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.AdjudicatedWithAdjustments for use in FHIR R4

Official URL: http://hl7.org/fhir/5.0/ValueSet/R5-v3-AdjudicatedWithAdjustments-for-R4 Version: 0.0.1-snapshot-2
Standards status: Informative Maturity Level: 0 Computable Name: R5_v3_AdjudicatedWithAdjustments_for_R4

This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-AdjudicatedWithAdjustments 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
    AAadjudicated with adjustmentsThe invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).

    Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.

    Invoice element can be reversed (nullified).

    Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
    ANFadjudicated with adjustments and no financial impactThe invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount.

    Invoice element can be reversed (nullified).

    Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

 

Expansion

This value set expansion contains 2 concepts.

CodeSystemDisplayDefinition
  AAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjudicated with adjustments

The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).

Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.

Invoice element can be reversed (nullified).

Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

  ANFhttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjudicated with adjustments and no financial impact

The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount.

Invoice element can be reversed (nullified).

Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

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