FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions

: Cross-version VS for R5.ActBillingArrangementCode for use in FHIR R4 - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-v3-ActBillingArrangementCode-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-ActBillingArrangementCode-for-R4</b></p><a name="R5-v3-ActBillingArrangementCode-for-R4"> </a><a name="hcR5-v3-ActBillingArrangementCode-for-R4"> </a><p>This value set expansion contains 10 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-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-BLK"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-BLK">BLK</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>block funding</td><td><div><p>A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary.</p>
<p>This billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-CAP"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-CAP">CAP</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>capitation funding</td><td><div><p>A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-CONTF"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-CONTF">CONTF</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>contract funding</td><td><div><p>A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FINBILL"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FINBILL">FINBILL</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>financial</td><td><div><p>A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ROST"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ROST">ROST</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>roster funding</td><td><div><p>A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-SESS"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SESS">SESS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>sessional funding</td><td><div><p>A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FFS"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FFS">FFS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>fee for service</td><td><div><p>A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.</p>
<p>Fee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FFPS"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FFPS">FFPS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>first fill, part fill, partial strength</td><td><div><p>A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets)</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FFCS"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FFCS">FFCS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>first fill complete, partial strength</td><td><div><p>A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R5-v3-ActBillingArrangementCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-TFS"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-TFS">TFS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>trial fill partial strength</td><td><div><p>A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</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-ActBillingArrangementCode-for-R4"/>
  <version value="0.0.1-snapshot-2"/>
  <name value="R5_v3_ActBillingArrangementCode_for_R4"/>
  <title
         value="Cross-version VS for R5.ActBillingArrangementCode for use in FHIR R4"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-09-01T22:37:04.447965+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-ActBillingArrangementCode|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="BLK"/>
        <display value="block funding"/>
      </concept>
      <concept>
        <code value="CAP"/>
        <display value="capitation funding"/>
      </concept>
      <concept>
        <code value="CONTF"/>
        <display value="contract funding"/>
      </concept>
      <concept>
        <code value="FINBILL"/>
        <display value="financial"/>
      </concept>
      <concept>
        <code value="ROST"/>
        <display value="roster funding"/>
      </concept>
      <concept>
        <code value="SESS"/>
        <display value="sessional funding"/>
      </concept>
      <concept>
        <code value="FFS"/>
        <display value="fee for service"/>
      </concept>
      <concept>
        <code value="FFPS"/>
        <display value="first fill, part fill, partial strength"/>
      </concept>
      <concept>
        <code value="FFCS"/>
        <display value="first fill complete, partial strength"/>
      </concept>
      <concept>
        <code value="TFS"/>
        <display value="trial fill partial strength"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2025-09-01T22:37:04.447962+10:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="BLK"/>
      <display value="block funding"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="CAP"/>
      <display value="capitation funding"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="CONTF"/>
      <display value="contract funding"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="FINBILL"/>
      <display value="financial"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="ROST"/>
      <display value="roster funding"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="SESS"/>
      <display value="sessional funding"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="FFS"/>
      <display value="fee for service"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="FFPS"/>
      <display value="first fill, part fill, partial strength"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="FFCS"/>
      <display value="first fill complete, partial strength"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="TFS"/>
      <display value="trial fill partial strength"/>
    </contains>
  </expansion>
</ValueSet>