FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions

: Cross-version VS for R5.ActInvoiceAdjudicationPaymentGroupCode for use in FHIR R4 - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4</b></p><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4\"> </a><a name=\"hcR5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4\"> </a><p>This value set expansion contains 13 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ALEC\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ALEC\">ALEC</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</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>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-BONUS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-BONUS\">BONUS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>bonus</td><td><div><p>Bonus payments based on performance, volume, etc. as agreed to by the payor.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-CFWD\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-CFWD\">CFWD</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</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>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-EDU\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EDU\">EDU</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>education fees</td><td><div><p>Fees deducted on behalf of a payee for tuition and continuing education.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-EPYMT\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EPYMT\">EPYMT</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</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>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-GARN\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-GARN\">GARN</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</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>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-INVOICE\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-INVOICE\">INVOICE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</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>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PINV\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PINV\">PINV</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</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>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PPRD\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PPRD\">PPRD</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</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>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PROA\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PROA\">PROA</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</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>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-RECOV\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-RECOV\">RECOV</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>recovery</td><td><div><p>Retroactive adjustment such as fee rate adjustment due to contract negotiations.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-RETRO\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-RETRO\">RETRO</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>retro adjustment</td><td><div><p>Bonus payments based on performance, volume, etc. as agreed to by the payor.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-TRAN\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-TRAN\">TRAN</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</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>\n</div></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fhir"
    },
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r5.r4"
        },
        {
          "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.r4"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4",
  "version" : "0.0.1-snapshot-2",
  "name" : "R5_v3_ActInvoiceAdjudicationPaymentGroupCode_for_R4",
  "title" : "Cross-version VS for R5.ActInvoiceAdjudicationPaymentGroupCode for use in FHIR R4",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-01T22:37:04.888693+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-ActInvoiceAdjudicationPaymentGroupCode|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.",
  "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" : "ALEC",
            "display" : "alternate electronic"
          },
          {
            "code" : "BONUS",
            "display" : "bonus"
          },
          {
            "code" : "CFWD",
            "display" : "carry forward adjusment"
          },
          {
            "code" : "EDU",
            "display" : "education fees"
          },
          {
            "code" : "EPYMT",
            "display" : "early payment fee"
          },
          {
            "code" : "GARN",
            "display" : "garnishee"
          },
          {
            "code" : "INVOICE",
            "display" : "submitted invoice"
          },
          {
            "code" : "PINV",
            "display" : "paper invoice"
          },
          {
            "code" : "PPRD",
            "display" : "prior period adjustment"
          },
          {
            "code" : "PROA",
            "display" : "professional association deduction"
          },
          {
            "code" : "RECOV",
            "display" : "recovery"
          },
          {
            "code" : "RETRO",
            "display" : "retro adjustment"
          },
          {
            "code" : "TRAN",
            "display" : "transaction fee"
          }
        ]
      }
    ]
  },
  "expansion" : {
    "timestamp" : "2025-09-01T22:37:04.888689+10:00",
    "contains" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "ALEC",
        "display" : "alternate electronic"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "BONUS",
        "display" : "bonus"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "CFWD",
        "display" : "carry forward adjusment"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "EDU",
        "display" : "education fees"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "EPYMT",
        "display" : "early payment fee"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "GARN",
        "display" : "garnishee"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "INVOICE",
        "display" : "submitted invoice"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "PINV",
        "display" : "paper invoice"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "PPRD",
        "display" : "prior period adjustment"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "PROA",
        "display" : "professional association deduction"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "RECOV",
        "display" : "recovery"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "RETRO",
        "display" : "retro adjustment"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version" : "8.0.0",
        "code" : "TRAN",
        "display" : "transaction fee"
      }
    ]
  }
}