{"aaData": [["03", "
Report justifying treatment beyond utilization guidelines
\n", ""], ["13", "
Certified test report
\n", ""], ["15", "
Justification for admission
\n", ""], ["21", "
Recovery plan
\n", ""], ["48", "
Social security benefit letter
\n", ""], ["55", "
Rental agreement
\n", ""], ["59", "
Benefit letter
\n", ""], ["77", "
Support data for verification
\n", ""], ["A3", "
Allergies / sensitivities document
\n", ""], ["A4", "
Autopsy report
\n", ""], ["AM", "
Ambulance certification
\n", ""], ["04", "
Drugs administered
\n", ""], ["AS", "
Admission summary
\n", ""], ["AT", "
Purchase order attachment
\n", ""], ["B2", "
Prescription
\n", ""], ["B3", "
Physician order
\n", ""], ["BR", "
Benchmark testing results
\n", ""], ["BS", "
Baseline
\n", ""], ["BT", "
Blanket test results
\n", ""], ["CB", "
Chiropractic justification
\n", ""], ["CK", "
Consent form(s)
\n", ""], ["D2", "
Drug profile document
\n", ""], ["05", "
Treatment diagnosis
\n", ""], ["DA", "
Dental models
\n", ""], ["DB", "
Durable medical equipment prescription
\n", ""], ["DG", "
Diagnostic report
\n", ""], ["DJ", "
Discharge monitoring report
\n", ""], ["DS", "
Discharge summary
\n", ""], ["FM", "
Family medical history document
\n", ""], ["HC", "
Health certificate
\n", ""], ["HR", "
Health clinic records
\n", ""], ["I5", "
Immunization record
\n", ""], ["IR", "
State school immunization records
\n", ""], ["06", "
Initial assessment
\n", ""], ["LA", "
Laboratory results
\n", ""], ["M1", "
Medical record attachment
\n", ""], ["NN", "
Nursing notes
\n", ""], ["OB", "
Operative note
\n", ""], ["OC", "
Oxygen content averaging report
\n", ""], ["OD", "
Orders and treatments document
\n", ""], ["OE", "
Objective physical examination (including vital signs) document
\n", ""], ["OX", "
Oxygen therapy certification
\n", ""], ["P4", "
Pathology report
\n", ""], ["P5", "
Patient medical history document
\n", ""], ["07", "
Functional goals
\n", ""], ["P6", "
Periodontal charts
\n", ""], ["P7", "
Periodontal reports
\n", ""], ["PE", "
Parenteral or enteral certification
\n", ""], ["PN", "
Physical therapy notes
\n", ""], ["PO", "
Prosthetics or orthotic certification
\n", ""], ["PQ", "
Paramedical results
\n", ""], ["PY", "
Physician's report
\n", ""], ["PZ", "
Physical therapy certification
\n", ""], ["QC", "
Cause and corrective action report
\n", ""], ["QR", "
Quality report
\n", ""], ["08", "
Plan of treatment
\n", ""], ["RB", "
Radiology films
\n", ""], ["RR", "
Radiology reports
\n", ""], ["RT", "
Report of tests and analysis report
\n", ""], ["RX", "
Renewable oxygen content averaging report
\n", ""], ["SG", "
Symptoms document
\n", ""], ["V5", "
Death notification
\n", ""], ["XP", "
Photographs
\n", ""], ["09", "
Progress report
\n", ""], ["10", "
Continued treatment
\n", ""], ["11", "
Chemical analysis
\n", ""]]}