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

This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v1.0.0: STU 1) based on FHIR 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 Advance Explanation of Benefit Type Value Set - XML Representation

Active as of 2023-03-30

Raw xml | Download



<ValueSet xmlns="http://hl7.org/fhir">
  <id value="PCTAEOBTypeVS"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html"><code>http://terminology.hl7.org/CodeSystem/claim-type</code></a><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="http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html#claim-type-institutional">institutional</a></td><td>Institutional</td><td>Hospital, clinic and typically inpatient claims.</td></tr><tr><td><a href="http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html#claim-type-professional">professional</a></td><td>Professional</td><td>Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.</td></tr></table></li><li>Include all codes defined in <a href="http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html"><code>http://terminology.hl7.org/CodeSystem/claim-type</code></a></li></ul></div>
  </text>
  <url value="http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAEOBTypeVS"/>
  <version value="1.0.0"/>
  <name value="PCTAEOBTypeVS"/>
  <title value="PCT Advance Explanation of Benefit Type Value Set"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-03-30T13:34:22+00:00"/>
  <publisher value="HL7 International - Financial Management Work Group"/>
  <contact>
    <name value="HL7 International - Financial Management Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fmlists@lists.hl7.org"/>
    </telecom>
  </contact>
  <description value="Codes to specify the type of AEOB"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <concept>
        <code value="institutional"/>
      </concept>
      <concept>
        <code value="professional"/>
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
    </include>
  </compose>
</ValueSet>