Permissions Catalog: Recommendations for Reuse

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Reusing the HL7 RBAC Permission Catalog Terminology
for Composite Privacy Consent Directive

Introduction

The current Permissions Catalog for Role-Based Access Control (RBAC) specifies a set of normative permissions that may grouped into functional roles for use in healthcare. The Security WG (jointly with CBCC) is currently working on a project intended to provide controlled terminology for the operations and objects referenced in the RBAC Permission Catalog (see TSC project list - item 118).

The permission catalog ad-hoc operation and object names is a normative specification and it is available for download.

The Community-based Collaborative Care (CBCC) work group is responsible for the maintenance and enhancement of the Data Consent standard (Release 1 approved in 2007). The Data Consent standard was enhanced and the update will continue through May 2009 (see Composite Privacy Directive Release 1, Draft for Comment).

The RBAC operations extend the typical database C(reate),R(ead),U(update),D(elete) operations and they refer specifically to the ability of healthcare users to:

  • append,
  • create,
  • read,
  • update,
  • delete, and
  • execute (?) "[...]results only in initiating performance of a single or set of programs."

specific healthcare "objects" identified in the RBAC Permission Catalog. The RBAC "objects" refer to a variety of healthcare information elements (e.g. Progress Notes, Summary Report) and functions (e.g. ADT). A permission specifies an operation and the object on it it is applied :

Permission

ID

Operation

Object

Effect

PAD-017

create, read

Administrative Ad Hoc Report

  • Create/Display/Print Administrative Ad Hoc Report
    • {C, Administrative Ad Hoc Report}
    • {R, Administrative Ad Hoc Report}

A role that has this permission, allows the user that logs in with that role to create a new ad-hoc administrative report for any patient and read the contents of any administrative ad-hoc reports for any patient.

PRD-017

read

Progress Notes

  • Review Progress Notes
    • {R, Progress Notes}

A role that has this permission, allows the user that logs in with that role to review progress notes for any patient.

Sample Permission

HL7 Operations rather RBAC-only Operations

In order to reuse the RBAC operations for both RBAC and Composite Privacy Consent Directive (and perhaps other standards in the future), it would be preferable if the RBAC operations could be based on the HL7 trigger events specified in the HL7 RIM reference documentation and the HL7 RIM References included in this document. The healthcare work flow as specified in HL7, provides for "trigger events" that correspond to healthcare-specific operations. The following table is an example mapping of the HL7 trigger events to RBAC operations. As seen here, the HL7 triggers/operations are more closely related to the healthcare delivery workflow and thus they will promote the reuse of HL7 permissions.

  • The current coded concept in HL7 Vocabulary is "HL7TriggerEventCode"
HL7 Operations (trigger event) RBAC Operations Data Consent Operation
create create NA - see "activate"
revise update,append revise
activate update activate
complete update NA
suspend update NA
resume update NA
abort delete(?) NA
hold update NA
release update NA
cancel delete(?) NA
obsolete delete(?) obsolete
nullify delete(?) nullify

Extensions to HL7 trigger events

The following operations are not currently specified in the HL7TriggerEventCodes and do not affect the state of a healthcare object but they are important to RBAC and Data Consent:

RBAC Operations Data Consent Operation
read read
NA forward
NA save
NA print
NA excerpt
execute NA
NA destroy
NA archive

The following diagram shows the trigger events and the states that correspond to the healthcare work flow for healthcare object (e.g. Act). For example, an order may be created, activated, then canceled. Similarly an order may be created, activate, revised, and eventually completed.

Value Sets for "Object"

Currently, the Security work group is attempting to map the operations, "objects", and RBAC roles specified or referenced in the Permissions Catalog to SNOMED CT codes. However, several "objects" in the permission catalog are actually document types that have been codified for use with the CDA R2 standard. Additionally, sections of the CDA documents have been standardized by HL7. Since CDA R2 clinical documents are often used to exchange patient records between organizations, the ability to refer to specific types of documents or sections of a document may be useful both for RBAC and consent directive specifications.

HL7 Concept Domains and HL7 Coding Systems

The availability of HL7 concept domains and coding systems allows the reuse of RBAC object terminology by other standards such as Composite Privacy Consent Directive (aka Data Consent ). Concept domains may be bound to value sets that refer to external coding systems (e.g. SNOMED). Each concept domain and coded concepts in HL7, has unique identifier that allows that concept to be reused in a variety of HL7 specifications thus promoting the reuse of value sets, including value sets that refer to external codes.

Document Types

The permission catalog refers to specific document types as "objects". However, the CDA R2 document codes provide LOINC codes for most if not all the document "objects". For example, there are two codes for "Progress Note" in addition to "Procedure Note" and other types of reports:

28575-9 PROGRESS NOTE {SETTING} NURSE PRACTITIONER
28580-9 PROGRESS NOTE {SETTING} CHIROPRACTOR


Reference to CDA R2 Document Types corresponding to document types included in the permission catalog. The following is an excerpt from the table:

Table 147: LOINC document codes

LOINC_NUM

COMPONENT (Type of Service)

SYSTEM (Setting)

METHOD_TYPE (Subject Matter Domain and/or Training / Professional Level)

34862-3

ADMISSION EVALUATION NOTE

INPATIENT

ATTENDING PHYSICIAN.GENERAL MEDICINE

34744-3

ADMISSION EVALUATION NOTE

{SETTING}

NURSING

34873-0

ADMISSION EVALUATION NOTE

{SETTING}

SURGERY

34094-3

ADMISSION HISTORY AND PHYSICAL NOTE

HOSPITAL

CARDIOLOGY

34763-3

ADMISSION HISTORY AND PHYSICAL NOTE

{SETTING}

GENERAL MEDICINE

28615-3

AUDIOLOGY STUDY

{SETTING}

 

18743-5

AUTOPSY NOTE

{SETTING}

{PROVIDER}

33720-4

BLOOD BANK CONSULT

{SETTING}

 

34095-0

COMPREHENSIVE HISTORY & PHYSICAL NOTE

{SETTING}

{PROVIDER}

34096-8

COMPREHENSIVE HISTORY AND PHYSICAL

NURSING HOME

 

34098-4

CONFERENCE EVALUATION NOTE

{SETTING}

{PROVIDER}

34097-6

CONFERENCE EVALUATION NOTE

NURSING HOME

{PROVIDER}

24611-6

CONFIRMATORY CONSULTATION NOTE

OUTPATIENT

{PROVIDER}

34807-8

CONSULTATION NOTE

{SETTING}

OPHTHALMOLOGY

34100-8

CONSULTATION NOTE

CRITICAL CARE UNIT

{PROVIDER}

34810-2

CONSULTATION NOTE

{SETTING}

OPTOMETRY

34812-8

CONSULTATION NOTE

{SETTING}

OROMAXILLOFACIAL SURGERY

34814-4

CONSULTATION NOTE

{SETTING}

ORTHOPEDICS

34831-8

CONSULTATION NOTE

{SETTING}

RADIATION ONCOLOGY

34761-7

CONSULTATION NOTE

{SETTING}

GASTROENTEROLOGY

34099-2

CONSULTATION NOTE

{SETTING}

CARDIOLOGY

34833-4

CONSULTATION NOTE

{SETTING}

RECREATIONAL THERAPY

34820-1

CONSULTATION NOTE

{SETTING}

PHARMACY

34822-7

CONSULTATION NOTE

{SETTING}

PHYSICAL MEDICINE AND REHABILITATION

34835-9

CONSULTATION NOTE

{SETTING}

REHABILITATION

34824-3

CONSULTATION NOTE

{SETTING}

PHYSICAL THERAPY

34826-8

CONSULTATION NOTE

{SETTING}

PLASTIC SURGERY

34764-1

CONSULTATION NOTE

{SETTING}

GENERAL MEDICINE

34837-5

CONSULTATION NOTE

{SETTING}

RESPIRATORY THERAPY

34803-7

CONSULTATION NOTE

{SETTING}

OCCUPATIONAL HEALTH

34816-9

CONSULTATION NOTE

{SETTING}

OTORHINOLARYNGOLOGY

34783-1

CONSULTATION NOTE

{SETTING}

KINESIOTHERAPY

34756-7

CONSULTATION NOTE

{SETTING}

DENTISTRY

34788-0

CONSULTATION NOTE

{SETTING}

PSYCHIATRY

34102-4

CONSULTATION NOTE

HOSPITAL

PSYCHIATRY

34791-4

CONSULTATION NOTE

{SETTING}

PSYCHOLOGY

34103-2

CONSULTATION NOTE

{SETTING}

PULMONARY

34795-5

CONSULTATION NOTE

{SETTING}

NEPHROLOGY

34758-3

CONSULTATION NOTE

{SETTING}

DERMATOLOGY

34760-9

CONSULTATION NOTE

{SETTING}

DIABETOLOGY

34798-9

CONSULTATION NOTE

{SETTING}

NEUROSURGERY

34800-3

CONSULTATION NOTE

{SETTING}

NUTRITION+DIETETICS

34749-2

CONSULTATION NOTE

OUTPATIENT

ANESTHESIA

34781-5

CONSULTATION NOTE

{SETTING}

INFECTIOUS DISEASE

34828-4

CONSULTATION NOTE

{SETTING}

PODIATRY

34101-6

CONSULTATION NOTE

OUTPATIENT

GENERAL MEDICINE

34104-0

CONSULTATION NOTE

HOSPITAL

{PROVIDER}

34785-6

CONSULTATION NOTE

{SETTING}

MENTAL HEALTH

34805-2

CONSULTATION NOTE

{SETTING}

ONCOLOGY

34797-1

CONSULTATION NOTE

{SETTING}

NEUROLOGY

34879-7

CONSULTATION NOTE

{SETTING}

ENDOCRINOLOGY

34839-1

CONSULTATION NOTE

{SETTING}

RHEUMATOLOGY

34779-9

CONSULTATION NOTE

{SETTING}

HEMATOLOGY+ONCOLOGY

34777-3

CONSULTATION NOTE

{SETTING}

GYNECOLOGY

34776-5

CONSULTATION NOTE

{SETTING}

GERONTOLOGY

34855-7

CONSULTATION NOTE

{SETTING}

OCCUPATIONAL THERAPY

34853-2

CONSULTATION NOTE

{SETTING}

VASCULAR SURGERY

34771-6

CONSULTATION NOTE

{SETTING}

GENERAL SURGERY

34841-7

CONSULTATION NOTE

{SETTING}

SOCIAL WORK

34845-8

CONSULTATION NOTE

{SETTING}

SPEECH THERAPY+AUDIOLOGY

11488-4

CONSULTATION NOTE

{SETTING}

{PROVIDER}

34847-4

CONSULTATION NOTE

{SETTING}

SURGERY

34851-6

CONSULTATION NOTE

{SETTING}

UROLOGY

34849-0

CONSULTATION NOTE

{SETTING}

THORACIC SURGERY

34865-6

COUNSELING NOTE

{SETTING}

PSYCHIATRY

34866-4

COUNSELING NOTE

{SETTING}

PSYCHOLOGY

34872-2

COUNSELING NOTE

{SETTING}

SOCIAL WORK

34869-8

COUNSELING NOTE

{SETTING}

PHARMACY

34864-9

COUNSELING NOTE

{SETTING}

MENTAL HEALTH

28622-9

DISCHARGE ASSESSMENT NOTE

{SETTING}

NURSING

28574-2

DISCHARGE NOTE

{SETTING}

{PROVIDER}

11490-0

DISCHARGE SUMMARIZATION NOTE

{SETTING}

PHYSICIAN

28655-9

DISCHARGE SUMMARIZATION NOTE

{SETTING}

ATTENDING PHYSICIAN

18842-5

DISCHARGE SUMMARIZATION NOTE

{SETTING}

{PROVIDER}

34105-7

DISCHARGE SUMMARIZATION NOTE

HOSPITAL

{PROVIDER}

29761-4

DISCHARGE SUMMARIZATION NOTE

{SETTING}

DENTISTRY

34745-0

DISCHARGE SUMMARIZATION NOTE

{SETTING}

NURSING

34106-5

DISCHARGE SUMMARIZATION NOTE

HOSPITAL

PHYSICIAN

34902-7

EDUCATION NOTE

OUTPATIENT

GERONTOLOGY

34897-9

EDUCATION NOTE

{SETTING}

DIABETOLOGY

34895-3

EDUCATION NOTE

{SETTING}

{PROVIDER}

34107-3

EDUCATION PROCEDURE NOTE

HOME HEALTH

{PROVIDER}

34108-1

EVALUATION AND MANAGEMENT

OUTPATIENT

{PROVIDER}

34836-7

EVALUATION AND MANAGEMENT NOTE

{SETTING}

REHABILITATION

34111-5

EVALUATION AND MANAGEMENT NOTE

EMERGENCY DEPARTMENT

{PROVIDER}

34834-2

EVALUATION AND MANAGEMENT NOTE

{SETTING}

RECREATIONAL THERAPY

34759-1

EVALUATION AND MANAGEMENT NOTE

{SETTING}

DERMATOLOGY

34842-5

EVALUATION AND MANAGEMENT NOTE

{SETTING}

SOCIAL WORK

34113-1

EVALUATION AND MANAGEMENT NOTE

NURSING HOME

{PROVIDER}

34762-5

EVALUATION AND MANAGEMENT NOTE

{SETTING}

GASTROENTEROLOGY

34840-9

EVALUATION AND MANAGEMENT NOTE

{SETTING}

RHEUMATOLOGY

34757-5

EVALUATION AND MANAGEMENT NOTE

{SETTING}

DENTISTRY

34112-3

EVALUATION AND MANAGEMENT NOTE

INPATIENT

{PROVIDER}

34746-8

EVALUATION AND MANAGEMENT NOTE

{SETTING}

NURSING

34754-2

EVALUATION AND MANAGEMENT NOTE

{SETTING}

CRITICAL CARE

34772-4

EVALUATION AND MANAGEMENT NOTE

{SETTING}

GENERAL SURGERY

34753-4

EVALUATION AND MANAGEMENT NOTE

OUTPATIENT

CARDIOLOGY

34752-6

EVALUATION AND MANAGEMENT NOTE

{SETTING}

CARDIOLOGY

34832-6

EVALUATION AND MANAGEMENT NOTE

{SETTING}

RADIATION ONCOLOGY

34750-0

EVALUATION AND MANAGEMENT NOTE

{SETTING}

ANESTHESIA

34773-2

EVALUATION AND MANAGEMENT NOTE

{SETTING}

ATTENDING PHYSICIAN.GENERAL SURGERY

34830-0

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PULMONARY

34778-1

EVALUATION AND MANAGEMENT NOTE

{SETTING}

GYNECOLOGY

34838-3

EVALUATION AND MANAGEMENT NOTE

{SETTING}

RESPIRATORY THERAPY

34780-7

EVALUATION AND MANAGEMENT NOTE

{SETTING}

HEMATOLOGY+ONCOLOGY

34109-9

EVALUATION AND MANAGEMENT NOTE

{SETTING}

{PROVIDER}

34854-0

EVALUATION AND MANAGEMENT NOTE

OUTPATIENT

VASCULAR SURGERY

34765-8

EVALUATION AND MANAGEMENT NOTE

{SETTING}

GENERAL MEDICINE

34819-3

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PATHOLOGY

34801-1

EVALUATION AND MANAGEMENT NOTE

{SETTING}

NUTRITION+DIETETICS

34823-5

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PHYSICAL MEDICINE AND REHABILITATION

34825-0

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PHYSICAL THERAPY

34827-6

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PLASTIC SURGERY

34829-2

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PODIATRY

34846-6

EVALUATION AND MANAGEMENT NOTE

{SETTING}

SPEECH THERAPY+AUDIOLOGY

34848-2

EVALUATION AND MANAGEMENT NOTE

{SETTING}

SURGERY

34815-1

EVALUATION AND MANAGEMENT NOTE

{SETTING}

ORTHOPEDICS

34852-4

EVALUATION AND MANAGEMENT NOTE

{SETTING}

UROLOGY

34817-7

EVALUATION AND MANAGEMENT NOTE

{SETTING}

OTORHINOLARYNGOLOGY

34856-5

EVALUATION AND MANAGEMENT NOTE

{SETTING}

ANTICOAGULATION

34857-3

EVALUATION AND MANAGEMENT NOTE

{SETTING}

SUBSTANCE ABUSE

34858-1

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PAIN MANAGEMENT

34859-9

EVALUATION AND MANAGEMENT NOTE

{SETTING}

HYPERLIPIDEMIA

34860-7

EVALUATION AND MANAGEMENT NOTE

{SETTING}

HYPERTENSION

34861-5

EVALUATION AND MANAGEMENT NOTE

{SETTING}

DIABETOLOGY

34878-9

EVALUATION AND MANAGEMENT NOTE

{SETTING}

EMERGENCY MEDICINE

34898-7

EVALUATION AND MANAGEMENT NOTE

{SETTING}

ENDOCRINOLOGY

34905-0

EVALUATION AND MANAGEMENT NOTE

{SETTING}

NEUROLOGY

34850-8

EVALUATION AND MANAGEMENT NOTE

OUTPATIENT

THORACIC SURGERY

34792-2

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PSYCHOLOGY

34766-6

EVALUATION AND MANAGEMENT NOTE

OUTPATIENT

GENERAL MEDICINE

34767-4

EVALUATION AND MANAGEMENT NOTE

{SETTING}

MEDICAL STUDENT.GENERAL MEDICINE

34768-2

EVALUATION AND MANAGEMENT NOTE

{SETTING}

NURSE.GENERAL MEDICINE

34769-0

EVALUATION AND MANAGEMENT NOTE

{SETTING}

ATTENDING PHYSICIAN.GENERAL MEDICINE

34782-3

EVALUATION AND MANAGEMENT NOTE

{SETTING}

INFECTIOUS DISEASE

34784-9

EVALUATION AND MANAGEMENT NOTE

{SETTING}

KINESIOTHERAPY

34786-4

EVALUATION AND MANAGEMENT NOTE

{SETTING}

MENTAL HEALTH

34821-9

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PHARMACY

34789-8

EVALUATION AND MANAGEMENT NOTE

{SETTING}

PSYCHIATRY

34813-6

EVALUATION AND MANAGEMENT NOTE

{SETTING}

OROMAXILLOFACIAL SURGERY

34802-9

EVALUATION AND MANAGEMENT NOTE

{SETTING}

OCCUPATIONAL HEALTH

34811-0

EVALUATION AND MANAGEMENT NOTE

{SETTING}

OPTOMETRY

34808-6

EVALUATION AND MANAGEMENT NOTE

{SETTING}

OPHTHALMOLOGY

34806-0

EVALUATION AND MANAGEMENT NOTE

{SETTING}

ONCOLOGY

34804-5

EVALUATION AND MANAGEMENT NOTE

{SETTING}

OCCUPATIONAL THERAPY

34794-8

EVALUATION AND MANAGEMENT NOTE

{SETTING}

MULTIDISCIPLINARY

34110-7

EVALUATION AND MANAGEMENT NOTE

OUTPATIENT

DIABETOLOGY

34799-7

EVALUATION AND MANAGEMENT NOTE

{SETTING}

NEUROSURGERY

34796-3

EVALUATION AND MANAGEMENT NOTE

{SETTING}

NEPHROLOGY

34787-2

GROUP COUNSELING NOTE

{SETTING}

MENTAL HEALTH

34790-6

GROUP COUNSELING NOTE

{SETTING}

PSYCHIATRY

34843-3

GROUP COUNSELING NOTE

{SETTING}

SOCIAL WORK

34114-9

GROUP COUNSELING NOTE

HOSPITAL

{PROVIDER}

34793-0

GROUP COUNSELING NOTE

{SETTING}

PSYCHOLOGY

34774-0

HISTORY & PHYSICAL NOTE

{SETTING}

GENERAL SURGERY

28626-0

HISTORY & PHYSICAL NOTE

{SETTING}

PHYSICIAN

11492-6

HISTORY & PHYSICAL NOTE

HOSPITAL

{PROVIDER}

34116-4

HISTORY & PHYSICAL NOTE

NURSING HOME

PHYSICIAN

34115-6

HISTORY & PHYSICAL NOTE

HOSPITAL

MEDICAL STUDENT

34117-2

HISTORY AND PHYSICAL NOTE

{SETTING}

{PROVIDER}

18841-7

HOSPITAL CONSULTATIONS

{SETTING}

 

28572-6

INITIAL EVALUATION NOTE

{SETTING}

DENTISTRY

28654-2

INITIAL EVALUATION NOTE

{SETTING}

ATTENDING PHYSICIAN

18735-1

INITIAL EVALUATION NOTE

{SETTING}

PHYSICAL THERAPY

18736-9

INITIAL EVALUATION NOTE

{SETTING}

PHYSICIAN

18737-7

INITIAL EVALUATION NOTE

{SETTING}

PODIATRY

18738-5

INITIAL EVALUATION NOTE

{SETTING}

PSYCHOLOGY

18739-3

INITIAL EVALUATION NOTE

{SETTING}

SOCIAL SERVICE

18734-4

INITIAL EVALUATION NOTE

{SETTING}

OCCUPATIONAL THERAPY

28581-7

INITIAL EVALUATION NOTE

{SETTING}

CHIROPRACTOR

29753-1

INITIAL EVALUATION NOTE

{SETTING}

NURSING

28636-9

INITIAL EVALUATION NOTE

{SETTING}

{PROVIDER}

28635-1

INITIAL EVALUATION NOTE

{SETTING}

PSYCHIATRY

28621-1

INITIAL EVALUATION NOTE

{SETTING}

NURSE PRACTITIONER

18763-3

INITIAL EVALUATION NOTE

{SETTING}

CONSULTING PHYSICIAN

18740-1

INITIAL EVALUATION NOTE

{SETTING}

SPEECH THERAPY

34120-6

INITIAL EVALUATION NOTE

OUTPATIENT

{PROVIDER}

34119-8

INITIAL EVALUATION NOTE

NURSING HOME

{PROVIDER}

34118-0

INITIAL EVALUATION NOTE

HOME HEALTH

{PROVIDER}

34121-4

INTERVENTIONAL PROCEDURE NOTE

{SETTING}

 

34896-1

INTERVENTIONAL PROCEDURE NOTE

{SETTING}

CARDIOLOGY

34899-5

INTERVENTIONAL PROCEDURE NOTE

{SETTING}

GASTROENTEROLOGY

34903-5

NOTE

{SETTING}

MENTAL HEALTH

34906-8

NOTE

{SETTING}

PASTORAL CARE

11536-0

NOTES

{SETTING}

NURSING

34871-4

OPERATIVE NOTE

{SETTING}

PODIATRY

34874-8

OPERATIVE NOTE

{SETTING}

SURGERY

34877-1

OPERATIVE NOTE

{SETTING}

UROLOGY

34870-6

OPERATIVE NOTE

{SETTING}

PLASTIC SURGERY

34868-0

OPERATIVE NOTE

{SETTING}

ORTHOPEDICS

34818-5

OPERATIVE NOTE

{SETTING}

OTORHINOLARYNGOLOGY

34122-2

PATHOLOGY PROCEDURE NOTE

{SETTING}

PATHOLOGY

34880-5

POST-OPERATIVE EVALUATION AND MANAGEMENT NOTE

{SETTING}

NURSE.SURGERY

34875-5

POST-OPERATIVE EVALUATION AND MANAGEMENT NOTE

{SETTING}

SURGERY

34863-1

POST-OPERATIVE EVALUATION AND MANAGEMENT NOTE

{SETTING}

GENERAL SURGERY

34867-2

POST-OPERATIVE EVALUATION AND MANAGEMENT NOTE

OUTPATIENT

OPHTHALMOLOGY

34881-3

PRE-OPERATIVE EVALUATION AND MANAGEMENT NOTE

{SETTING}

NURSE.SURGERY

34123-0

PRE-OPERATIVE EVALUATION AND MANAGEMENT NOTE

HOSPITAL

ANESTHESIA

34775-7

PRE-OPERATIVE EVALUATION AND MANAGEMENT NOTE

{SETTING}

GENERAL SURGERY

34876-3

PRE-OPERATIVE EVALUATION AND MANAGEMENT NOTE

{SETTING}

SURGERY

34751-8

PRE-OPERATIVE EVALUATION AND MANAGEMENT NOTE

{SETTING}

ANESTHESIA

34809-4

PRE-OPERATIVE EVALUATION AND MANAGEMENT NOTE

{SETTING}

OPHTHALMOLOGY

34747-6

PRE-OPERATIVE EVALUATION AND MANAGEMENT NOTE

{SETTING}

NURSING

28570-0

PROCEDURE NOTE

{SETTING}

{PROVIDER}

28625-2

PROCEDURE NOTE

{SETTING}

PODIATRY

28577-5

PROCEDURE NOTE

{SETTING}

DENTISTRY

11505-5

PROCEDURE NOTE

{SETTING}

PHYSICIAN

28575-9

PROGRESS NOTE

{SETTING}

NURSE PRACTITIONER

28580-9

PROGRESS NOTE

{SETTING}

CHIROPRACTOR

18744-3

STUDY REPORT

RESPIRATORY SYSTEM

BRONCHOSCOPY

11510-5

SUBSEQUENT EVALUATION NOTE

{SETTING}

PSYCHOLOGY

11508-9

SUBSEQUENT EVALUATION NOTE

{SETTING}

PHYSICAL THERAPY

11509-7

SUBSEQUENT EVALUATION NOTE

{SETTING}

PODIATRY

11506-3

SUBSEQUENT EVALUATION NOTE

{SETTING}

{PROVIDER}

11507-1

SUBSEQUENT EVALUATION NOTE

{SETTING}

OCCUPATIONAL THERAPY

11512-1

SUBSEQUENT EVALUATION NOTE

{SETTING}

SPEECH THERAPY

15507-7

SUBSEQUENT EVALUATION NOTE

EMERGENCY DEPARTMENT

{PROVIDER}

18733-6

SUBSEQUENT EVALUATION NOTE

{SETTING}

ATTENDING PHYSICIAN

34904-3

SUBSEQUENT EVALUATION NOTE

{SETTING}

MENTAL HEALTH

34901-9

SUBSEQUENT EVALUATION NOTE

OUTPATIENT

GENERAL MEDICINE

18764-1

SUBSEQUENT EVALUATION NOTE

{SETTING}

NURSE PRACTITIONER

34129-7

SUBSEQUENT EVALUATION NOTE

HOME HEALTH

{PROVIDER}

34132-1

SUBSEQUENT EVALUATION NOTE

OUTPATIENT

PHARMACY

34131-3

SUBSEQUENT EVALUATION NOTE

OUTPATIENT

{PROVIDER}

28656-7

SUBSEQUENT EVALUATION NOTE

{SETTING}

SOCIAL SERVICE

34130-5

SUBSEQUENT EVALUATION NOTE

HOSPITAL

{PROVIDER}

28617-9

SUBSEQUENT EVALUATION NOTE

{SETTING}

DENTISTRY

34128-9

SUBSEQUENT EVALUATION NOTE

OUTPATIENT

DENTISTRY

34127-1

SUBSEQUENT EVALUATION NOTE

OUTPATIENT

DENTAL HYGIENIST

34126-3

SUBSEQUENT EVALUATION NOTE

CRITICAL CARE UNIT

{PROVIDER}

34900-1

SUBSEQUENT EVALUATION NOTE

{SETTING}

GENERAL MEDICINE

34125-5

SUBSEQUENT EVALUATION NOTE

HOME HEALTH CARE

CASE MANAGER

28569-2

SUBSEQUENT EVALUATION NOTE

{SETTING}

CONSULTING PHYSICIAN

18762-5

SUBSEQUENT EVALUATION NOTE

{SETTING}

CHIROPRACTOR

34124-8

SUBSEQUENT EVALUATION NOTE

OUTPATIENT

CARDIOLOGY

28627-8

SUBSEQUENT EVALUATION NOTE

{SETTING}

PSYCHIATRY

28623-7

SUBSEQUENT EVALUATION NOTE

{SETTING}

NURSING

34133-9

SUMMARIZATION OF EPISODE NOTE

{SETTING}

{PROVIDER}

34134-7

SUPERVISORY NOTE

OUTPATIENT

ATTENDING PHYSICIAN

34135-4

SUPERVISORY NOTE

OUTPATIENT

ATTENDING PHYSICIAN.CARDIOLOGY

34136-2

SUPERVISORY NOTE

OUTPATIENT

ATTENDING PHYSICIAN.GASTROENTEROLOGY

28624-5

SURGICAL OPERATION NOTE

{SETTING}

PODIATRY

28573-4

SURGICAL OPERATION NOTE

{SETTING}

PHYSICIAN

11504-8

SURGICAL OPERATION NOTE

{SETTING}

{PROVIDER}

28583-3

SURGICAL OPERATION NOTE

{SETTING}

DENTISTRY

34137-0

SURGICAL OPERATION NOTE

OUTPATIENT

{PROVIDER}

34138-8

TARGETED HISTORY AND PHYSICAL NOTE

{SETTING}

{PROVIDER}

34139-6

TELEPHONE ENCOUNTER NOTE

{SETTING}

NURSING

34844-1

TELEPHONE ENCOUNTER NOTE

OUTPATIENT

SOCIAL WORK

34748-4

TELEPHONE ENCOUNTER NOTE

{SETTING}

{PROVIDER}

34140-4

TRANSFER OF CARE REFERRAL NOTE

{SETTING}

{PROVIDER}

34770-8

TRANSFER SUMMARIZATION NOTE

{SETTING}

GENERAL MEDICINE

18761-7

TRANSFER SUMMARIZATION NOTE

{SETTING}

{PROVIDER}

28651-8

TRANSFER SUMMARIZATION NOTE

{SETTING}

NURSING

28616-1

TRANSFER SUMMARIZATION NOTE

{SETTING}

PHYSICIAN

34755-9

TRANSFER SUMMARIZATION NOTE

{SETTING}

CRITICAL CARE

28568-4

VISIT NOTE

EMERGENCY DEPARTMENT

PHYSICIAN

28653-4

VISIT NOTE

{SETTING}

SOCIAL SERVICE

28618-7

VISIT NOTE

{SETTING}

DENTISTRY

28579-1

VISIT NOTE

{SETTING}

PHYSICAL THERAPY

28578-3

VISIT NOTE

{SETTING}

OCCUPATIONAL THERAPY

28571-8

VISIT NOTE

{SETTING}

SPEECH THERAPY

28628-6

VISIT NOTE

{SETTING}

PSYCHIATRY