Patient Cost Transparency Implementation Guide
1.1.0 - STU 1 United States of America flag

This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v1.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: PCT GFE Supporting Info Type Code System - JSON Representation

Page standards status: Trial-use

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{
  "resourceType" : "CodeSystem",
  "id" : "PCTSupportingInfoType",
  "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/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>"
  },
  "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/PCTSupportingInfoType",
  "version" : "1.1.0",
  "name" : "PCTSupportingInfoType",
  "title" : "PCT GFE Supporting Info Type Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-01-03T18:32:02+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 classification of the supplied supporting information",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "This CodeSystem is not copyrighted.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 7,
  "concept" : [
    {
      "code" : "cmspos",
      "display" : "CMS Place of Service",
      "definition" : "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 & Medicaid Services (CMS) maintain POS codes used throughout the health care industry."
    },
    {
      "code" : "typeofbill",
      "display" : "Type of Bill",
      "definition" : "UB-04 Type of Bill (FL-04) provides specific information for payer purposes."
    },
    {
      "code" : "servicefacility",
      "display" : "Service Facility",
      "definition" : "The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters."
    },
    {
      "code" : "drg",
      "display" : "DRG",
      "definition" : "DRG (Diagnosis Related Group), including the code system, the DRG version and the code value"
    },
    {
      "code" : "pointoforigin",
      "display" : "Point of Origin",
      "definition" : "UB-04 Source of Admission (FL-15) identifies the place where the patient is identified as needing admission to a facility."
    },
    {
      "code" : "admtype",
      "display" : "Admission Type",
      "definition" : "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."
    },
    {
      "code" : "claimFrequency",
      "display" : "Claim Frequency",
      "definition" : "Claim frequency - uses the last digit of the NUBC type of billing code."
    }
  ]
}