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 Advance Explanation of Benefit Type Value Set - XML Representation

Page standards status: Trial-use

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="PCTAEOBTypeVS"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet PCTAEOBTypeVS</b></p><a name="PCTAEOBTypeVS"> </a><a name="hcPCTAEOBTypeVS"> </a><a name="PCTAEOBTypeVS-en-US"> </a><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/6.1.0/CodeSystem-claim-type.html"><code>http://terminology.hl7.org/CodeSystem/claim-type</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/6.1.0/CodeSystem-claim-type.html#claim-type-institutional">institutional</a></td><td style="color: #cccccc">Institutional</td><td>Hospital, clinic and typically inpatient claims.</td></tr><tr><td><a href="http://terminology.hl7.org/6.1.0/CodeSystem-claim-type.html#claim-type-professional">professional</a></td><td style="color: #cccccc">Professional</td><td>Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.</td></tr></table></li><li>Include all codes defined in <a href="http://terminology.hl7.org/6.1.0/CodeSystem-claim-type.html"><code>http://terminology.hl7.org/CodeSystem/claim-type</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-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/ValueSet/PCTAEOBTypeVS"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.4.48.5"/>
  </identifier>
  <version value="2.0.0-ballot"/>
  <name value="PCTAEOBTypeVS"/>
  <title value="PCT Advance Explanation of Benefit Type Value Set"/>
  <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="Codes to specify the type of AEOB"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <concept>
        <code value="institutional"/>
      </concept>
      <concept>
        <code value="professional"/>
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
    </include>
  </compose>
</ValueSet>