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 Payer Benefit Payment Status - TTL Representation

Page standards status: Trial-use

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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 -------------------------------------------------------------------

 a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PCTPayerBenefitPaymentStatusVS"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<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=\"CodeSystem-PCTNetworkStatusCS.html\"><code>http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS</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=\"CodeSystem-PCTNetworkStatusCS.html#PCTNetworkStatusCS-innetwork\">innetwork</a></td><td style=\"color: #cccccc\">In Network</td><td>Indicates an in network status in relation to a patient's coverage</td></tr><tr><td><a href=\"CodeSystem-PCTNetworkStatusCS.html#PCTNetworkStatusCS-outofnetwork\">outofnetwork</a></td><td style=\"color: #cccccc\">Out Of Network</td><td>Indicates a not in network status in relation to a patient's coverage</td></tr><tr><td><a href=\"CodeSystem-PCTNetworkStatusCS.html#PCTNetworkStatusCS-other\">other</a></td><td style=\"color: #cccccc\">Other</td><td>Indicates other network status or when a network does not apply</td></tr></table></li><li>Include all codes defined in <a href=\"CodeSystem-PCTNetworkStatusCS.html\"><code>http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS</code></a></li></ul></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "fm" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
fhir:v "trial-use" ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct>         ]       ] )     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTPayerBenefitPaymentStatusVS"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.1.0"] ; # 
  fhir:name [ fhir:v "PCTPayerBenefitPaymentStatusVS"] ; # 
  fhir:title [ fhir:v "PCT Payer Benefit Payment Status"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-01-03T18:32:02+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Financial Management"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fmlists@lists.hl7.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Indicates the in network or out of network payment status of the claim or line item."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS"^^xsd:anyURI ] ;
      ( fhir:concept [
fhir:code [ fhir:v "innetwork" ]       ] [
fhir:code [ fhir:v "outofnetwork" ]       ] [
fhir:code [ fhir:v "other" ]       ] )     ] [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS"^^xsd:anyURI ]     ] )
  ] . #