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 and changes regularly. See the Directory of published versions

ValueSet: PCT Payer Provider Network Status

Official URL: Version: 2.0.0-ballot
Standards status: Trial-use Computable Name: PCTPayerProviderNetworkStatusVS
Other Identifiers: OID:2.16.840.1.113883.4.642.

Indicates the Provider network status with the Payer as of the effective date of service or admission.


This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

Generated Narrative: ValueSet PCTPayerProviderNetworkStatusVS



Generated Narrative: ValueSet

Expansion based on codesystem PCT Network Status v2.0.0-ballot (CodeSystem)

This value set contains 4 concepts

  innetwork Network

Indicates an in network status in relation to a patient's coverage

  outofnetwork Of Network

Indicates a not in network status in relation to a patient's coverage

  negotiated Service or Product

Indicates a special negotiated status in relation to a patient's coverage


Indicates other network status or when a network does not apply

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code