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. 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 - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="pas-pwk01-attachment-report-type-code"/>
  <text>
    <status value="generated"/>
    <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>
  </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/pas-pwk01-attachment-report-type-code"/>
  <identifier>
    <system value="http://loinc.org"/>
    <value value="valid-hl7-attachment-requests"/>
  </identifier>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.3.6.1.4.1.12009.10.2.6"/>
  </identifier>
  <version value="2.1.0"/>
  <name value="PASPWK01AttachmentReportTypeCodeValueSet"/>
  <title value="PAS PWK01 Attachment Report Type Code Value Set"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-05-10"/>
  <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="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.

Note that the PWK01 codes will not be published in due to X12 IP restrictions.
"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <copyright
             value="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.

Please see [https://x12.org/products/licensing-program](https://x12.org/products/licensing-program)"/>
  <compose>
    <include>
      <system value="https://codesystem.x12.org/005010/755"/>
    </include>
  </compose>
</ValueSet>