Patient Cost Transparency Implementation Guide
2.0.0 - STU 2 - Draft 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 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 Packet Section Codes - JSON Representation

Page standards status: Trial-use Maturity Level: 2

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{
  "resourceType" : "CodeSystem",
  "id" : "PCTDocumentSection",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem PCTDocumentSection</b></p><a name=\"PCTDocumentSection\"> </a><a name=\"hcPCTDocumentSection\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection</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\">aeob-summary-section<a name=\"PCTDocumentSection-aeob-summary-section\"> </a></td><td>AEOB Summary</td><td>The Advanced Explanation of Benefit (AEOB) Summary Packet Section</td></tr><tr><td style=\"white-space:nowrap\">coverage-section<a name=\"PCTDocumentSection-coverage-section\"> </a></td><td>Coverage Section</td><td>The Estimate Packet Coverage Section</td></tr><tr><td style=\"white-space:nowrap\">aeob-section<a name=\"PCTDocumentSection-aeob-section\"> </a></td><td>AEOB Section</td><td>The Advanced Explanation of Benefit (AEOB) Packet Section</td></tr><tr><td style=\"white-space:nowrap\">gfe-section<a name=\"PCTDocumentSection-gfe-section\"> </a></td><td>GFE Section</td><td>A Good Faith Estimate (GFE) or Missing GFE Packet Section (one per provider)</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.4.16.19"
    }
  ],
  "version" : "2.0.0",
  "name" : "PCTDocumentSection",
  "title" : "PCT Packet Section Codes",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-08-27T17:37:24+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fmlists@lists.hl7.org"
        }
      ]
    }
  ],
  "description" : "Defining codes for the sections found in packets (document bundles) used for Patient Cost Transparency estimates.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "This CodeSystem is not copyrighted.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 4,
  "concept" : [
    {
      "code" : "aeob-summary-section",
      "display" : "AEOB Summary",
      "definition" : "The Advanced Explanation of Benefit (AEOB) Summary Packet Section"
    },
    {
      "code" : "coverage-section",
      "display" : "Coverage Section",
      "definition" : "The Estimate Packet Coverage Section"
    },
    {
      "code" : "aeob-section",
      "display" : "AEOB Section",
      "definition" : "The Advanced Explanation of Benefit (AEOB) Packet Section"
    },
    {
      "code" : "gfe-section",
      "display" : "GFE Section",
      "definition" : "A Good Faith Estimate (GFE) or Missing GFE Packet Section (one per provider)"
    }
  ]
}