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Packagehl7.fhir.uv.xver-r5.r4b
Resource TypeValueSet
IdValueSet-R5-v3-ActInvoiceDetailGenericProviderCode-for-R4B.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4b/0.0.1-snapshot-2/ValueSet-R5-v3-ActInvoiceDetailGenericProviderCode-for-R4B.html
URLhttp://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceDetailGenericProviderCode-for-R4B
Version0.0.1-snapshot-2
Statusactive
Date2025-09-01T22:37:04.900691+10:00
NameR5_v3_ActInvoiceDetailGenericProviderCode_for_R4B
TitleCross-version VS for R5.ActInvoiceDetailGenericProviderCode for use in FHIR R4B
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericProviderCode|2.0.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4B.

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
v3-ActCodeActCode

Narrative

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

Generated Narrative: ValueSet R5-v3-ActInvoiceDetailGenericProviderCode-for-R4B

This value set expansion contains 13 concepts.

CodeSystemDisplayDefinition
  CANCAPThttp://terminology.hl7.org/CodeSystem/v3-ActCodecancelled 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.

  DSChttp://terminology.hl7.org/CodeSystem/v3-ActCodediscount

A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.

  ESAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeextraordinary 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.

  FFSTOPhttp://terminology.hl7.org/CodeSystem/v3-ActCodefee 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.

  FNLFEEhttp://terminology.hl7.org/CodeSystem/v3-ActCodefinal fee

Anticipated or actual final fee associated with treating a patient.

  FRSTFEEhttp://terminology.hl7.org/CodeSystem/v3-ActCodefirst fee

Anticipated or actual initial fee associated with treating a patient.

  MARKUPhttp://terminology.hl7.org/CodeSystem/v3-ActCodemarkup or up-charge

An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.

  MISSAPThttp://terminology.hl7.org/CodeSystem/v3-ActCodemissed appointment

A charge to compensate the provider when a patient does not show for an appointment.

  PERFEEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeperiodic 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.

  PERMBNShttp://terminology.hl7.org/CodeSystem/v3-ActCodeperformance 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.

  RESTOCKhttp://terminology.hl7.org/CodeSystem/v3-ActCoderestocking 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.

  TRAVELhttp://terminology.hl7.org/CodeSystem/v3-ActCodetravel

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.

  URGENThttp://terminology.hl7.org/CodeSystem/v3-ActCodeurgent

Premium paid on service fees in compensation for providing an expedited response to an urgent situation.


Source1

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  "id": "R5-v3-ActInvoiceDetailGenericProviderCode-for-R4B",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
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      "valueCode": "fhir"
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          "valueId": "hl7.fhir.uv.xver-r5.r4b"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "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",
            "valueCanonical": "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
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      "valueCode": "trial-use",
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  ],
  "url": "http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceDetailGenericProviderCode-for-R4B",
  "version": "0.0.1-snapshot-2",
  "name": "R5_v3_ActInvoiceDetailGenericProviderCode_for_R4B",
  "title": "Cross-version VS for R5.ActInvoiceDetailGenericProviderCode for use in FHIR R4B",
  "status": "active",
  "experimental": false,
  "date": "2025-09-01T22:37:04.900691+10:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericProviderCode|2.0.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "concept": [
          {
            "code": "CANCAPT",
            "display": "cancelled appointment"
          },
          {
            "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": "MARKUP",
            "display": "markup or up-charge"
          },
          {
            "code": "MISSAPT",
            "display": "missed appointment"
          },
          {
            "code": "PERFEE",
            "display": "periodic fee"
          },
          {
            "code": "PERMBNS",
            "display": "performance bonus"
          },
          {
            "code": "RESTOCK",
            "display": "restocking fee"
          },
          {
            "code": "TRAVEL",
            "display": "travel"
          },
          {
            "code": "URGENT",
            "display": "urgent"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2025-09-01T22:37:04.900691+10:00",
    "contains": [
      {
        "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": "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": "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": "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": "RESTOCK",
        "display": "restocking fee"
      },
      {
        "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"
      }
    ]
  }
}