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 GFE Supporting Info Type Code System - XML Representation

Page standards status: Trial-use

Raw xml | Download



<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="PCTSupportingInfoType"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType</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">cmspos<a name="PCTSupportingInfoType-cmspos"> </a></td><td>CMS Place of Service</td><td>Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare &amp; Medicaid Services (CMS) maintain POS codes used throughout the health care industry.</td></tr><tr><td style="white-space:nowrap">typeofbill<a name="PCTSupportingInfoType-typeofbill"> </a></td><td>Type of Bill</td><td>UB-04 Type of Bill (FL-04) provides specific information for payer purposes.</td></tr><tr><td style="white-space:nowrap">servicefacility<a name="PCTSupportingInfoType-servicefacility"> </a></td><td>Service Facility</td><td>The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.</td></tr><tr><td style="white-space:nowrap">drg<a name="PCTSupportingInfoType-drg"> </a></td><td>DRG</td><td>DRG (Diagnosis Related Group), including the code system, the DRG version and the code value</td></tr><tr><td style="white-space:nowrap">pointoforigin<a name="PCTSupportingInfoType-pointoforigin"> </a></td><td>Point of Origin</td><td>UB-04 Source of Admission (FL-15) identifies the place where the patient is identified as needing admission to a facility.</td></tr><tr><td style="white-space:nowrap">admtype<a name="PCTSupportingInfoType-admtype"> </a></td><td>Admission Type</td><td>UB-04 Priority of the admission (FL-14) indicates, for example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled.</td></tr><tr><td style="white-space:nowrap">claimFrequency<a name="PCTSupportingInfoType-claimFrequency"> </a></td><td>Claim Frequency</td><td>Claim frequency - uses the last digit of the NUBC type of billing code.</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/PCTSupportingInfoType"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.4.16.17"/>
  </identifier>
  <version value="2.0.0-ballot"/>
  <name value="PCTSupportingInfoType"/>
  <title value="PCT GFE Supporting Info Type Code System"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-04-08T16:35:46+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 the classification of the supplied supporting information. 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="7"/>
  <concept>
    <code value="cmspos"/>
    <display value="CMS Place of Service"/>
    <definition
                value="Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare &amp; Medicaid Services (CMS) maintain POS codes used throughout the health care industry."/>
  </concept>
  <concept>
    <code value="typeofbill"/>
    <display value="Type of Bill"/>
    <definition
                value="UB-04 Type of Bill (FL-04) provides specific information for payer purposes."/>
  </concept>
  <concept>
    <code value="servicefacility"/>
    <display value="Service Facility"/>
    <definition
                value="The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters."/>
  </concept>
  <concept>
    <code value="drg"/>
    <display value="DRG"/>
    <definition
                value="DRG (Diagnosis Related Group), including the code system, the DRG version and the code value"/>
  </concept>
  <concept>
    <code value="pointoforigin"/>
    <display value="Point of Origin"/>
    <definition
                value="UB-04 Source of Admission (FL-15) identifies the place where the patient is identified as needing admission to a facility."/>
  </concept>
  <concept>
    <code value="admtype"/>
    <display value="Admission Type"/>
    <definition
                value="UB-04 Priority of the admission (FL-14) indicates, for example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled."/>
  </concept>
  <concept>
    <code value="claimFrequency"/>
    <display value="Claim Frequency"/>
    <definition
                value="Claim frequency - uses the last digit of the NUBC type of billing code."/>
  </concept>
</CodeSystem>