Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActInvoiceDetailGenericProviderCode-for-R4 | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: R5V3ActInvoiceDetailGenericProviderCodeForR4 | ||
This cross-version ValueSet represents content from http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericProviderCode|2.0.0 for use in FHIR R4.
This value set is part of the cross-version definitions generated to enable use of the
value set http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericProviderCode|2.0.0 as defined in FHIR R5
in FHIR R4.
The source value set is bound to the following FHIR R5 elements:
Note that all concepts are included in this cross-version definition because no concepts have compatible representations
Following are the generation technical comments:
FHIR ValueSet http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericProviderCode|2.0.0, defined in FHIR R5 does not have any mapping to FHIR R4
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://terminology.hl7.org/CodeSystem/v3-ActCode version 📍8.0.0| Code | Display | Definition |
| CANCAPT | cancelled appointment | 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. |
| DSC | discount | A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase. |
| ESA | extraordinary service assessment | A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies. |
| FFSTOP | fee for service top off | 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. |
| FNLFEE | final fee | Anticipated or actual final fee associated with treating a patient. |
| FRSTFEE | first fee | Anticipated or actual initial fee associated with treating a patient. |
| MARKUP | markup or up-charge | An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost. |
| MISSAPT | missed appointment | A charge to compensate the provider when a patient does not show for an appointment. |
| PERFEE | periodic fee | 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. |
| PERMBNS | performance bonus | 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. |
| RESTOCK | restocking fee | 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. |
| TRAVEL | travel | 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. |
| URGENT | urgent | Premium paid on service fees in compensation for providing an expedited response to an urgent situation. |
This value set expansion contains 13 concepts.
| System | Version | Code | Display | Definition | JSON | XML |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | CANCAPT | cancelled appointment | 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. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | DSC | discount | A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | ESA | extraordinary service assessment | A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | FFSTOP | fee for service top off | 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. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | FNLFEE | final fee | Anticipated or actual final fee associated with treating a patient. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | FRSTFEE | first fee | Anticipated or actual initial fee associated with treating a patient. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | MARKUP | markup or up-charge | An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | MISSAPT | missed appointment | A charge to compensate the provider when a patient does not show for an appointment. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PERFEE | periodic fee | 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. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PERMBNS | performance bonus | 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. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | RESTOCK | restocking fee | 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. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | TRAVEL | travel | 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. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | URGENT | urgent | Premium paid on service fees in compensation for providing an expedited response to an urgent situation. |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |