{

"resourceType": "CodeSystem",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-periodic-screening-age",

"name": "EPSDTPeriodicScreeningAge",

"title": "EPSDT Periodic Screening Age",

"status": "active",

"content": "complete",

"concept": [

{"code": "<1m", "display": "Less than 1 month"},

{"code": "1m", "display": "1 month"},

{"code": "2m", "display": "2 months"},

{"code": "4m", "display": "4 months"},

{"code": "6m", "display": "6 months"},

{"code": "9m", "display": "9 months"},

{"code": "12m", "display": "12 months"},

{"code": "15m", "display": "15 months"},

{"code": "18m", "display": "18 months"},

{"code": "24m", "display": "24 months"},

{"code": "30m", "display": "30 months"},

{"code": "3y", "display": "3 years"},

{"code": "4y", "display": "4 years"},

{"code": "5y", "display": "5 years"},

{"code": "6y", "display": "6 years"},

{"code": "7y", "display": "7 years"},

{"code": "8y", "display": "8 years"},

{"code": "9y", "display": "9 years"},

{"code": "10y", "display": "10 years"},

{"code": "11y", "display": "11 years"},

{"code": "12y", "display": "12 years"},

{"code": "13y", "display": "13 years"},

{"code": "14y", "display": "14 years"},

{"code": "15y", "display": "15 years"},

{"code": "16y", "display": "16 years"},

{"code": "17y", "display": "17 years"},

{"code": "18y", "display": "18 years"},

{"code": "20y", "display": "20 years"}

]

}

{

"resourceType": "CodeSystem",

"title": "EPSDT Form 8015 Version 01/2022 Section Codes",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-f-8015-v-01-2022-section-codes",

"status": "draft",

"contact": [

{

"telecom": [

{

"system": "email"

}

]

}

],

"compositional": false,

"content": "complete",

"concept": [

{

"code": "VISIT_INFO",

"display": "Visit Information section of the EPSDT F-8015 V-01-2022 form."

},

{

"code": "EXAM_TYPE"

},

{

"code": "QUEST_PLAN"

},

{

"code": "PATIENT_INFO",

"display": "Patient Information section of the EPSDT F-8015 V-01-2022 form."

},

{

"code": "SCREEN_DATE"

},

{

"code": "DOB"

},

{

"code": "MQ_ID"

},

{

"code": "F_NAME"

},

{

"code": "L_NAME"

},

{

"code": "M_NAME"

},

{

"code": "SCREEN_AGE"

},

{

"code": "EPSDT_AGE",

"display": "Screen Age section of the EPSDT F-8015 V-01-2022 form."

},

{

"code": "MEASUREMENTS",

"display": "Measurements section of the EPSDT F-8015 V-01-2022 form."

},

{

"code": "HEIGHT"

},

{

"code": "WEIGHT"

},

{

"code": "BMI"

},

{

"code": "BMI_PCTL"

},

{

"code": "BP_READING"

},

{

"code": "BP_SYSTOLIC"

},

{

"code": "BP_DIASTOLIC"

},

{

"code": "SEX"

},

{

"code": "VACCINATIONS",

"display": "Vaccinations Given Today and Status section of the EPSDT F-8015 V-01-2022 form."

},

{

"code": "VAX_GIVEN"

},

{

"code": "VAX_STATUS"

},

{

"code": "VAX_COMMENTS"

},

{

"code": "SCREENING",

"display": "Screening Done Today section of the EPSDT F-8015 V-01-2022 form."

},

{

"code": "VISION_SCREEN"

},

{

"code": "HEARING_SCREEN"

},

{

"code": "DEV_SCREEN"

},

{

"code": "AUTISM_SCREEN"

},

{

"code": "HGB_HCT"

},

{

"code": "HGB"

},

{

"code": "HCT"

},

{

"code": "LEAD_SCREEN"

},

{

"code": "CHOLESTEROL"

},

{

"code": "SCREEN_COMMENTS"

},

{

"code": "SURVEILLANCE",

"display": "Surveillance section of the EPSDT F-8015 V-01-2022 form."

},

{

"code": "HEALTH_COORD",

"display": "Request Health Coordination section of the EPSDT F-8015 V-01-2022 form."

},

{

"code": "COORD_REQUEST"

},

{

"code": "CONTACT_NUMBER"

},

{

"code": "REFERRALS"

},

{

"code": "PROVIDER_STMT",

"display": "Provider Statement section of the EPSDT F-8015 V-01-2022 form."

},

{

"code": "BILLING_NPI"

},

{

"code": "RENDER_NPI"

},

{

"code": "RENDER_NAME"

},

{

"code": "PROVIDER_SIGN"

},

{

"code": "QUESTIONNAIRERESPONSE"

},

],

"text": {

"status": "generated",

"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>EPSDT Form 8015 Version 01/2022 Section Codes</h2><tt>https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-f-8015-v-01-2022-section-codes</tt><p></p></div>"

},

"count": 41,

"name": "EPSDT_Form_8015_Version_01_2022_Section_Codes"

}

{

"resourceType": "CodeSystem",

"title": "EPSDT Form Types",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-form-types",

"status": "draft",

"contact": [

{

"telecom": [

{

"system": "email"

}

]

}

],

"compositional": false,

"content": "complete",

"concept": [

{

"code": "8015 Fillable PDF | January 1, 2022",

"display": "Early and Periodic Screening, Diagnostics, and Treatment Fillable DHS 8015 PDF, January 1, 2022 Version"

},

{

"code": "8016 Fillable PDF | January 1, 2022",

"display": "Early and Periodic Screening, Diagnostics, and Treatment Fillable DHS 8016 PDF, January 1, 2022 Version"

}

],

"text": {

"status": "generated",

"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>EPSDT Form Types</h2><tt>https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-form-types</tt><p></p></div>"

},

"count": 2,

"name": "EPSDT_Form_Types"

}

{

"resourceType": "CodeSystem",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-payor-codes",

"name": "EPSDTPayorCodes",

"title": "EPSDT Payor Codes",

"status": "active",

"content": "complete",

"concept": [

{"code": "ALOHA", "display": "ALOHA"},

{"code": "HMSA", "display": "HMSA"},

{"code": "KAISER", "display": "KAISER"},

{"code": "OHANA", "display": "OHANA"},

{"code": "UNITED", "display": "UNITED"}

]

}

{

"resourceType": "CodeSystem",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-resources",

"name": "EPSDTResources",

"title": "EPSDT Resource Codes",

"status": "active",

"version": "1",

"content": "complete",

"concept": [

{"code": "EPSDT_BUNDLE", "display": "EPSDT Bundle Resource"},

{"code": "EPSDT_COMPOSITION", "display": "EPSDT Composition Resource"},

{"code": "EPSDT_PATIENT", "display": "Patient Resource"},

{"code": "EPSDT_RENDERING_PRACTITIONER", "display": "Rendering Practitioner Resource"},

{"code": "EPSDT_OFFICE_ASSISTANT", "display": "Office Assistant Resource"},

{"code": "EPSDT_RELATED_PERSON", "display": "Related Person Resource"},

{"code": "EPSDT_ORG_PAYOR", "display": "Payer Organization Resource"},

{"code": "EPSDT_COVERAGE", "display": "Coverage Resource"},

{"code": "EPSDT_ENCOUNTER", "display": "Encounter Resource"},

{"code": "EPSDT_MEAS_HEIGHT", "display": "Height Measurement Resource"},

{"code": "EPSDT_MEAS_WEIGHT", "display": "Weight Measurement Resource"},

{"code": "EPSDT_MEAS_BMI", "display": "BMI Measurement Resource"},

{"code": "EPSDT_MEAS_BMI_PERCENTILE", "display": "BMI Percentile Measurement Resource"},

{"code": "EPSDT_MEAS_BLOOD_PRESSURE", "display": "Blood Pressure Measurement Resource"},

{"code": "EPSDT_MEAS_SEX", "display": "Sex Measurement Resource"},

{"code": "EPSDT_IMMUNIZATION_COVID19", "display": "COVID-19 Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_TDAP", "display": "Tdap Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_VARICELLA", "display": "Varicella Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_INFLUENZA", "display": "Influenza Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_PCV", "display": "PCV Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_DTAP", "display": "DTaP Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_MCV4", "display": "MCV4 Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_HEPA", "display": "HepA Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_HEPB", "display": "HepB Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_HIB", "display": "Hib Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_MMR", "display": "MMR Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_ROTAV", "display": "Rotavirus Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_IPV", "display": "IPV Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_HPV", "display": "HPV Immunization Resource"},

{"code": "EPSDT_IMMUNIZATION_MENACWY", "display": "MenACWY Immunization Resource"},

{"code": "EPSDT_SCRN_VISION", "display": "Vision Screening Resource"},

{"code": "EPSDT_SCRN_HEARING", "display": "Hearing Screening Resource"},

{"code": "EPSDT_SCRN_AUTISM", "display": "General Autism Screening Resource"},

{"code": "EPSDT_SCRN_AUTISM_MCHAT", "display": "M-CHAT Autism Screening Resource"},

{"code": "EPSDT_SCRN_DEVELOPMENTAL", "display": "Developmental Screening Resource"},

{"code": "EPSDT_SCRN_HEMOGLOBIN", "display": "Hemoglobin Screening Resource"},

{"code": "EPSDT_SCRN_HEMATOCRIT", "display": "Hematocrit Screening Resource"},

{"code": "EPSDT_SCRN_BLL", "display": "Blood Lead Level Screening Resource"},

{"code": "EPSDT_SCRN_CHOLESTEROL", "display": "Cholesterol Screening Resource"},

{"code": "EPSDT_DOCUMENT_IMMUNIZATION_COMMENTS", "display": "Immunization Comments Document Resource"},

{"code": "EPSDT_DOCUMENT_IMMUNIZATION_NOTES", "display": "Immunization Notes Document Resource"},

{"code": "EPSDT_DOCUMENT_REFERRAL_COMMENTS", "display": "Referral Comments Document Resource"},

{"code": "EPSDT_DOCUMENT_SCREEN_COMMENTS", "display": "Screening Comments Document Resource"},

{"code": "EPSDT_DOCUMENT_SPECIALTY_COMMENTS", "display": "Specialty Comments Document Resource"},

{"code": "EPSDT_SERVICE_REQUEST_COORDINATION", "display": "Service Request Resource: Coordination"},

{"code": "EPSDT_SERVICE_REQUEST_CAMHD", "display": "Service Request Resource: CAMHD"},

{"code": "EPSDT_SERVICE_REQUEST_DDD", "display": "Service Request Resource: DDD"},

{"code": "EPSDT_SERVICE_REQUEST_DENTIST", "display": "Service Request Resource: Dentist"},

{"code": "EPSDT_SERVICE_REQUEST_DOESPECIALED", "display": "Service Request Resource: DOE Special Ed"},

{"code": "EPSDT_SERVICE_REQUEST_DOHCSHN", "display": "Service Request Resource: DOH CSHN"},

{"code": "EPSDT_SERVICE_REQUEST_EARLYIN", "display": "Service Request Resource: Early Intervention"},

{"code": "EPSDT_SERVICE_REQUEST_WIC", "display": "Service Request Resource: WIC"},

{"code": "EPSDT_SERVICE_REQUEST_BEHAVIORAL", "display": "Service Request Resource: Behavioral Health"},

{"code": "EPSDT_SERVICE_REQUEST_DEVELOPMENTAL", "display": "Service Request Resource: Developmental Services"},

{"code": "EPSDT_SERVICE_REQUEST_DIET", "display": "Service Request Resource: Dietary Services"},

{"code": "EPSDT_SERVICE_REQUEST_HEARING", "display": "Service Request Resource: Hearing Services"},

{"code": "EPSDT_SERVICE_REQUEST_MEDICAL", "display": "Service Request Resource: Medical Services"},

{"code": "EPSDT_SERVICE_REQUEST_OT", "display": "Service Request Resource: Occupational Therapy"},

{"code": "EPSDT_SERVICE_REQUEST_PT", "display": "Service Request Resource: Physical Therapy"},

{"code": "EPSDT_SERVICE_REQUEST_SURGICAL", "display": "Service Request Resource: Surgical Services"},

{"code": "EPSDT_SERVICE_REQUEST_VISION", "display": "Service Request Resource: Vision Services"},

{"code": "EPSDT_SERVICE_REQUEST_ST", "display": "Service Request Resource: Speech Therapy"},

{"code": "EPSDT_QUESTIONNAIRE_RESPONSE_ASQ", "display": "ASQ Questionnaire Response Resource"}

]

}

{

"resourceType": "CodeSystem",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-screening-observations",

"name": "EPSDTScreeningObservations",

"title": "EPSDT Screening Observations",

"status": "active",

"version": "1",

"content": "complete",

"concept": [

{"code": "SCRN_VISION_IND", "display": "Vision Screening"},

{"code": "SCRN_HEARING_IND", "display": "Hearing Screening: Audiometry (20-25 db screen)"},

{"code": "SCRN_DEVELOPMENT_IND", "display": "Developmental Screening"},

{"code": "SCRN_AUTISM_IND", "display": "Autism Screening"},

{"code": "SCRN_AUTISM_MCHAT_IND", "display": "M-CHAT Autism Screening"},

{"code": "SCRN_HGB_G_DL", "display": "Hgb (g/dL)"},

{"code": "SCRN_HCT_PCT", "display": "Hct (%)"},

{"code": "SCRN_BLOOD_LEAD_LEVEL_MCG_DL", "display": "Blood Lead Level (mcg/dL)"},

{"code": "SCRN_CHOLESTEROL_DONE_IND", "display": "Cholesterol Screening Done"}

]

}

{

"resourceType": "CodeSystem",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-service-requests",

"name": "EPSDTServiceRequests",

"title": "EPSDT Service Requests",

"status": "active",

"content": "complete",

"concept": [

{"code": "Coordination", "display": "Care Coordination"},

{"code": "CAMHD", "display": "Child and Adolescent Mental Health Division"},

{"code": "DDD", "display": "Developmental Disabilities Division"},

{"code": "Dentist", "display": "Dental Services"},

{"code": "DOESpecialEd", "display": "Department of Education Special Education"},

{"code": "DOHCSHN", "display": "Department of Health CSHN"},

{"code": "EarlyIn", "display": "Early Intervention Services"},

{"code": "WIC", "display": "Women, Infants, and Children"},

{"code": "Behavioral", "display": "Behavioral Health"},

{"code": "Developmental", "display": "Developmental Services"},

{"code": "Diet", "display": "Dietary Services"},

{"code": "Hearing", "display": "Hearing Services"},

{"code": "Medical", "display": "Medical Services"},

{"code": "OT", "display": "Occupational Therapy"},

{"code": "PT", "display": "Physical Therapy"},

{"code": "Surgical", "display": "Surgical Services"},

{"code": "Vision", "display": "Vision Services"},

{"code": "ST", "display": "Speech Therapy"}

]

}

{

"resourceType": "CodeSystem",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-supplemental-field-type",

"name": "EPSDTSupplementalFieldType",

"title": "EPSDT Supplemental Field Type",

"status": "active",

"content": "complete",

"concept": [

{"code": "VISIT_TYPE", "display": "Visit Type"},

{"code": "ENCOUNTER_TYPE", "display": "Encounter Type"},

{"code": "DIAGNOSIS_TYPE", "display": "Diagnosis Type"}

]

}

{

"resourceType": "CodeSystem",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-vaccine-codes",

"name": "EPSDTVaccineCodes",

"title": "EPSDT Vaccine Codes",

"status": "active",

"version": "1",

"content": "complete",

"concept": [

{"code": "VAX_HEPB_IND", "display": "HepB"},

{"code": "VAX_PCV_IND", "display": "PCV"},

{"code": "VAX_MMR_IND", "display": "MMR"},

{"code": "VAX_TDAP_IND", "display": "Tdap"},

{"code": "VAX_DTAP_IND", "display": "DTaP"},

{"code": "VAX_ROTAV_IND", "display": "Rotav"},

{"code": "VAX_VARICELLA_IND", "display": "Varicella"},

{"code": "VAX_MCV4_MPSV4_IND", "display": "MCV4 / MPSV4"},

{"code": "VAX_IPV_IND", "display": "IPV"},

{"code": "VAX_INFLUENZA_IND", "display": "Influenza"},

{"code": "VAX_HEPA_IND", "display": "HepA"},

{"code": "VAX_HPV_IND", "display": "HPV"},

{"code": "VAX_COVID19_IND", "display": "COVID-19"},

{"code": "VAX_HIB_IND", "display": "Hib"},

{"code": "VAX_MENACWY_MENB_IND", "display": "MenACWY / Men B"}

]

}

{

"resourceType": "CodeSystem",

"url": "https://dhs2-fhirportal.apigee.io/fhir/codesystem-epsdt-vital-signs",

"name": "EPSDTVitalSigns",

"title": "EPSDT Vital Signs Observations",

"status": "active",

"version": "1",

"content": "complete",

"concept": [

{"code": "MEAS_HEIGHT_IN", "display": "Height (in.)"},

{"code": "MEAS_WEIGHT_LBS", "display": "Weight (lbs.)"},

{"code": "MEAS_BMI_NUMBER", "display": "BMI"},

{"code": "MEAS_BMI_PERCENT", "display": "BMI%"},

{"code": "MEAS_BP", "display": "Blood Pressure"},

{"code": "MEAS_BP_SYSTOLIC", "display": "Blood Pressure (Systolic)"},

{"code": "MEAS_BP_DIASTOLIC", "display": "Blood Pressure (Diastolic)"},

{"code": "MEAS_PATIENT_SEX", "display": "Sex"}

]

}