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

: US Claim DRG Codes - JSON Representation

Page standards status: Trial-use

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{
  "resourceType" : "ValueSet",
  "id" : "USClaimDRGCodes",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-MSDRG.html\"><code>https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software</code></a></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-APDRG.html\"><code>http://uri.hddaccess.com/cs/apdrg</code></a></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-APRDRG.html\"><code>http://uri.hddaccess.com/cs/aprdrg</code></a></li></ul></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/ValueSet/USClaimDRGCodes",
  "version" : "1.1.0",
  "name" : "USClaimDRGCodes",
  "title" : "US Claim DRG Codes",
  "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" : "US Claim Diagnosis Related Group Codes. All codes from MS-DRGs - AP-DRGs - APR-DRGs",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software"
      },
      {
        "system" : "http://uri.hddaccess.com/cs/apdrg"
      },
      {
        "system" : "http://uri.hddaccess.com/cs/aprdrg"
      }
    ]
  }
}