R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3

4.3.2.19398 HL7 v3 Value Set ActInvoiceGroupCode

Vocabulary

Work Group

Maturity Level: N/A

External

Use Context: Any

This value set (http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode) is defined as part of HL7 v3. Related FHIR content: ActInvoiceGroupCode.

Summary

Defining URL:

http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode

Name:

ActInvoiceGroupCode

Definition:

Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.

OID:

2.16.840.1.113883.1.11.19398 (for OID based terminology systems)

Source Resource

XML / JSON

This value set is not currently used

4.3.2.19398.1 Content Logical Definition

This value set includes codes from the following code systems:

Include codes from http://hl7.org/fhir/v3/ActCode where concept is-a _ActInvoiceGroupCode

Exclude these codes as defined in http://hl7.org/fhir/v3/ActCode

Code	Display
_ActInvoiceGroupCode	ActInvoiceGroupCode	Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.

4.3.2.19398.2 Expansion

This expansion generated 03 Apr 2018

This value set contains 17 concepts

Expansion based on http://hl7.org/fhir/v3/ActCode version 2018-04-01

All codes from system http://hl7.org/fhir/v3/ActCode

Code	Display	Definition
CPNDDRGING	compound drug invoice group	A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.
CPNDINDING	compound ingredient invoice group	A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.
CPNDSUPING	compound supply invoice group	A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.
DRUGING	drug invoice group	A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.
FRAMEING	frame invoice group	A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
LENSING	lens invoice group	A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
PRDING	product invoice group	A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.
CPINV	clinical 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.
CSINV	clinical 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).
CSPINV	clinical 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).
FININV	financial 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.
OHSINV	oral 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.
PAINV	preferred accommodation invoice	HealthCare facility preferred accommodation invoice.
RXCINV	Rx compound invoice	Pharmacy dispense invoice for a compound.
RXDINV	Rx dispense invoice	Pharmacy dispense invoice not involving a compound
SBFINV	sessional or block fee invoice	Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
VRXINV	vision 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.