<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="X12278RequestedServiceType"/>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/5.0.0/CodeSystem-data-absent-reason.html"><code>http://terminology.hl7.org/CodeSystem/data-absent-reason</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="http://terminology.hl7.org/5.0.0/CodeSystem-data-absent-reason.html#data-absent-reason-not-applicable">not-applicable</a></td><td style="color: #cccccc">Not Applicable</td><td>There is no proper value for this element (e.g. last menstrual period for a male).</td></tr></table></li><li>Include all codes defined in <code>https://codesystem.x12.org/005010/1365</code></li><li>Include all codes defined in <a href="http://terminology.hl7.org/5.0.0/CodeSystem-CPT.html"><code>http://www.ama-assn.org/go/cpt</code></a></li><li>Include all codes defined in <code>http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets</code></li><li>Include all codes defined in <a href="http://terminology.hl7.org/5.0.0/CodeSystem-icd9cm.html"><code>http://terminology.hl7.org/CodeSystem/icd9cm</code></a></li><li>Include all codes defined in <a href="http://terminology.hl7.org/5.0.0/CodeSystem-icd10PCS.html"><code>http://www.cms.gov/Medicare/Coding/ICD10</code></a></li><li>Include all codes defined in <a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ndc.html"><code>http://hl7.org/fhir/sid/ndc</code></a></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/X12278RequestedServiceType"/>
  <version value="2.0.1"/>
  <name value="X12278RequestedServiceType"/>
  <title value="X12 278 Requested Service Type"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-12-01T20:58:53+00:00"/>
  <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="This set of codes identifies what service is being requested.  It is a combination of X12 Service Type codes, CPT (HCPCS I) and HCPCS II procedure code modifiers, ICD-9 Procedure codes, ICD-10 Procedure codes, and NDC Drug codes.  NOTE: HCPCS Level 1 Codes are the CPT codes so either code system could be used to send the codes.  When receiving the codes from an X12 system, the system returned will be HCPCS even if it was initially sent as a CPT code."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <copyright value="Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.&#xA;X12 codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions."/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
      <concept>
        <code value="not-applicable"/>
      </concept>
    </include>
    <include>
      <system value="https://codesystem.x12.org/005010/1365"/>
    </include>
    <include>
      <system value="http://www.ama-assn.org/go/cpt"/>
    </include>
    <include>
      <system value="http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"/>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/icd9cm"/>
    </include>
    <include>
      <system value="http://www.cms.gov/Medicare/Coding/ICD10"/>
    </include>
    <include>
      <system value="http://hl7.org/fhir/sid/ndc"/>
    </include>
  </compose>
</ValueSet>