Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

ValueSet: R5V3ActInvoiceRootGroupCodeForR4

Official URL: http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActInvoiceRootGroupCode-for-R4 Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: R5V3ActInvoiceRootGroupCodeForR4

This cross-version ValueSet represents content from http://terminology.hl7.org/ValueSet/v3-ActInvoiceRootGroupCode|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-ActInvoiceRootGroupCode|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-ActInvoiceRootGroupCode|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)

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActCode version 📍8.0.0
    CodeDisplayDefinition
    CPclinical product invoiceClinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).

    For example, a crutch or a wheelchair.
    CPINVclinical product invoiceClinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).

    For example, a crutch or a wheelchair.
    CSclinical service invoiceClinical Services Invoice which can be used to describe a single service, multiple services or repeated services.

    \[1\] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service.

    For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization).

    \[2\] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together.

    For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together.

    \[3\] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time.

    For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).
    CSINVclinical service invoiceClinical Services Invoice which can be used to describe a single service, multiple services or repeated services.

    \[1\] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service.

    For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization).

    \[2\] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together.

    For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together.

    \[3\] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time.

    For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).
    CSPINVclinical service and productA clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts).

    All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.

    For example , a brace (product) invoiced together with the fitting (service).
    FININVfinancial invoiceInvoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider.

    Examples are interest charges and mileage.
    OHSINVoral health serviceA clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts).

    All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.
    PApreferred accommodation invoiceHealthCare facility preferred accommodation invoice.
    PAINVpreferred accommodation invoiceHealthCare facility preferred accommodation invoice.
    RXCRx compound invoicePharmacy dispense invoice for a compound.
    RXCINVRx compound invoicePharmacy dispense invoice for a compound.
    RXDRx dispense invoicePharmacy dispense invoice not involving a compound
    RXDINVRx dispense invoicePharmacy dispense invoice not involving a compound
    SBFINVsessional or block fee invoiceClinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
    VRXINVvision dispense invoiceVision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.

 

Expansion

This value set expansion contains 15 concepts.

SystemVersionCodeDisplayDefinitionJSONXML
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  CPclinical product invoice

Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).

For example, a crutch or a wheelchair.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  CPINVclinical product invoice

Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).

For example, a crutch or a wheelchair.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  CSclinical service invoice

Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services.

[1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service.

For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization).

[2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together.

For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together.

[3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time.

For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  CSINVclinical service invoice

Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services.

[1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service.

For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization).

[2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together.

For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together.

[3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time.

For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  CSPINVclinical service and product

A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts).

All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.

For example , a brace (product) invoiced together with the fitting (service).

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  FININVfinancial invoice

Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider.

Examples are interest charges and mileage.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  OHSINVoral health service

A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts).

All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  PApreferred accommodation invoice

HealthCare facility preferred accommodation invoice.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  PAINVpreferred accommodation invoice

HealthCare facility preferred accommodation invoice.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  RXCRx compound invoice

Pharmacy dispense invoice for a compound.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  RXCINVRx compound invoice

Pharmacy dispense invoice for a compound.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  RXDRx dispense invoice

Pharmacy dispense invoice not involving a compound

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  RXDINVRx dispense invoice

Pharmacy dispense invoice not involving a compound

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  SBFINVsessional or block fee invoice

Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  VRXINVvision dispense invoice

Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.


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