Extensions for Using Data Elements from FHIR R5 in FHIR STU3
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Extensions for Using Data Elements from FHIR R5 in FHIR STU3 - Downloaded Version null See the Directory of published versions

: R5V3ActInvoiceAdjudicationPaymentGroupCodeForR3 - XML Representation

Page standards status: Trial-use Maturity Level: 0

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3</b></p><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3"> </a><a name="hcR5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3"> </a><p>This value set expansion contains 13 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-ALEC"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-ALEC">ALEC</a></td><td>alternate electronic</td><td><div><p>Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-BONUS"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-BONUS">BONUS</a></td><td>bonus</td><td><div><p>Bonus payments based on performance, volume, etc. as agreed to by the payor.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-CFWD"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-CFWD">CFWD</a></td><td>carry forward adjusment</td><td><div><p>An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-EDU"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-EDU">EDU</a></td><td>education fees</td><td><div><p>Fees deducted on behalf of a payee for tuition and continuing education.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-EPYMT"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-EPYMT">EPYMT</a></td><td>early payment fee</td><td><div><p>Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-GARN"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-GARN">GARN</a></td><td>garnishee</td><td><div><p>Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-INVOICE"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-INVOICE">INVOICE</a></td><td>submitted invoice</td><td><div><p>Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-PINV"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-PINV">PINV</a></td><td>paper invoice</td><td><div><p>Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-PPRD"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-PPRD">PPRD</a></td><td>prior period adjustment</td><td><div><p>An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-PROA"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-PROA">PROA</a></td><td>professional association deduction</td><td><div><p>Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-RECOV"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-RECOV">RECOV</a></td><td>recovery</td><td><div><p>Retroactive adjustment such as fee rate adjustment due to contract negotiations.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-RETRO"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-RETRO">RETRO</a></td><td>retro adjustment</td><td><div><p>Bonus payments based on performance, volume, etc. as agreed to by the payor.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3-http://terminology.hl7.org/CodeSystem/v3-ActCode-TRAN"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></td><td>8.0.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-TRAN">TRAN</a></td><td>transaction fee</td><td><div><p>Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.</p>
</div></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r5.r3"/>
    </extension>
    <extension url="version">
      <valueString value="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri
                value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueUri
                  value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueUri
                  value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R3"/>
  <version value="0.1.0"/>
  <name value="R5V3ActInvoiceAdjudicationPaymentGroupCodeForR3"/>
  <title
         value="Cross-version ValueSet R5.ActInvoiceAdjudicationPaymentGroupCode for use in FHIR STU3"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <publisher value="FHIR Infrastructure"/>
  <contact>
    <name value="FHIR Infrastructure"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
  </contact>
  <description
               value="This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentGroupCode|2.0.0` for use in FHIR STU3."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentGroupCode|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-ActInvoiceAdjudicationPaymentGroupCode|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <concept>
        <code value="ALEC"/>
        <display value="alternate electronic"/>
      </concept>
      <concept>
        <code value="BONUS"/>
        <display value="bonus"/>
      </concept>
      <concept>
        <code value="CFWD"/>
        <display value="carry forward adjusment"/>
      </concept>
      <concept>
        <code value="EDU"/>
        <display value="education fees"/>
      </concept>
      <concept>
        <code value="EPYMT"/>
        <display value="early payment fee"/>
      </concept>
      <concept>
        <code value="GARN"/>
        <display value="garnishee"/>
      </concept>
      <concept>
        <code value="INVOICE"/>
        <display value="submitted invoice"/>
      </concept>
      <concept>
        <code value="PINV"/>
        <display value="paper invoice"/>
      </concept>
      <concept>
        <code value="PPRD"/>
        <display value="prior period adjustment"/>
      </concept>
      <concept>
        <code value="PROA"/>
        <display value="professional association deduction"/>
      </concept>
      <concept>
        <code value="RECOV"/>
        <display value="recovery"/>
      </concept>
      <concept>
        <code value="RETRO"/>
        <display value="retro adjustment"/>
      </concept>
      <concept>
        <code value="TRAN"/>
        <display value="transaction fee"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="ALEC"/>
      <display value="alternate electronic"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="BONUS"/>
      <display value="bonus"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="CFWD"/>
      <display value="carry forward adjusment"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="EDU"/>
      <display value="education fees"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="EPYMT"/>
      <display value="early payment fee"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="GARN"/>
      <display value="garnishee"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="INVOICE"/>
      <display value="submitted invoice"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="PINV"/>
      <display value="paper invoice"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="PPRD"/>
      <display value="prior period adjustment"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="PROA"/>
      <display value="professional association deduction"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="RECOV"/>
      <display value="recovery"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="RETRO"/>
      <display value="retro adjustment"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="TRAN"/>
      <display value="transaction fee"/>
    </contains>
  </expansion>
</ValueSet>