FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions
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<ValueSet xmlns="http://hl7.org/fhir">
<id value="R5-v3-ActInvoiceOverrideCode-for-R4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-v3-ActInvoiceOverrideCode-for-R4</b></p><a name="R5-v3-ActInvoiceOverrideCode-for-R4"> </a><a name="hcR5-v3-ActInvoiceOverrideCode-for-R4"> </a><p>This value set expansion contains 15 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-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-COVGE"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-COVGE">COVGE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>coverage problem</td><td><div><p>Insurance coverage problems have been encountered. Additional explanation information to be supplied.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-EFORM"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EFORM">EFORM</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>electronic form to follow</td><td><div><p>Electronic form with supporting or additional information to follow.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FAX"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FAX">FAX</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>fax to follow</td><td><div><p>Fax with supporting or additional information to follow.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-GFTH"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-GFTH">GFTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>good faith indicator</td><td><div><p>The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-LATE"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-LATE">LATE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>late invoice</td><td><div><p>Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-MANUAL"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-MANUAL">MANUAL</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>manual review</td><td><div><p>Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-OOJ"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-OOJ">OOJ</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>out of jurisdiction</td><td><div><p>The medical service and/or product was provided to a patient that has coverage in another jurisdiction.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ORTHO"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ORTHO">ORTHO</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>orthodontic service</td><td><div><p>The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PAPER"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PAPER">PAPER</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>paper documentation to follow</td><td><div><p>Paper documentation (or other physical format) with supporting or additional information to follow.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PIE"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PIE">PIE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>public insurance exhausted</td><td><div><p>Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PYRDELAY"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PYRDELAY">PYRDELAY</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>delayed by a previous payor</td><td><div><p>Allows provider to explain lateness of invoice to a subsequent payor.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-REFNR"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-REFNR">REFNR</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>referral not required</td><td><div><p>Rules of practice do not require a physician's referral for the provider to perform a billable service.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-REPSERV"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-REPSERV">REPSERV</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>repeated service</td><td><div><p>The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-UNRELAT"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-UNRELAT">UNRELAT</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>unrelated service</td><td><div><p>The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-VERBAUTH"> </a> <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-VERBAUTH">VERBAUTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>verbal authorization</td><td><div><p>The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.</p>
</div></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r5.r4"/>
</extension>
<extension url="version">
<valueString value="0.0.1-snapshot-2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceOverrideCode-for-R4"/>
<version value="0.0.1-snapshot-2"/>
<name value="R5_v3_ActInvoiceOverrideCode_for_R4"/>
<title
value="Cross-version VS for R5.ActInvoiceOverrideCode for use in FHIR R4"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-09-01T22:37:04.907511+10:00"/>
<publisher value="FHIR Infrastructure"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceOverrideCode|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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<compose>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<concept>
<code value="COVGE"/>
<display value="coverage problem"/>
</concept>
<concept>
<code value="EFORM"/>
<display value="electronic form to follow"/>
</concept>
<concept>
<code value="FAX"/>
<display value="fax to follow"/>
</concept>
<concept>
<code value="GFTH"/>
<display value="good faith indicator"/>
</concept>
<concept>
<code value="LATE"/>
<display value="late invoice"/>
</concept>
<concept>
<code value="MANUAL"/>
<display value="manual review"/>
</concept>
<concept>
<code value="OOJ"/>
<display value="out of jurisdiction"/>
</concept>
<concept>
<code value="ORTHO"/>
<display value="orthodontic service"/>
</concept>
<concept>
<code value="PAPER"/>
<display value="paper documentation to follow"/>
</concept>
<concept>
<code value="PIE"/>
<display value="public insurance exhausted"/>
</concept>
<concept>
<code value="PYRDELAY"/>
<display value="delayed by a previous payor"/>
</concept>
<concept>
<code value="REFNR"/>
<display value="referral not required"/>
</concept>
<concept>
<code value="REPSERV"/>
<display value="repeated service"/>
</concept>
<concept>
<code value="UNRELAT"/>
<display value="unrelated service"/>
</concept>
<concept>
<code value="VERBAUTH"/>
<display value="verbal authorization"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-09-01T22:37:04.907507+10:00"/>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="COVGE"/>
<display value="coverage problem"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="EFORM"/>
<display value="electronic form to follow"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="FAX"/>
<display value="fax to follow"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="GFTH"/>
<display value="good faith indicator"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="LATE"/>
<display value="late invoice"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="MANUAL"/>
<display value="manual review"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="OOJ"/>
<display value="out of jurisdiction"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="ORTHO"/>
<display value="orthodontic service"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="PAPER"/>
<display value="paper documentation to follow"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="PIE"/>
<display value="public insurance exhausted"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="PYRDELAY"/>
<display value="delayed by a previous payor"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="REFNR"/>
<display value="referral not required"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="REPSERV"/>
<display value="repeated service"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="UNRELAT"/>
<display value="unrelated service"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="VERBAUTH"/>
<display value="verbal authorization"/>
</contains>
</expansion>
</ValueSet>