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

ValueSet: PCT AEOB Process Note Types

Official URL: http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAEOBProcessNoteVS Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: PCTAEOBProcessNoteVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.48.4

Indicates the type of .processNote for AEOB.

References

Changes since version 1.1.0:

  • The logical definition of the value set has changed

    • Logical Definition (CLD)

    This value set includes codes based on the following rules:

     

    Expansion

    Expansion performed internally based on codesystem PCT AEOB Process Note Code System v2.0.0 (CodeSystem)

    This value set contains 4 concepts

    CodeSystemDisplayDefinition
      disclaimerhttp://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCSDisclaimerIndicates a disclaimer type of process note
      adjudication-notehttp://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCSAdjudication NoteIndicates an adjudication note type of process note
      conditionalhttp://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCSConditionalIndicates a conditional type of note which supplements information that is already included in the required Medical Management or Prior Authorization information. A process note that includes information about conditional factors of the estimate not captured in the originating GFE submission of the advanced explanation of benefit.
      otherhttp://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCSOtherIndicates other type of AEOB process note

    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