FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
{
"resourceType" : "ValueSet",
"id" : "R5-v3-ActInvoiceDetailGenericProviderCode-for-R4",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-ActInvoiceDetailGenericProviderCode-for-R4</b></p><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4\"> </a><a name=\"hcR5-v3-ActInvoiceDetailGenericProviderCode-for-R4\"> </a><p>This value set expansion contains 13 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-CANCAPT\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-CANCAPT\">CANCAPT</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>cancelled appointment</td><td><div><p>A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-DSC\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-DSC\">DSC</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>discount</td><td><div><p>A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ESA\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ESA\">ESA</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>extraordinary service assessment</td><td><div><p>A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FFSTOP\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FFSTOP\">FFSTOP</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>fee for service top off</td><td><div><p>Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FNLFEE\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FNLFEE\">FNLFEE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>final fee</td><td><div><p>Anticipated or actual final fee associated with treating a patient.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FRSTFEE\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FRSTFEE\">FRSTFEE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>first fee</td><td><div><p>Anticipated or actual initial fee associated with treating a patient.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-MARKUP\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-MARKUP\">MARKUP</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>markup or up-charge</td><td><div><p>An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-MISSAPT\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-MISSAPT\">MISSAPT</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>missed appointment</td><td><div><p>A charge to compensate the provider when a patient does not show for an appointment.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PERFEE\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PERFEE\">PERFEE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>periodic fee</td><td><div><p>Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PERMBNS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PERMBNS\">PERMBNS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>performance bonus</td><td><div><p>The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-RESTOCK\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-RESTOCK\">RESTOCK</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>restocking fee</td><td><div><p>A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-TRAVEL\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-TRAVEL\">TRAVEL</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>travel</td><td><div><p>A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-URGENT\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-URGENT\">URGENT</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>urgent</td><td><div><p>Premium paid on service fees in compensation for providing an expedited response to an urgent situation.</p>\n</div></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fhir"
},
{
"extension" : [
{
"url" : "packageId",
"valueId" : "hl7.fhir.uv.xver-r5.r4"
},
{
"url" : "version",
"valueString" : "0.0.1-snapshot-2"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
]
}
}
],
"url" : "http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceDetailGenericProviderCode-for-R4",
"version" : "0.0.1-snapshot-2",
"name" : "R5_v3_ActInvoiceDetailGenericProviderCode_for_R4",
"title" : "Cross-version VS for R5.ActInvoiceDetailGenericProviderCode for use in FHIR R4",
"status" : "active",
"experimental" : false,
"date" : "2025-09-01T22:37:04.900695+10:00",
"publisher" : "FHIR Infrastructure",
"contact" : [
{
"name" : "FHIR Infrastructure",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description" : "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericProviderCode|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"concept" : [
{
"code" : "CANCAPT",
"display" : "cancelled appointment"
},
{
"code" : "DSC",
"display" : "discount"
},
{
"code" : "ESA",
"display" : "extraordinary service assessment"
},
{
"code" : "FFSTOP",
"display" : "fee for service top off"
},
{
"code" : "FNLFEE",
"display" : "final fee"
},
{
"code" : "FRSTFEE",
"display" : "first fee"
},
{
"code" : "MARKUP",
"display" : "markup or up-charge"
},
{
"code" : "MISSAPT",
"display" : "missed appointment"
},
{
"code" : "PERFEE",
"display" : "periodic fee"
},
{
"code" : "PERMBNS",
"display" : "performance bonus"
},
{
"code" : "RESTOCK",
"display" : "restocking fee"
},
{
"code" : "TRAVEL",
"display" : "travel"
},
{
"code" : "URGENT",
"display" : "urgent"
}
]
}
]
},
"expansion" : {
"timestamp" : "2025-09-01T22:37:04.900691+10:00",
"contains" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "CANCAPT",
"display" : "cancelled appointment"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "DSC",
"display" : "discount"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "ESA",
"display" : "extraordinary service assessment"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "FFSTOP",
"display" : "fee for service top off"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "FNLFEE",
"display" : "final fee"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "FRSTFEE",
"display" : "first fee"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "MARKUP",
"display" : "markup or up-charge"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "MISSAPT",
"display" : "missed appointment"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "PERFEE",
"display" : "periodic fee"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "PERMBNS",
"display" : "performance bonus"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "RESTOCK",
"display" : "restocking fee"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "TRAVEL",
"display" : "travel"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "URGENT",
"display" : "urgent"
}
]
}
}