          {
            "code" : "28011-5",
            "display" : "Emergency department Medical records"
          },
          {
            "code" : "94118-7",
            "display" : "Medical records in response to authorization denial"
          },
          {
            "code" : "52037-9",
            "display" : "Member ID card copy"
          },
          {
            "code" : "52065-0",
            "display" : "Automobile liability attachment"
          },
          {
            "code" : "52050-2",
            "display" : "Motorized wheelchair attachment"
          },
          {
            "code" : "76641-0",
            "display" : "Neurology study"
          },
          {
            "code" : "52072-6",
            "display" : "Non-emergency transportation attachment"
          },
          {
            "code" : "53246-5",
            "display" : "Non-medical services attachment"
          },
          {
            "code" : "52066-8",
            "display" : "Notice of Discharge Medicare Appeal Rights (NODMAR) form"
          },
          {
            "code" : "53244-0",
            "display" : "Notice of privacy practices receipt"
          },
          {
            "code" : "52051-0",
            "display" : "Orthotic/Prosthetic attachment"
          },
          {
            "code" : "52052-8",
            "display" : "Osteogenesis stimulator attachment"
          },
          {
            "code" : "52053-6",
            "display" : "Oxygen attachment"
          },
          {
            "code" : "52054-4",
            "display" : "Parenteral nutrition attachment"
          },
          {
            "code" : "52067-6",
            "display" : "Past filing limit justification"
          },
          {
            "code" : "52034-6",
            "display" : "Payer letter"
          },
          {
            "code" : "28629-4",
            "display" : "Perimetry study"
          },
          {
            "code" : "74030-8",
            "display" : "Periodontal service attachment"
          },
          {
            "code" : "28633-6",
            "display" : "Polysomnography (sleep) study"
          },
          {
            "code" : "52055-1",
            "display" : "Power operated vehicle attachment"
          },
          {
            "code" : "57073-9",
            "display" : "Prenatal records"
          },
          {
            "code" : "52041-1",
            "display" : "Blood glucose monitor attachment"
          },
          {
            "code" : "52068-4",
            "display" : "Property and casualty state mandated forms"
          },
          {
            "code" : "52075-9",
            "display" : "Purchase invoice"
          },
          {
            "code" : "18823-5",
            "display" : "Alcohol and/or substance abuse service attachment"
          },
          {
            "code" : "18824-3",
            "display" : "Cardiac service attachment"
          },
          {
            "code" : "18825-0",
            "display" : "Medical social services attachment"
          },
          {
            "code" : "18826-8",
            "display" : "Occupational therapy service attachment"
          },
          {
            "code" : "19002-5",
            "display" : "Physical therapy service attachment"
          },
          {
            "code" : "18594-2",
            "display" : "Psychiatric service attachment"
          },
          {
            "code" : "52184-9",
            "display" : "Pulmonary therapy service attachment"
          },
          {
            "code" : "19003-3",
            "display" : "Respiratory therapy service attachment"
          },
          {
            "code" : "29206-0",
            "display" : "Speech therapy service attachment"
          },
          {
            "code" : "52056-9",
            "display" : "Repair of durable medical equipment attachment"
          },
          {
            "code" : "52057-7",
            "display" : "Seat lift mechanism attachment"
          },
          {
            "code" : "52058-5",
            "display" : "Seating system attachment"
          },
          {
            "code" : "52039-5",
            "display" : "Skilled Nursing Facility (SNF) record"
          },
          {
            "code" : "101657-5",
            "display" : "Special investigation unit (SIU) medical record request Document"
          },
          {
            "code" : "52059-3",
            "display" : "Speech generating device attachment"
          },
          {
            "code" : "52060-1",
            "display" : "Standers/standing frame attachment"
          },
          {
            "code" : "52038-7",
            "display" : "Subscriber Information including retroactive and presumptive eligibility"
          },
          {
            "code" : "52061-9",
            "display" : "Support surface attachment"
          },
          {
            "code" : "52069-2",
            "display" : "Tax ID number - IRS form W9"
          },
          {
            "code" : "103595-5",
            "display" : "Certificate of Medical Necessity"
          },
          {
            "code" : "103596-3",
            "display" : "Durable medical equipment proof of delivery receipt"
          },
          {
            "code" : "103597-1",
            "display" : "Pain management form or template"
          },
          {
            "code" : "46212-7",
            "display" : "Pre operative photo"
          },
          {
            "code" : "52459-5",
            "display" : "CMS certification number (CCN) Provider"
          }
        ]
      }
    ]
  }
}

```
