Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot

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-ballot 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

## : X12 278 Requested Service Type

Page standards status: Trial-use | Maturity Level: 3

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    <ValueSet xmlns="http://hl7.org/fhir">
      <id value="X12278RequestedServiceType"/>
      <language value="en"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet X12278RequestedServiceType</b></p><a name="X12278RequestedServiceType"> </a><a name="hcX12278RequestedServiceType"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/7.0.1/CodeSystem-data-absent-reason.html"><code>http://terminology.hl7.org/CodeSystem/data-absent-reason</code></a><span title="Version is explicitly stated to be 1.0.0"> version &#x1F4CD;1.0.0</span><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/7.0.1/CodeSystem-data-absent-reason.html#data-absent-reason-not-applicable">not-applicable</a></td><td style="color: #cccccc">Not Applicable</td><td>There is no proper value for this element (e.g. last menstrual period for a male).</td></tr></table></li><li>Include all codes defined in <code>https://codesystem.x12.org/005010/1365</code><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span></li><li>Include all codes defined in <a href="http://terminology.hl7.org/6.2.0/CodeSystem-CPT.html"><code>http://www.ama-assn.org/go/cpt</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span></li><li>Include all codes defined in <a href="http://terminology.hl7.org/6.2.0/CodeSystem-hcpcs-Level-II.html"><code>http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span></li><li>Include all codes defined in <a href="http://terminology.hl7.org/6.2.0/CodeSystem-icd9cm.html"><code>http://terminology.hl7.org/CodeSystem/icd9cm</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span></li><li>Include all codes defined in <a href="http://terminology.hl7.org/6.2.0/CodeSystem-icd10PCS.html"><code>http://www.cms.gov/Medicare/Coding/ICD10</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span></li><li>Include all codes defined in <a href="http://terminology.hl7.org/6.2.0/CodeSystem-v3-ndc.html"><code>http://hl7.org/fhir/sid/ndc</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span></li></ul></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="fm"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="3">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
          </extension>
        </valueInteger>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
          </extension>
        </valueCode>
      </extension>
      <url
           value="http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.24.48.18"/>
      </identifier>
      <version value="2.2.0-ballot"/>
      <name value="X12278RequestedServiceType"/>
      <title value="X12 278 Requested Service Type"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2026-01-30T16:26:59+00:00"/>
      <publisher value="HL7 International / Financial Management"/>
      <contact>
        <name value="HL7 International / Financial Management"/>
        <telecom>
          <system value="url"/>
          <value value="http://hl7.org/Special/committees/fm"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="fmlists@lists.hl7.org"/>
        </telecom>
      </contact>
      <contact>
        <name value="Jean Duteau"/>
        <telecom>
          <system value="email"/>
          <value value="mailto:jean@duteaudesign.com"/>
        </telecom>
      </contact>
      <contact>
        <name value="HL7 International / Financial Management"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/fm"/>
        </telecom>
      </contact>
      <description
                   value="This set of codes identifies what service is being requested.  For queries, if the query is not searching for a specific service type, the not-applicable data absent reason code can be used.  It is a combination of X12 Service Type codes, CPT (HCPCS I) and HCPCS II procedure code modifiers, ICD-9 Procedure codes, ICD-10 Procedure codes, and NDC Drug codes.  NOTE: HCPCS Level 1 Codes are the CPT codes so either code system could be used to send the codes.  When receiving the codes from an X12 system, the system returned will be HCPCS even if it was initially sent as a CPT code."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.
    X12 codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions."/>
      <compose>
        <include>
          <system
                  value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
          <version value="1.0.0"/>
          <concept>
            <code value="not-applicable"/>
          </concept>
        </include>
        <include>
          <system value="https://codesystem.x12.org/005010/1365"/>
        </include>
        <include>
          <system value="http://www.ama-assn.org/go/cpt"/>
        </include>
        <include>
          <system
                  value="http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"/>
        </include>
        <include>
          <system value="http://terminology.hl7.org/CodeSystem/icd9cm"/>
        </include>
        <include>
          <system value="http://www.cms.gov/Medicare/Coding/ICD10"/>
        </include>
        <include>
          <system value="http://hl7.org/fhir/sid/ndc"/>
        </include>
      </compose>
    </ValueSet>