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Narrative

Note: links and images are rebased to the (stated) source

                    For example, a crutch or a wheelchair.

                    [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).

                    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).

                    Examples are interest charges and mileage.

                    All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.

Source1

{
  "resourceType": "ValueSet",
  "id": "R3-v3-ActInvoiceGroupCode-for-R4B",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r3.r4b"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R3-v3-ActInvoiceGroupCode-for-R4B",
  "version": "0.1.0",
  "name": "R3V3ActInvoiceGroupCodeForR4B",
  "title": "Cross-version ValueSet STU3.ActInvoiceGroupCode for use in FHIR R4B",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "Financial Management",
  "contact": [
    {
      "name": "Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode|2014-03-26` for use in FHIR R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode|2014-03-26` as defined in FHIR STU3\r\nin FHIR R4B.\r\n\r\nThe source value set is bound to the following FHIR STU3 elements:\r\n* `ExplanationOfBenefit.item.detail.subDetail.type` as Required\n* `ExplanationOfBenefit.item.detail.type` as Required\r\n\r\nAcross FHIR versions, the value set has been mapped as:\r\n* `http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode|2014-03-26`\n* `http://terminology.hl7.org/ValueSet/v3-ActInvoiceGroupCode|2014-03-26`\r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (17).\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode|2014-03-26`, defined in FHIR STU3 does not have any mapping to FHIR R4B",
  "compose": {
    "include": [
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "concept": [
          {
            "code": "CPINV",
            "display": "clinical product invoice"
          },
          {
            "code": "CPNDDRGING",
            "display": "compound drug invoice group"
          },
          {
            "code": "CPNDINDING",
            "display": "compound ingredient invoice group"
          },
          {
            "code": "CPNDSUPING",
            "display": "compound supply invoice group"
          },
          {
            "code": "CSINV",
            "display": "clinical service invoice"
          },
          {
            "code": "CSPINV",
            "display": "clinical service and product"
          },
          {
            "code": "DRUGING",
            "display": "drug invoice group"
          },
          {
            "code": "FININV",
            "display": "financial invoice"
          },
          {
            "code": "FRAMEING",
            "display": "frame invoice group"
          },
          {
            "code": "LENSING",
            "display": "lens invoice group"
          },
          {
            "code": "OHSINV",
            "display": "oral health service"
          },
          {
            "code": "PAINV",
            "display": "preferred accommodation invoice"
          },
          {
            "code": "PRDING",
            "display": "product invoice group"
          },
          {
            "code": "RXCINV",
            "display": "Rx compound invoice"
          },
          {
            "code": "RXDINV",
            "display": "Rx dispense invoice"
          },
          {
            "code": "SBFINV",
            "display": "sessional or block fee invoice"
          },
          {
            "code": "VRXINV",
            "display": "vision dispense invoice"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "CPINV",
        "display": "clinical product invoice"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "CPNDDRGING",
        "display": "compound drug invoice group"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "CPNDINDING",
        "display": "compound ingredient invoice group"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "CPNDSUPING",
        "display": "compound supply invoice group"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "CSINV",
        "display": "clinical service invoice"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "CSPINV",
        "display": "clinical service and product"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "DRUGING",
        "display": "drug invoice group"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "FININV",
        "display": "financial invoice"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "FRAMEING",
        "display": "frame invoice group"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "LENSING",
        "display": "lens invoice group"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "OHSINV",
        "display": "oral health service"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "PAINV",
        "display": "preferred accommodation invoice"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "PRDING",
        "display": "product invoice group"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "RXCINV",
        "display": "Rx compound invoice"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "RXDINV",
        "display": "Rx dispense invoice"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "SBFINV",
        "display": "sessional or block fee invoice"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "VRXINV",
        "display": "vision dispense invoice"
      }
    ]
  }
}