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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: PCT GFE Supporting Info Type Code System - XML Representation

Page standards status: Trial-use

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<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"/>
  <version value="1.1.0"/>
  <name value="PCTSupportingInfoType"/>
  <title value="PCT GFE Supporting Info Type Code System"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-01-03T18:19:28+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"/>
  <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>