This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.1.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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: PAS PWK01 Attachment Report Type Code Value Set - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "pas-pwk01-attachment-report-type-code",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet pas-pwk01-attachment-report-type-code</b></p><a name=\"pas-pwk01-attachment-report-type-code\"> </a><a name=\"hcpas-pwk01-attachment-report-type-code\"> </a><a name=\"pas-pwk01-attachment-report-type-code-en-US\"> </a><ul><li>Include all codes defined in <code>https://codesystem.x12.org/005010/755</code></li></ul></div>"
  },
  "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-pwk01-attachment-report-type-code",
  "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" : "2.1.0",
  "name" : "PASPWK01AttachmentReportTypeCodeValueSet",
  "title" : "PAS PWK01 Attachment Report Type Code Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-05-10",
  "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" : "In addition to using LOINC attachment codes, a payer may request for additional information from the provider to support a prior authorization request using X12's PWK01 Attachment Report Type Code.\n\nNote that the PWK01 codes will not be published in due to X12 IP restrictions.\n",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "All X12 work products are copyrighted. Any use of any X12 work product must be compliant with US Copyright laws and X12 Intellectual Property policies.\r\n\r\nPlease see [https://x12.org/products/licensing-program](https://x12.org/products/licensing-program)",
  "compose" : {
    "include" : [
      {
        "system" : "https://codesystem.x12.org/005010/755"
      }
    ]
  }
}