FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r3 |
| Resource Type | ValueSet |
| Id | ValueSet-R5-v3-ActInvoiceDetailGenericCode-for-R3.json |
| FHIR Version | R3 |
| Source | http://hl7.org/fhir/uv/xver-r5.r3/0.1.0/ValueSet-R5-v3-ActInvoiceDetailGenericCode-for-R3.html |
| URL | http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActInvoiceDetailGenericCode-for-R3 |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T21:02:03.8104715+00:00 |
| Name | R5V3ActInvoiceDetailGenericCodeForR3 |
| Title | Cross-version ValueSet R5.ActInvoiceDetailGenericCode for use in FHIR STU3 |
| Realm | uv |
| Authority | hl7 |
| Description | This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericCode|2.0.0` for use in FHIR STU3. |
| Purpose | This value set is part of the cross-version definitions generated to enable use of the value set `http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericCode|2.0.0` as defined in FHIR R5 in FHIR STU3. The source value set is bound to the following FHIR R5 elements: * Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericCode|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3 |
No resources found
| CodeSystem | ||
| hl7.terminology#current | v3-ActCode | ActCode |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet R5-v3-ActInvoiceDetailGenericCode-for-R3
This value set expansion contains 29 concepts.
| System | Version | Code | Display | Definition |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | AFTHRS | non-normal hours | Premium paid on service fees in compensation for practicing outside of normal working hours. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | CANCAPT | cancelled appointment | A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | COIN | coinsurance | That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | COINS | co-insurance | The covered party pays a percentage of the cost of covered services. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | COPAYMENT | patient co-pay | That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | DEDUCTIBLE | deductible | That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | DSC | discount | A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | ESA | extraordinary service assessment | A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | FFSTOP | fee for service top off | Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | FNLFEE | final fee | Anticipated or actual final fee associated with treating a patient. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | FRSTFEE | first fee | Anticipated or actual initial fee associated with treating a patient. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | FST | federal sales tax | Federal tax on transactions such as the Goods and Services Tax (GST) |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | HST | harmonized sales Tax | Joint Federal/Provincial Sales Tax |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | ISOL | isolation allowance | Premium paid on service fees in compensation for practicing in a remote location. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | MARKUP | markup or up-charge | An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | MISSAPT | missed appointment | A charge to compensate the provider when a patient does not show for an appointment. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | OOO | out of office | Premium paid on service fees in compensation for practicing at a location other than normal working location. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PAY | payment | The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PERFEE | periodic fee | Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PERMBNS | performance bonus | The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PST | provincial/state sales tax | Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | RESTOCK | restocking fee | A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | SPEND | spend down | That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | TRAVEL | travel | A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | URGENT | urgent | Premium paid on service fees in compensation for providing an expedited response to an urgent situation. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | _ActInvoiceDetailGenericAdjudicatorCode | ActInvoiceDetailGenericAdjudicatorCode | The billable item codes to identify adjudicator specified components to the total billing of a claim. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | _ActInvoiceDetailGenericModifierCode | ActInvoiceDetailGenericModifierCode | The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | _ActInvoiceDetailGenericProviderCode | ActInvoiceDetailGenericProviderCode | The billable item codes to identify provider supplied charges or changes to the total billing of a claim. |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | _ActInvoiceDetailTaxCode | ActInvoiceDetailTaxCode | The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax. |
{
"resourceType": "ValueSet",
"id": "R5-v3-ActInvoiceDetailGenericCode-for-R3",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r5.r3"
},
{
"url": "version",
"valueString": "0.1.0"
},
{
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
}
]
}
}
],
"url": "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActInvoiceDetailGenericCode-for-R3",
"version": "0.1.0",
"name": "R5V3ActInvoiceDetailGenericCodeForR3",
"title": "Cross-version ValueSet R5.ActInvoiceDetailGenericCode for use in FHIR STU3",
"status": "active",
"experimental": false,
"date": "2026-03-17T21:02:03.8104715+00:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericCode|2.0.0` for use in FHIR STU3.",
"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://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericCode|2.0.0` as defined in FHIR R5\r\nin FHIR STU3.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \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\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericCode|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3",
"compose": {
"include": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"concept": [
{
"code": "AFTHRS",
"display": "non-normal hours"
},
{
"code": "CANCAPT",
"display": "cancelled appointment"
},
{
"code": "COIN",
"display": "coinsurance"
},
{
"code": "COINS",
"display": "co-insurance"
},
{
"code": "COPAYMENT",
"display": "patient co-pay"
},
{
"code": "DEDUCTIBLE",
"display": "deductible"
},
{
"code": "DSC",
"display": "discount"
},
{
"code": "ESA",
"display": "extraordinary service assessment"
},
{
"code": "FFSTOP",
"display": "fee for service top off"
},
{
"code": "FNLFEE",
"display": "final fee"
},
{
"code": "FRSTFEE",
"display": "first fee"
},
{
"code": "FST",
"display": "federal sales tax"
},
{
"code": "HST",
"display": "harmonized sales Tax"
},
{
"code": "ISOL",
"display": "isolation allowance"
},
{
"code": "MARKUP",
"display": "markup or up-charge"
},
{
"code": "MISSAPT",
"display": "missed appointment"
},
{
"code": "OOO",
"display": "out of office"
},
{
"code": "PAY",
"display": "payment"
},
{
"code": "PERFEE",
"display": "periodic fee"
},
{
"code": "PERMBNS",
"display": "performance bonus"
},
{
"code": "PST",
"display": "provincial/state sales tax"
},
{
"code": "RESTOCK",
"display": "restocking fee"
},
{
"code": "SPEND",
"display": "spend down"
},
{
"code": "TRAVEL",
"display": "travel"
},
{
"code": "URGENT",
"display": "urgent"
},
{
"code": "_ActInvoiceDetailGenericAdjudicatorCode",
"display": "ActInvoiceDetailGenericAdjudicatorCode"
},
{
"code": "_ActInvoiceDetailGenericModifierCode",
"display": "ActInvoiceDetailGenericModifierCode"
},
{
"code": "_ActInvoiceDetailGenericProviderCode",
"display": "ActInvoiceDetailGenericProviderCode"
},
{
"code": "_ActInvoiceDetailTaxCode",
"display": "ActInvoiceDetailTaxCode"
}
]
}
]
},
"expansion": {
"timestamp": "2026-03-17T21:02:03.8104715+00:00",
"contains": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "AFTHRS",
"display": "non-normal hours"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "CANCAPT",
"display": "cancelled appointment"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "COIN",
"display": "coinsurance"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "COINS",
"display": "co-insurance"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "COPAYMENT",
"display": "patient co-pay"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "DEDUCTIBLE",
"display": "deductible"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "DSC",
"display": "discount"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "ESA",
"display": "extraordinary service assessment"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "FFSTOP",
"display": "fee for service top off"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "FNLFEE",
"display": "final fee"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "FRSTFEE",
"display": "first fee"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "FST",
"display": "federal sales tax"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "HST",
"display": "harmonized sales Tax"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "ISOL",
"display": "isolation allowance"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "MARKUP",
"display": "markup or up-charge"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "MISSAPT",
"display": "missed appointment"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "OOO",
"display": "out of office"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PAY",
"display": "payment"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PERFEE",
"display": "periodic fee"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PERMBNS",
"display": "performance bonus"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PST",
"display": "provincial/state sales tax"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "RESTOCK",
"display": "restocking fee"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "SPEND",
"display": "spend down"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "TRAVEL",
"display": "travel"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "URGENT",
"display": "urgent"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "_ActInvoiceDetailGenericAdjudicatorCode",
"display": "ActInvoiceDetailGenericAdjudicatorCode"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "_ActInvoiceDetailGenericModifierCode",
"display": "ActInvoiceDetailGenericModifierCode"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "_ActInvoiceDetailGenericProviderCode",
"display": "ActInvoiceDetailGenericProviderCode"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "_ActInvoiceDetailTaxCode",
"display": "ActInvoiceDetailTaxCode"
}
]
}
}