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 Advance Explanation of Benefit Type Value Set - XML Representation
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<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/5.3.0/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/5.3.0/CodeSystem-claim-type.html#claim-type-institutional">institutional</a></td><td style="color: #cccccc">Institutional</td><td>Hospital, clinic and typically inpatient claims.</td></tr><tr><td><a href="http://terminology.hl7.org/5.3.0/CodeSystem-claim-type.html#claim-type-professional">professional</a></td><td style="color: #cccccc">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/5.3.0/CodeSystem-claim-type.html"><code>http://terminology.hl7.org/CodeSystem/claim-type</code></a></li></ul></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/ValueSet/PCTAEOBTypeVS"/>
<version value="1.1.0"/>
<name value="PCTAEOBTypeVS"/>
<title value="PCT Advance Explanation of Benefit Type Value Set"/>
<status value="active"/>
<experimental value="false"/>
<date value="2024-01-03T18:32:02+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="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>