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 - JSON Representation

Page standards status: Trial-use

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{
  "resourceType" : "CodeSystem",
  "id" : "PCTNetworkStatusCS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "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/PCTNetworkStatusCS",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.4.16.12"
    }
  ],
  "version" : "2.0.0-ballot",
  "name" : "PCTNetworkStatusCS",
  "title" : "PCT Network Status",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-04-08T16:35:46+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 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" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "This CodeSystem is not copyrighted.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 4,
  "concept" : [
    {
      "code" : "innetwork",
      "display" : "In Network",
      "definition" : "Indicates an in network status in relation to a patient's coverage"
    },
    {
      "code" : "outofnetwork",
      "display" : "Out Of Network",
      "definition" : "Indicates a not in network status in relation to a patient's coverage"
    },
    {
      "code" : "negotiated",
      "display" : "Negotiated Service or Product",
      "definition" : "Indicates a special negotiated status in relation to a patient's coverage"
    },
    {
      "code" : "other",
      "display" : "Other",
      "definition" : "Indicates other network status or when a network does not apply"
    }
  ]
}