Value |
Display Name |
Interpretation |
Comment |
Usage Note |
Modification Date |
Active |
001 |
Release of Information/MR / Authorization to Disclosure Protected Health Information |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
002 |
Medical Procedure (invasive) |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
003 |
Acknowledge Receipt of Privacy Notice |
|
Acknowledgement/ Notification |
|
Jul 13 2015 |
|
004 |
Abortion |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
005 |
Abortion/Laminaria |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
006 |
Accutane - Information |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
007 |
Accutane - Woman |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
008 |
Advanced Beneficiary Notice |
|
Acknowledgement/ Notification |
|
Jul 13 2015 |
|
009 |
AFP (Alpha Fetoprotein) Screening |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
010 |
Amniocentesis (consent & refusal) |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
011 |
Anatomical Gift (organ donation) |
|
Administrative |
|
Jul 13 2015 |
|
012 |
Anesthesia - Complications |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
013 |
Anesthesia - Questionnaire |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
014 |
Angiogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
015 |
Angioplasty |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
016 |
Anticancer Drugs |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
017 |
Antipsychotic Medications |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
018 |
Arthrogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
019 |
Autopsy |
|
Administrative |
|
Jul 13 2015 |
|
020 |
AZT Therapy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
021 |
Biliary Drainage |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
022 |
Biliary Stone Extraction |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
023 |
Biopsy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
024 |
Bleeding Time Test |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
025 |
Bronchogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
026 |
Cardiac Catheterization |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
027 |
Coronary Angiography |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
028 |
Coronary Angiography w/o Surgery Capability |
|
Medical Treatment/ Procedure |
|
Sep 14 2015 |
|
029 |
Cataract Op/Implant of FDA Aprvd Lens |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
030 |
Cataract Op/Implant of Investigational Lens |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
031 |
Cataract Surgery |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
032 |
Cholera Immunization |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
033 |
Cholesterol Screening |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
034 |
Circumcision - Newborn |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
035 |
Colonoscopy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
036 |
Contact Lenses |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
037 |
CT Scan - Cervical & Lumbar |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
038 |
CT Scan w/ IV Contrast Media into Vein |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
039 |
CVS (Chorionic Villus) Sampling |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
040 |
Cystospy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
041 |
Disclosure of Protected Health Information to Family/Friends |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
042 |
D & C and Conization |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
043 |
Dacryocystogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
044 |
Diagnostic Isotope |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
045 |
Drainage of an Abscess |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
046 |
Drug Screening |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
047 |
Electronic Monitoring of Labor - Refusal |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
048 |
Endometrial Biopsy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
049 |
Endoscopy/Sclerosis of Esophageal Varices |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
050 |
ERCP |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
051 |
Exposure to reportable Communicable Disease |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
052 |
External Version |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
053 |
Fluorescein Angioscopy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
054 |
Hepatitis B - Consent/Declination |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
055 |
Herniogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
056 |
HIV Test - Consent Refusal |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
057 |
HIV Test - Disclosure |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
058 |
HIV Test - Prenatal |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
059 |
Home IV Treatment Program |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
060 |
Home Parenteral Treatment Program |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
061 |
Hysterectomy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
062 |
Hysterosalpingogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
063 |
Injection Slip/ Consent |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
064 |
Intrauterine Device |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
065 |
Intrauterine Device/Sterilization |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
066 |
Intravascular Infusion of Streptokinase/Urokinase |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
067 |
Intravenous Cholangiogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
068 |
Intravenous Digital Angiography |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
069 |
Iodine Administration |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
070 |
ISG |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
071 |
IVP |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
072 |
Laser Photocoagulation |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
073 |
Laser treatment |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
074 |
Lithium Carbonate |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
075 |
Liver Biopsy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
076 |
Lumbar Puncture |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
077 |
Lymphangiogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
078 |
MAO Inhibitors |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
079 |
Med, Psych, and/or Drug/Alcohol |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
080 |
Medical Treatment - Refusal |
|
Administrative |
|
Jul 13 2015 |
|
081 |
Morning-after Pill |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
082 |
MRI - Adult |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
083 |
MRI - Pediatric |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
084 |
Myelogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
085 |
Needle Biopsy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
086 |
Needle Biopsy of Lung |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
087 |
Newborn Treatment and Release |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
088 |
Norplant Subdermal Birth Control Implant |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
089 |
Operations, Anesthesia, Transfusions |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
090 |
Oral Contraceptives |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
091 |
Organ Donation |
|
Administrative |
|
Jul 13 2015 |
|
092 |
Patient Permits, Consents |
|
Administrative |
|
Jul 13 2015 |
|
093 |
Patient Treatment Permit, Release & Admission |
|
Administrative |
|
Jul 13 2015 |
|
094 |
Penile Injections |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
095 |
Percutaneous Nephrostomy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
096 |
Percutaneous Transhepatic Cholangiogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
097 |
Photographs |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
098 |
Photographs - Employee |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
099 |
Photographs - Medical Research |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
100 |
Photographs - news Media |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
101 |
Psychiatric Admission - Next of Kin |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
102 |
Psychiatric Information During Hospital Stay |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
103 |
Public Release of Information |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
104 |
Radiologic Procedure |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
105 |
Refusal of Treatment |
|
Administrative |
|
Jul 13 2015 |
|
106 |
Release of Body |
|
Administrative |
|
Jul 13 2015 |
|
107 |
Release of Limb |
|
Administrative |
|
Jul 13 2015 |
|
108 |
Rh Immune Globulin |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
109 |
Rights of Medical Research Participants |
|
Administrative |
|
Jul 13 2015 |
|
110 |
Request to Restrict Access/Disclosure to Medical Record/Protected Health Information |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
111 |
Request for Remain Anonymous |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
112 |
Seat Belt Exemption |
|
Administrative |
|
Jul 13 2015 |
|
113 |
Sialogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
114 |
Sigmoidoscopy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
115 |
Sterilization - Anesthesia & Medical Services |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
116 |
Sterilization -Federally Funded |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
117 |
Sterilization - Female |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
118 |
Sterilization - Laparoscopy/Pomeroy |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
119 |
Sterilization - Non-Federally Funded |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
120 |
Sterilization - Secondary |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
121 |
Tranquilizers |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
122 |
Transfer - Acknowledgement |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
123 |
Transfer - Authorization |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
124 |
Transfer Certification - Physician |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
125 |
Transfer/Discharge Request |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
126 |
Transfer for Non-Medical Reasons |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
127 |
Transfer - Interfaculty Neonatal |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
128 |
Transfer Refusal |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
129 |
Transfer Refusal of Further Treatment |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
130 |
Treadmill & EKG |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
131 |
Treadmill, Thallium-201 |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
132 |
Typhoid |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
133 |
Use of Investigational Device |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
134 |
Use of Investigational Drug |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
135 |
Venogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|
136 |
Videotape |
|
Release of Info/ Disclosure |
|
Jul 13 2015 |
|
1137 |
Voiding Cystogram |
|
Medical Treatment/ Procedure |
|
Jul 13 2015 |
|