Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot United States of America flag

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

: PCT Network Status - XML Representation

Page standards status: Trial-use

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="PCTNetworkStatusCS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem PCTNetworkStatusCS</b></p><a name="PCTNetworkStatusCS"> </a><a name="hcPCTNetworkStatusCS"> </a><a name="PCTNetworkStatusCS-en-US"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">innetwork<a name="PCTNetworkStatusCS-innetwork"> </a></td><td>In Network</td><td>Indicates an in network status in relation to a patient's coverage</td></tr><tr><td style="white-space:nowrap">outofnetwork<a name="PCTNetworkStatusCS-outofnetwork"> </a></td><td>Out Of Network</td><td>Indicates a not in network status in relation to a patient's coverage</td></tr><tr><td style="white-space:nowrap">negotiated<a name="PCTNetworkStatusCS-negotiated"> </a></td><td>Negotiated Service or Product</td><td>Indicates a special negotiated status in relation to a patient's coverage</td></tr><tr><td style="white-space:nowrap">other<a name="PCTNetworkStatusCS-other"> </a></td><td>Other</td><td>Indicates other network status or when a network does not apply</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </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-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.4.16.12"/>
  </identifier>
  <version value="2.0.0-ballot"/>
  <name value="PCTNetworkStatusCS"/>
  <title value="PCT Network Status"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-11-20T18:01:40+00:00"/>
  <publisher value="HL7 International / Financial Management"/>
  <contact>
    <name value="HL7 International / Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fmlists@lists.hl7.org"/>
    </telecom>
  </contact>
  <description
               value="Defining codes for network status.  This CodeSystem is currently defined by this IG, but is anticipated to be temporary. The concepts within are expected to be moved in a future version to a more central terminology specification such as THO, which will result in a code system url change and possibly modified codes and definitions."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright value="This CodeSystem is not copyrighted."/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="4"/>
  <concept>
    <code value="innetwork"/>
    <display value="In Network"/>
    <definition
                value="Indicates an in network status in relation to a patient's coverage"/>
  </concept>
  <concept>
    <code value="outofnetwork"/>
    <display value="Out Of Network"/>
    <definition
                value="Indicates a not in network status in relation to a patient's coverage"/>
  </concept>
  <concept>
    <code value="negotiated"/>
    <display value="Negotiated Service or Product"/>
    <definition
                value="Indicates a special negotiated status in relation to a patient's coverage"/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other"/>
    <definition
                value="Indicates other network status or when a network does not apply"/>
  </concept>
</CodeSystem>