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 2.0.2 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 AEOB Process Note Types
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/ValueSet/PCTAEOBProcessNoteVS> a fhir:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "PCTAEOBProcessNoteVS"] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet PCTAEOBProcessNoteVS</b></p><a name=\"PCTAEOBProcessNoteVS\"> </a><a name=\"hcPCTAEOBProcessNoteVS\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-PCTAEOBProcessNoteCS.html\"><code>http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCS</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version ?2.0.2</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-PCTAEOBProcessNoteCS.html#PCTAEOBProcessNoteCS-disclaimer\">disclaimer</a></td><td style=\"color: #cccccc\">Disclaimer</td><td>Indicates a disclaimer type of process note</td></tr><tr><td><a href=\"CodeSystem-PCTAEOBProcessNoteCS.html#PCTAEOBProcessNoteCS-adjudication-note\">adjudication-note</a></td><td style=\"color: #cccccc\">Adjudication Note</td><td>Indicates an adjudication note type of process note</td></tr><tr><td><a href=\"CodeSystem-PCTAEOBProcessNoteCS.html#PCTAEOBProcessNoteCS-conditional\">conditional</a></td><td style=\"color: #cccccc\">Conditional</td><td>Indicates 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.</td></tr><tr><td><a href=\"CodeSystem-PCTAEOBProcessNoteCS.html#PCTAEOBProcessNoteCS-other\">other</a></td><td style=\"color: #cccccc\">Other</td><td>Indicates other type of AEOB process note</td></tr></table></li><li>Include all codes defined in <a href=\"CodeSystem-PCTAEOBProcessNoteCS.html\"><code>http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCS</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version ?2.0.2</span></li></ul></div>"
] ;
fhir:DomainResource.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
fhir:Extension.valueCode [ fhir:value "fm" ]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
fhir:Extension.valueInteger [
fhir:value "2"^^xsd:integer ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct" ;
fhir:link <http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct>
]
]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
fhir:Extension.valueCode [
fhir:value "trial-use" ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct" ;
fhir:link <http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct>
]
]
]
] ;
fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAEOBProcessNoteVS"] ;
fhir:ValueSet.identifier [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.4.48.4" ]
] ;
fhir:ValueSet.version [ fhir:value "2.0.2"] ;
fhir:ValueSet.name [ fhir:value "PCTAEOBProcessNoteVS"] ;
fhir:ValueSet.title [ fhir:value "PCT AEOB Process Note Types"] ;
fhir:ValueSet.status [ fhir:value "active"] ;
fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
fhir:ValueSet.date [ fhir:value "2026-11-09T22:17:29+00:00"^^xsd:dateTime] ;
fhir:ValueSet.publisher [ fhir:value "HL7 International / Financial Management"] ;
fhir:ValueSet.contact [
fhir:index -1 ;
fhir:ContactDetail.name [ fhir:value "HL7 International / Financial Management" ] ;
fhir:ContactDetail.telecom [
fhir:index -1 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm" ]
], [
fhir:index -1 ;
fhir:ContactPoint.system [ fhir:value "email" ] ;
fhir:ContactPoint.value [ fhir:value "fmlists@lists.hl7.org" ]
]
] ;
fhir:ValueSet.description [ fhir:value "Indicates the type of .processNote for AEOB."] ;
fhir:ValueSet.jurisdiction [
fhir:index -1 ;
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
fhir:Coding.code [ fhir:value "US" ]
]
] ;
fhir:ValueSet.compose [
fhir:ValueSet.compose.include [
fhir:index -1 ;
fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCS" ] ;
fhir:ValueSet.compose.include.concept [
fhir:index -1 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "disclaimer" ]
], [
fhir:index -1 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "adjudication-note" ]
], [
fhir:index -1 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "conditional" ]
], [
fhir:index -1 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "other" ]
]
], [
fhir:index -1 ;
fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCS" ]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/ValueSet/PCTAEOBProcessNoteVS.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/ValueSet/PCTAEOBProcessNoteVS.ttl> .
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