Permissions Catalog: Recommendations for Reuse
Contents
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 most recently published permission catalog is 20071112_HL7_RBAC_Healthcare_Permission_Catalog_v3_37.pdf
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 |
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 |
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 | |
| 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 |
