This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

AdjudicatedWithAdjustments - XML Representation

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Raw xml

Source view

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-AdjudicatedWithAdjustments"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><h2>AdjudicatedWithAdjustments</h2><div><p>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).</p>
<p>Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.</p>
<p>Invoice element can be reversed (nullified).</p>
<p>Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).</p>
</div><ul><li>Include codes from <a href="CodeSystem-v3-ActCode.html"><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></a> where concept  is-a  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-AA">AA</a></li></ul></div>
  </text>
  <url value="http://terminology.hl7.org/ValueSet/v3-AdjudicatedWithAdjustments"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.1.11.19347"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="AdjudicatedWithAdjustments"/>
  <title value="AdjudicatedWithAdjustments"/>
  <status value="active"/>
  <date value="2014-03-26T00:00:00-04:00"/>
  <description
               value="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 &#39;Adjudicate as zero&#39; 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)."/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="AA"/>
      </filter>
    </include>
  </compose>
</ValueSet>