Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot United States of America flag

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.2.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions

ValueSet: PAS LOINC Attachment Codes Value Set

Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/pas-loinc-attachment-codes Version: 2.2.0-ballot
Standards status: Trial-use Maturity Level: 3 Computable Name: PASLOINCAttachmentCodesValueSet
Other Identifiers: http://loinc.org#Logical Observation Identifier Names and Codes (LOINC)#valid-hl7-attachment-requests, OID:1.3.6.1.4.1.12009.10.2.6

Copyright/Legal: 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.

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.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://loinc.org
    CodeDisplay
    11526-1Pathology study
    11488-4Consult note
    80792-5Pulmonary Diagnostic study note
    47420-5Functional status assessment note
    34117-2History and physical note
    74156-1Oncology Plan of care and summary note
    18776-5Plan of care note
    80785-9Radiation oncology Plan of care note
    11506-3Progress note
    11504-8Surgical operation note
    18842-5Discharge summary
    34133-9Summary of episode note
    18761-7Transfer summary note
    80565-5Medication administration record
    28570-0Procedure note
    57133-1Referral note
    52027-0Abortion consent Document
    52028-8Hysterectomy consent Document
    52029-6Sterilization consent Document
    53245-7Driver license
    57828-6Prescription list
    18682-5Ambulance records
    52063-5Prescription for durable medical equipment (DME)
    52062-7Transcutaneous electrical neural stimulation (TENS) attachment
    52073-4Vision services attachment
    52070-0Workers compensation attachment
    80405-4Provider Certification [Type]
    53242-4Charge ticket or encounter form
    52042-9Continuous positive airway pressure (CPAP) attachment
    52040-3Dental X-rays and other images (not DICOM)
    18748-4Diagnostic imaging study
    53243-2Advanced beneficiary notice
    53247-3Eligibility acknowledgement
    52071-8Employee assistance program attachment
    67796-3EMS patient care report - version 3 Document NEMSIS
    77601-3Enhanced note
    52043-7Enteral nutrition attachment
    11514-7Chiropractic Episode of care medical records
    11521-2Occupational therapy Episode of care medical records
    11515-4Physical therapy Episode of care medical records
    11516-2Physician Episode of care medical records
    11517-0Podiatry Episode of care medical records
    11518-8Psychology Episode of care medical records
    11519-6Social service Episode of care medical records
    11520-4Speech therapy Episode of care medical records
    52030-4Explanation of benefits
    52031-2Explanation of benefits to subscriber
    52044-5External infusion pump attachment
    103567-4FHIR previous cancer therapy medical record
    52064-3Worker's compensation first report of injury attachment
    52045-2Gait trainers attachment
    52033-8General correspondence attachment
    11485-0Anesthesia records
    52035-3Home health claims
    52036-1Home health prior authorization
    52046-0Hospital beds attachment
    52032-0Appeal denial letter
    52047-8Immunosuppressive drug attachment
    77600-5Interval note
    94093-2Itemized bill
    15508-5Labor and delivery records
    11502-2Laboratory report
    52048-6Lymphedema pump attachment
    52049-4Manual wheelchair attachment
    11503-0Medical records
    28011-5Emergency department Medical records
    94118-7Medical records in response to authorization denial
    52037-9Member ID card copy
    52065-0Automobile liability attachment
    52050-2Motorized wheelchair attachment
    76641-0Neurology study
    52072-6Non-emergency transportation attachment
    53246-5Non-medical services attachment
    52066-8Notice of Discharge Medicare Appeal Rights (NODMAR) form
    53244-0Notice of privacy practices receipt
    52051-0Orthotic/Prosthetic attachment
    52052-8Osteogenesis stimulator attachment
    52053-6Oxygen attachment
    52054-4Parenteral nutrition attachment
    52067-6Past filing limit justification
    52034-6Payer letter
    28629-4Perimetry study
    74030-8Periodontal service attachment
    28633-6Polysomnography (sleep) study
    52055-1Power operated vehicle attachment
    57073-9Prenatal records
    52041-1Blood glucose monitor attachment
    52068-4Property and casualty state mandated forms
    52075-9Purchase invoice
    18823-5Alcohol and/or substance abuse service attachment
    18824-3Cardiac service attachment
    18825-0Medical social services attachment
    18826-8Occupational therapy service attachment
    19002-5Physical therapy service attachment
    18594-2Psychiatric service attachment
    52184-9Pulmonary therapy service attachment
    19003-3Respiratory therapy service attachment
    29206-0Speech therapy service attachment
    52056-9Repair of durable medical equipment attachment
    52057-7Seat lift mechanism attachment
    52058-5Seating system attachment
    52039-5Skilled Nursing Facility (SNF) record
    101657-5Special investigation unit (SIU) medical record request Document
    52059-3Speech generating device attachment
    52060-1Standers/standing frame attachment
    52038-7Subscriber Information including retroactive and presumptive eligibility
    52061-9Support surface attachment
    52069-2Tax ID number - IRS form W9
    103595-5Certificate of Medical Necessity
    103596-3Durable medical equipment proof of delivery receipt
    103597-1Pain management form or template
    46212-7Pre operative photo
    52459-5CMS certification number (CCN) Provider

 

Expansion

Expansion from tx.fhir.org based on Loinc v2.80

This value set contains 113 concepts

CodeSystemDisplay (en-US)
  11526-1http://loinc.orgPathology study
  11488-4http://loinc.orgConsult note
  80792-5http://loinc.orgPulmonary Diagnostic study note
  47420-5http://loinc.orgFunctional status assessment note
  34117-2http://loinc.orgHistory and physical note
  74156-1http://loinc.orgOncology Plan of care and summary note
  18776-5http://loinc.orgPlan of care note
  80785-9http://loinc.orgRadiation oncology Plan of care note
  11506-3http://loinc.orgProgress note
  11504-8http://loinc.orgSurgical operation note
  18842-5http://loinc.orgDischarge summary
  34133-9http://loinc.orgSummary of episode note
  18761-7http://loinc.orgTransfer summary note
  80565-5http://loinc.orgMedication administration record
  28570-0http://loinc.orgProcedure note
  57133-1http://loinc.orgReferral note
  52027-0http://loinc.orgAbortion consent Document
  52028-8http://loinc.orgHysterectomy consent Document
  52029-6http://loinc.orgSterilization consent Document
  53245-7http://loinc.orgDriver license
  57828-6http://loinc.orgPrescription list
  18682-5http://loinc.orgAmbulance records
  52063-5http://loinc.orgPrescription for durable medical equipment (DME)
  52062-7http://loinc.orgTranscutaneous electrical neural stimulation (TENS) attachment
  52073-4http://loinc.orgVision services attachment
  52070-0http://loinc.orgWorkers compensation attachment
  80405-4http://loinc.orgProvider Certification [Type]
  53242-4http://loinc.orgCharge ticket or encounter form
  52042-9http://loinc.orgContinuous positive airway pressure (CPAP) attachment
  52040-3http://loinc.orgDental X-rays and other images (not DICOM)
  18748-4http://loinc.orgDiagnostic imaging study
  53243-2http://loinc.orgAdvanced beneficiary notice
  53247-3http://loinc.orgEligibility acknowledgement
  52071-8http://loinc.orgEmployee assistance program attachment
  67796-3http://loinc.orgEMS patient care report - version 3 Document NEMSIS
  77601-3http://loinc.orgEnhanced note
  52043-7http://loinc.orgEnteral nutrition attachment
  11514-7http://loinc.orgChiropractic Episode of care medical records
  11521-2http://loinc.orgOccupational therapy Episode of care medical records
  11515-4http://loinc.orgPhysical therapy Episode of care medical records
  11516-2http://loinc.orgPhysician Episode of care medical records
  11517-0http://loinc.orgPodiatry Episode of care medical records
  11518-8http://loinc.orgPsychology Episode of care medical records
  11519-6http://loinc.orgSocial service Episode of care medical records
  11520-4http://loinc.orgSpeech therapy Episode of care medical records
  52030-4http://loinc.orgExplanation of benefits
  52031-2http://loinc.orgExplanation of benefits to subscriber
  52044-5http://loinc.orgExternal infusion pump attachment
  103567-4http://loinc.orgPrevious cancer therapy (narrative)
  52064-3http://loinc.orgWorker's compensation first report of injury attachment
  52045-2http://loinc.orgGait trainers attachment
  52033-8http://loinc.orgGeneral correspondence attachment
  11485-0http://loinc.orgAnesthesia records
  52035-3http://loinc.orgHome health claims
  52036-1http://loinc.orgHome health prior authorization
  52046-0http://loinc.orgHospital beds attachment
  52032-0http://loinc.orgAppeal denial letter
  52047-8http://loinc.orgImmunosuppressive drug attachment
  77600-5http://loinc.orgInterval note
  94093-2http://loinc.orgItemized bill
  15508-5http://loinc.orgLabor and delivery records
  11502-2http://loinc.orgLaboratory report
  52048-6http://loinc.orgLymphedema pump attachment
  52049-4http://loinc.orgManual wheelchair attachment
  11503-0http://loinc.orgMedical records
  28011-5http://loinc.orgEmergency department Medical records
  94118-7http://loinc.orgMedical records in response to authorization denial
  52037-9http://loinc.orgMember ID card copy
  52065-0http://loinc.orgAutomobile liability attachment
  52050-2http://loinc.orgMotorized wheelchair attachment
  76641-0http://loinc.orgNeurology study
  52072-6http://loinc.orgNon-emergency transportation attachment
  53246-5http://loinc.orgNon-medical services attachment
  52066-8http://loinc.orgNotice of Discharge Medicare Appeal Rights (NODMAR) form
  53244-0http://loinc.orgNotice of privacy practices receipt
  52051-0http://loinc.orgOrthotic/Prosthetic attachment
  52052-8http://loinc.orgOsteogenesis stimulator attachment
  52053-6http://loinc.orgOxygen attachment
  52054-4http://loinc.orgParenteral nutrition attachment
  52067-6http://loinc.orgPast filing limit justification
  52034-6http://loinc.orgPayer letter
  28629-4http://loinc.orgPerimetry study
  74030-8http://loinc.orgPeriodontal service attachment
  28633-6http://loinc.orgPolysomnography (sleep) study
  52055-1http://loinc.orgPower operated vehicle attachment
  57073-9http://loinc.orgPrenatal records
  52041-1http://loinc.orgBlood glucose monitor attachment
  52068-4http://loinc.orgProperty and casualty state mandated forms
  52075-9http://loinc.orgPurchase invoice
  18823-5http://loinc.orgAlcohol and/or substance abuse service attachment
  18824-3http://loinc.orgCardiac service attachment
  18825-0http://loinc.orgMedical social services attachment
  18826-8http://loinc.orgOccupational therapy service attachment
  19002-5http://loinc.orgPhysical therapy service attachment
  18594-2http://loinc.orgPsychiatric service attachment
  52184-9http://loinc.orgPulmonary therapy service attachment
  19003-3http://loinc.orgRespiratory therapy service attachment
  29206-0http://loinc.orgSpeech therapy service attachment
  52056-9http://loinc.orgRepair of durable medical equipment attachment
  52057-7http://loinc.orgSeat lift mechanism attachment
  52058-5http://loinc.orgSeating system attachment
  52039-5http://loinc.orgSkilled Nursing Facility (SNF) record
  101657-5http://loinc.orgSpecial investigation unit (SIU) medical record request Document
  52059-3http://loinc.orgSpeech generating device attachment
  52060-1http://loinc.orgStanders/standing frame attachment
  52038-7http://loinc.orgSubscriber Information including retroactive and presumptive eligibility
  52061-9http://loinc.orgSupport surface attachment
  52069-2http://loinc.orgTax ID number - IRS form W9
  103595-5http://loinc.orgCertificate of Medical Necessity
  103596-3http://loinc.orgDurable medical equipment proof of delivery receipt
  103597-1http://loinc.orgPain management form or template
  46212-7http://loinc.orgPre operative photo
  52459-5http://loinc.orgCMS certification number (CCN) Provider

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code