FHIRsmith: ValueSet/ValueSet-R5-v3-AdjudicatedWithAdjustments-for-R4B.json

FHIR IG analytics

Package	hl7.fhir.uv.xver-r5.r4b
Resource Type	ValueSet
Id	ValueSet-R5-v3-AdjudicatedWithAdjustments-for-R4B.json
FHIR Version	R4B
Source	http://hl7.org/fhir/uv/xver-r5.r4b/0.0.1-snapshot-2/ValueSet-R5-v3-AdjudicatedWithAdjustments-for-R4B.html
URL	http://hl7.org/fhir/5.0/ValueSet/R5-v3-AdjudicatedWithAdjustments-for-R4B
Version	0.0.1-snapshot-2
Status	active
Date	2025-09-01T22:37:05.055571+10:00
Name	R5_v3_AdjudicatedWithAdjustments_for_R4B
Title	Cross-version VS for R5.AdjudicatedWithAdjustments for use in FHIR R4B
Realm	uv
Authority	hl7
Description	This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-AdjudicatedWithAdjustments\|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-ActCode	ActCode

Narrative

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

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

This value set expansion contains 2 concepts.

Code	System	Display	Definition
AA	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjudicated 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).
ANF	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjudicated 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).

Source1

{
  "resourceType": "ValueSet",
  "id": "R5-v3-AdjudicatedWithAdjustments-for-R4B",
  "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.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"
          }
        ]
      }
    },
    {
      "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/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/5.0/ValueSet/R5-v3-AdjudicatedWithAdjustments-for-R4B",
  "version": "0.0.1-snapshot-2",
  "name": "R5_v3_AdjudicatedWithAdjustments_for_R4B",
  "title": "Cross-version VS for R5.AdjudicatedWithAdjustments for use in FHIR R4B",
  "status": "active",
  "experimental": false,
  "date": "2025-09-01T22:37:05.055571+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-AdjudicatedWithAdjustments|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": "AA",
            "display": "adjudicated with adjustments"
          },
          {
            "code": "ANF",
            "display": "adjudicated with adjustments and no financial impact"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2025-09-01T22:37:05.055572+10:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "AA",
        "display": "adjudicated with adjustments"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "ANF",
        "display": "adjudicated with adjustments and no financial impact"
      }
    ]
  }
}