R4-v3-ActRelationshipType-for-R4B
type: ValueSet
node role: treeRoot
id:
  v: R4-v3-ActRelationshipType-for-R4B
text:
  status:
    v: generated
  div: Generated Narrative: ValueSet R4-v3-ActRelationshipType-for-R4B This value set expansion contains 129 concepts. Code System Display Definition CHRG http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType has charge A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source). A clinical act may have a charge associated with the execution or delivery of the service. The financial transaction will define the charge (bill) for delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product. COST http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType has cost A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source). A clinical act may have an inherit cost associated with the execution or delivery of the service. The financial transaction will define the cost of delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product. CREDIT http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType has credit A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance. DEBIT http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType has debit A debit relationship ties a financial transaction (target) to an account (source). A debit, once applied (posted), may…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  value: integer
    v: 0
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  value: code
    v: vocab
extension:
  extension:
    url:
      v: packageId
    value: id
      v: hl7.fhir.uv.xver-r4.r4b
  extension:
    url:
      v: version
    value: string
      v: 0.0.1-snapshot-2
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
  value: code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      value: canonical
        v: http://hl7.org/fhir/4.0/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b
        link: http://hl7.org/fhir/4.0/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b
url:
  v: http://hl7.org/fhir/4.0/ValueSet/R4-v3-ActRelationshipType-for-R4B
version:
  v: 0.0.1-snapshot-2
name:
  v: R4_v3_ActRelationshipType_for_R4B
title:
  v: Cross-version VS for R4.v3.ActRelationshipType for use in FHIR R4B
status:
  v: active
experimental:
  v: false
date:
  v: 2025-09-01T22:36:20.256592+10:00
publisher:
  v: HL7 International / Terminology Infrastructure
contact:
  name:
    v: HL7 International / Terminology Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/Vocab
description:
  v: This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActRelationshipType|2018-08-12 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R4 to R4B.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 001
    display:
      v: World
compose:
  include:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
    version:
      v: 2018-08-12
    concept:
      code:
        v: CHRG
      display:
        v: has charge
    concept:
      code:
        v: COST
      display:
        v: has cost
    concept:
      code:
        v: CREDIT
      display:
        v: has credit
    concept:
      code:
        v: DEBIT
      display:
        v: has debit
    concept:
      code:
        v: CIND
      display:
        v: has contra-indication
    concept:
      code:
        v: PRCN
      display:
        v: has pre-condition
    concept:
      code:
        v: BLOCK
      display:
        v: blocks
    concept:
      code:
        v: DIAG
      display:
        v: diagnoses
    concept:
      code:
        v: ACTIMM
      display:
        v: active immunization against
    concept:
      code:
        v: PASSIMM
      display:
        v: passive immunization against
    concept:
      code:
        v: IMM
      display:
        v: immunization against
    concept:
      code:
        v: RCVY
      display:
        v: recovers
    concept:
      code:
        v: MITGT
      display:
        v: mitigates
    concept:
      code:
        v: PRYLX
      display:
        v: prophylaxis of
    concept:
      code:
        v: ADJUNCT
      display:
        v: adjunctive treatment
    concept:
      code:
        v: MTREAT
      display:
        v: maintenance treatment
    concept:
      code:
        v: PALLTREAT
      display:
        v: palliates
    concept:
      code:
        v: SYMP
      display:
        v: symptomatic relief
    concept:
      code:
        v: TREAT
      display:
        v: treats
    concept:
      code:
        v: RSON
      display:
        v: has reason
    concept:
      code:
        v: TRIG
      display:
        v: has trigger
    concept:
      code:
        v: CONCURRENT
      display:
        v: concurrent with
    concept:
      code:
        v: SBSECWE
      display:
        v: starts before start of, ends with
    concept:
      code:
        v: ECW
      display:
        v: ends concurrent with

code:
  v: ENE
display:
  v: ends near end

code:
  v: ECWS
display:
  v: ends concurrent with start of

code:
  v: ENS
display:
  v: ends near start

code:
  v: SCWE
display:
  v: starts concurrent with end of

code:
  v: SNE
display:
  v: starts near end

code:
  v: SCWSEBE
display:
  v: starts with. ends before end of

code:
  v: SCWSEAE
display:
  v: starts with, ends after end of

code:
  v: SCW
display:
  v: starts concurrent with

code:
  v: SNS
display:
  v: starts near start

code:
  v: SASSBEEAS
display:
  v: start after start of, contains end of

code:
  v: SBSEAE
display:
  v: contains time of

code:
  v: SBEEAE
display:
  v: contains end of

code:
  v: SASEAE
display:
  v: starts after start of, ends after end of

code:
  v: EAE
display:
  v: ends after end of

code:
  v: SAE
display:
  v: starts after end of

code:
  v: DURING
display:
  v: occurs during

code:
  v: SASECWE
display:
  v: starts after start of, ends with

code:
  v: SAS
display:
  v: starts after start of

code:
  v: EAS
display:
  v: ends after start of

code:
  v: EAEORECW
display:
  v: ends after or concurrent with end of

code:
  v: EASORECWS
display:
  v: ends after or concurrent with start of

code:
  v: INDEPENDENT
display:
  v: independent of time of

code:
  v: SAEORSCWE
display:
  v: starts after or concurrent with end of

code:
  v: SASORSCW
display:
  v: starts after or concurrent with start of

code:
  v: SBSEASEBE
display:
  v: contains start of, ends before end of

code:
  v: EDU
display:
  v: ends during

code:
  v: SBSEAS
display:
  v: contains start of

code:
  v: SDU
display:
  v: starts during

code:
  v: OVERLAP
display:
  v: overlaps with

code:
  v: EBS
display:
  v: ends before start of

code:
  v: EBSORECWS
display:
  v: ends before or concurrent with start of

code:
  v: SBSEBE
display:
  v: starts before start of, ends before end of

code:
  v: EBE
display:
  v: ends before end of

code:
  v: EBEORECW
display:
  v: ends before or concurrent with end of

code:
  v: SBS
display:
  v: starts before start of

code:
  v: SBSORSCW
display:
  v: starts before or concurrent with start of

code:
  v: SBE
display:
  v: starts before end of

code:
  v: SBEORSCWE
display:
  v: starts before or concurrent with end of

code:
  v: AUTH
display:
  v: authorized by

code:
  v: CAUS
display:
  v: is etiology for

code:
  v: CTRLV
display:
  v: has control variable

code:
  v: ARR
display:
  v: arrival

code:
  v: DEP
display:
  v: departure

code:
  v: STEP
display:
  v: has step

code:
  v: MBR
display:
  v: has member

code:
  v: PART
display:
  v: has part

code:
  v: COMP
display:
  v: has component

code:
  v: COVBY
display:
  v: covered by

code:
  v: DRIV
display:
  v: is derived from

code:
  v: ELNK
display:
  v: episodeLink

code:
  v: EVID
display:
  v: provides evidence for

code:
  v: EXACBY
display:
  v: exacerbated by

code:
  v: EXPL
display:
  v: has explanation

code:
  v: INTF
display:
  v: interfered by

code:
  v: ITEMSLOC
display:
  v: items located

code:
  v: LIMIT
display:
  v: limited by

code:
  v: META
display:
  v: has metadata

code:
  v: MFST
display:
  v: is manifestation of

code:
  v: NAME
display:
  v: assigns name

code:
  v: OBJC
display:
  v: has continuing objective

code:
  v: OBJF
display:
  v: has final objective

code:
  v: GOAL
display:
  v: has goal

code:
  v: RISK
display:
  v: has risk

code:
  v: OUTC
display:
  v: has outcome

code:
  v: PERT
display:
  v: has pertinent information

code:
  v: PREV
display:
  v: has previous instance

code:
  v: USE
display:
  v: uses

code:
  v: REFR
display:
  v: refers to

code:
  v: REFV
display:
  v: has reference values

code:
  v: RELVBY
display:
  v: relieved by

code:
  v: APND
display:
  v: is appendage

code:
  v: BSLN
display:
  v: has baseline

code:
  v: COMPLY
display:
  v: complies with

code:
  v: DOC
display:
  v: documents

code:
  v: OCCR
display:
  v: occurrence

code:
  v: OREF
display:
  v: references order

code:
  v: SCH
display:
  v: schedules request

code:
  v: FLFS
display:
  v: fulfills

code:
  v: GEN
display:
  v: has generalization

code:
  v: GEVL
display:
  v: evaluates (goal)

code:
  v: INST
display:
  v: instantiates (master)

code:
  v: MOD
display:
  v: modifies

code:
  v: MTCH
display:
  v: matches (trigger)

code:
  v: OPTN
display:
  v: has option

code:
  v: RCHAL
display:
  v: re-challenge

code:
  v: REV
display:
  v: reverses

code:
  v: RPLC
display:
  v: replaces

code:
  v: SUCC
display:
  v: succeeds

code:
  v: UPDT
display:
  v: updates (condition)

code:
  v: VRXCRPT
display:
  v: Excerpt verbatim

code:
  v: XCRPT
display:
  v: Excerpts

code:
  v: XFRM
display:
  v: transformation

code:
  v: SEQL
display:
  v: is sequel

code:
  v: SPRTBND
display:
  v: has bounded support

code:
  v: SPRT
display:
  v: has support

code:
  v: QUALF
display:
  v: has qualifier

code:
  v: SUBJ
display:
  v: has subject

code:
  v: SUMM
display:
  v: summarized by

code:
  v: VALUE
display:
  v: has value

code:
  v: ART
display:
  v: act relationship type

code:
  v: CURE
display:
  v: curative indication

code:
  v: CURE.ADJ
display:
  v: adjunct curative indication

code:
  v: MTGT.ADJ
display:
  v: adjunct mitigation

code:
  v: RACT

code:
  v: SUGG

timestamp:
  v: 2025-09-01T22:36:20.256598+10:00
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: CHRG
  display:
    v: has charge
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: COST
  display:
    v: has cost
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: CREDIT
  display:
    v: has credit
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: DEBIT
  display:
    v: has debit
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: CIND
  display:
    v: has contra-indication
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: PRCN
  display:
    v: has pre-condition
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: BLOCK
  display:
    v: blocks
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: DIAG
  display:
    v: diagnoses
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: ACTIMM
  display:
    v: active immunization against
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: PASSIMM
  display:
    v: passive immunization against
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: IMM
  display:
    v: immunization against
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: RCVY
  display:
    v: recovers
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: MITGT
  display:
    v: mitigates
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: PRYLX
  display:
    v: prophylaxis of
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: ADJUNCT
  display:
    v: adjunctive treatment
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: MTREAT
  display:
    v: maintenance treatment
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: PALLTREAT
  display:
    v: palliates
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: SYMP
  display:
    v: symptomatic relief
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: TREAT
  display:
    v: treats
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: RSON
  display:
    v: has reason
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: TRIG
  display:
    v: has trigger
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
  version:
    v: 2018-08-12
  code:
    v: CONCURRENT
  display:
    v: concurrent with

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SBSECWE
display:
  v: starts before start of, ends with

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: ECW
display:
  v: ends concurrent with

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: ENE
display:
  v: ends near end

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: ECWS
display:
  v: ends concurrent with start of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: ENS
display:
  v: ends near start

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SCWE
display:
  v: starts concurrent with end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SNE
display:
  v: starts near end

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SCWSEBE
display:
  v: starts with. ends before end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SCWSEAE
display:
  v: starts with, ends after end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SCW
display:
  v: starts concurrent with

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SNS
display:
  v: starts near start

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SASSBEEAS
display:
  v: start after start of, contains end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SBSEAE
display:
  v: contains time of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SBEEAE
display:
  v: contains end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SASEAE
display:
  v: starts after start of, ends after end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: EAE
display:
  v: ends after end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SAE
display:
  v: starts after end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: DURING
display:
  v: occurs during

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SASECWE
display:
  v: starts after start of, ends with

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SAS
display:
  v: starts after start of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: EAS
display:
  v: ends after start of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: EAEORECW
display:
  v: ends after or concurrent with end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: EASORECWS
display:
  v: ends after or concurrent with start of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: INDEPENDENT
display:
  v: independent of time of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SAEORSCWE
display:
  v: starts after or concurrent with end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SASORSCW
display:
  v: starts after or concurrent with start of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SBSEASEBE
display:
  v: contains start of, ends before end of

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: EDU
display:
  v: ends during

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
version:
  v: 2018-08-12
code:
  v: SBSEAS
display:
  v: contains start of

system:
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