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

ValueSet: Cross-version VS for R5.ActInvoiceGroupCode for use in FHIR R4

Official URL: http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceGroupCode-for-R4 Version: 0.0.1-snapshot-2
Standards status: Informative Maturity Level: 0 Computable Name: R5_v3_ActInvoiceGroupCode_for_R4

This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceGroupCode 2.0.0 for use in FHIR R4. Concepts not present here have direct equivalent mappings crossing all versions from R5 to 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
    CPNDDRGINGcompound drug invoice groupA 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.
    CPNDINDINGcompound ingredient invoice groupA 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.
    CPNDSUPINGcompound supply invoice groupA 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.
    DRUGINGdrug invoice groupA grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.
    FRAMEINGframe invoice groupA grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
    LENSINGlens invoice groupA grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
    PRDINGproduct invoice groupA 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.
    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.
    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.
    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).
    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).
    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.
    PAINVpreferred accommodation invoiceHealthCare facility preferred accommodation invoice.
    PApreferred accommodation invoiceHealthCare facility preferred accommodation invoice.
    RXCINVRx compound invoicePharmacy dispense invoice for a compound.
    RXCRx compound invoicePharmacy dispense invoice for a compound.
    RXDINVRx dispense invoicePharmacy dispense invoice not involving a compound
    RXDRx 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 22 concepts.

CodeSystemDisplayDefinition
  CPNDDRGINGhttp://terminology.hl7.org/CodeSystem/v3-ActCodecompound 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.

  CPNDINDINGhttp://terminology.hl7.org/CodeSystem/v3-ActCodecompound 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.

  CPNDSUPINGhttp://terminology.hl7.org/CodeSystem/v3-ActCodecompound 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.

  DRUGINGhttp://terminology.hl7.org/CodeSystem/v3-ActCodedrug 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.

  FRAMEINGhttp://terminology.hl7.org/CodeSystem/v3-ActCodeframe invoice group

A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.

  LENSINGhttp://terminology.hl7.org/CodeSystem/v3-ActCodelens invoice group

A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.

  PRDINGhttp://terminology.hl7.org/CodeSystem/v3-ActCodeproduct 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.

  CPINVhttp://terminology.hl7.org/CodeSystem/v3-ActCodeclinical 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.

  CPhttp://terminology.hl7.org/CodeSystem/v3-ActCodeclinical 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.

  CSINVhttp://terminology.hl7.org/CodeSystem/v3-ActCodeclinical 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).

  CShttp://terminology.hl7.org/CodeSystem/v3-ActCodeclinical 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).

  CSPINVhttp://terminology.hl7.org/CodeSystem/v3-ActCodeclinical 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).

  FININVhttp://terminology.hl7.org/CodeSystem/v3-ActCodefinancial 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.

  OHSINVhttp://terminology.hl7.org/CodeSystem/v3-ActCodeoral 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.

  PAINVhttp://terminology.hl7.org/CodeSystem/v3-ActCodepreferred accommodation invoice

HealthCare facility preferred accommodation invoice.

  PAhttp://terminology.hl7.org/CodeSystem/v3-ActCodepreferred accommodation invoice

HealthCare facility preferred accommodation invoice.

  RXCINVhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRx compound invoice

Pharmacy dispense invoice for a compound.

  RXChttp://terminology.hl7.org/CodeSystem/v3-ActCodeRx compound invoice

Pharmacy dispense invoice for a compound.

  RXDINVhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRx dispense invoice

Pharmacy dispense invoice not involving a compound

  RXDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeRx dispense invoice

Pharmacy dispense invoice not involving a compound

  SBFINVhttp://terminology.hl7.org/CodeSystem/v3-ActCodesessional or block fee invoice

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

  VRXINVhttp://terminology.hl7.org/CodeSystem/v3-ActCodevision 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