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.ActInvoiceOverrideCode for use in FHIR R4 - TTL Representation

Page standards status: Informative Maturity Level: 0

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "R5-v3-ActInvoiceOverrideCode-for-R4"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-ActInvoiceOverrideCode-for-R4</b></p><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4\"> </a><a name=\"hcR5-v3-ActInvoiceOverrideCode-for-R4\"> </a><p>This value set expansion contains 15 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-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-COVGE\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-COVGE\">COVGE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>coverage problem</td><td><div><p>Insurance coverage problems have been encountered. Additional explanation information to be supplied.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-EFORM\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EFORM\">EFORM</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>electronic form to follow</td><td><div><p>Electronic form with supporting or additional information to follow.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FAX\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-FAX\">FAX</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>fax to follow</td><td><div><p>Fax with supporting or additional information to follow.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-GFTH\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-GFTH\">GFTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>good faith indicator</td><td><div><p>The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-LATE\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-LATE\">LATE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>late invoice</td><td><div><p>Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-MANUAL\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-MANUAL\">MANUAL</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>manual review</td><td><div><p>Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-OOJ\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-OOJ\">OOJ</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>out of jurisdiction</td><td><div><p>The medical service and/or product was provided to a patient that has coverage in another jurisdiction.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ORTHO\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ORTHO\">ORTHO</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>orthodontic service</td><td><div><p>The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PAPER\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PAPER\">PAPER</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>paper documentation to follow</td><td><div><p>Paper documentation (or other physical format) with supporting or additional information to follow.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PIE\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PIE\">PIE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>public insurance exhausted</td><td><div><p>Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PYRDELAY\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PYRDELAY\">PYRDELAY</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>delayed by a previous payor</td><td><div><p>Allows provider to explain lateness of invoice to a subsequent payor.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-REFNR\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-REFNR\">REFNR</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>referral not required</td><td><div><p>Rules of practice do not require a physician's referral for the provider to perform a billable service.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-REPSERV\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-REPSERV\">REPSERV</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>repeated service</td><td><div><p>The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-UNRELAT\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-UNRELAT\">UNRELAT</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>unrelated service</td><td><div><p>The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceOverrideCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-VERBAUTH\"> </a>  <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-VERBAUTH\">VERBAUTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>verbal authorization</td><td><div><p>The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.</p>\n</div></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "fhir"     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "packageId"^^xsd:anyURI ] ;
fhir:value [
a fhir:id ;
fhir:v "hl7.fhir.uv.xver-r5.r4"       ]     ] [
fhir:url [ fhir:v "version"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "0.0.1-snapshot-2"       ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/package-source"^^xsd:anyURI ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [
a fhir:integer ;
fhir:v 0 ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4>         ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "informative" ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4>         ]       ] )     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceOverrideCode-for-R4"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.0.1-snapshot-2"] ; # 
  fhir:name [ fhir:v "R5_v3_ActInvoiceOverrideCode_for_R4"] ; # 
  fhir:title [ fhir:v "Cross-version VS for R5.ActInvoiceOverrideCode for use in FHIR R4"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2025-09-01T22:37:04.907511+10:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "FHIR Infrastructure"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "FHIR Infrastructure" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceOverrideCode|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
      ( fhir:concept [
fhir:code [ fhir:v "COVGE" ] ;
fhir:display [ fhir:v "coverage problem" ]       ] [
fhir:code [ fhir:v "EFORM" ] ;
fhir:display [ fhir:v "electronic form to follow" ]       ] [
fhir:code [ fhir:v "FAX" ] ;
fhir:display [ fhir:v "fax to follow" ]       ] [
fhir:code [ fhir:v "GFTH" ] ;
fhir:display [ fhir:v "good faith indicator" ]       ] [
fhir:code [ fhir:v "LATE" ] ;
fhir:display [ fhir:v "late invoice" ]       ] [
fhir:code [ fhir:v "MANUAL" ] ;
fhir:display [ fhir:v "manual review" ]       ] [
fhir:code [ fhir:v "OOJ" ] ;
fhir:display [ fhir:v "out of jurisdiction" ]       ] [
fhir:code [ fhir:v "ORTHO" ] ;
fhir:display [ fhir:v "orthodontic service" ]       ] [
fhir:code [ fhir:v "PAPER" ] ;
fhir:display [ fhir:v "paper documentation to follow" ]       ] [
fhir:code [ fhir:v "PIE" ] ;
fhir:display [ fhir:v "public insurance exhausted" ]       ] [
fhir:code [ fhir:v "PYRDELAY" ] ;
fhir:display [ fhir:v "delayed by a previous payor" ]       ] [
fhir:code [ fhir:v "REFNR" ] ;
fhir:display [ fhir:v "referral not required" ]       ] [
fhir:code [ fhir:v "REPSERV" ] ;
fhir:display [ fhir:v "repeated service" ]       ] [
fhir:code [ fhir:v "UNRELAT" ] ;
fhir:display [ fhir:v "unrelated service" ]       ] [
fhir:code [ fhir:v "VERBAUTH" ] ;
fhir:display [ fhir:v "verbal authorization" ]       ] )     ] )
  ] ; # 
  fhir:expansion [
fhir:timestamp [ fhir:v "2025-09-01T22:37:04.907507+10:00"^^xsd:dateTime ] ;
    ( fhir:contains [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "COVGE" ] ;
fhir:display [ fhir:v "coverage problem" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "EFORM" ] ;
fhir:display [ fhir:v "electronic form to follow" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "FAX" ] ;
fhir:display [ fhir:v "fax to follow" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "GFTH" ] ;
fhir:display [ fhir:v "good faith indicator" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "LATE" ] ;
fhir:display [ fhir:v "late invoice" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "MANUAL" ] ;
fhir:display [ fhir:v "manual review" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "OOJ" ] ;
fhir:display [ fhir:v "out of jurisdiction" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "ORTHO" ] ;
fhir:display [ fhir:v "orthodontic service" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "PAPER" ] ;
fhir:display [ fhir:v "paper documentation to follow" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "PIE" ] ;
fhir:display [ fhir:v "public insurance exhausted" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "PYRDELAY" ] ;
fhir:display [ fhir:v "delayed by a previous payor" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "REFNR" ] ;
fhir:display [ fhir:v "referral not required" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "REPSERV" ] ;
fhir:display [ fhir:v "repeated service" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "UNRELAT" ] ;
fhir:display [ fhir:v "unrelated service" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:version [ fhir:v "8.0.0" ] ;
fhir:code [ fhir:v "VERBAUTH" ] ;
fhir:display [ fhir:v "verbal authorization" ]     ] )
  ] . #