<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-ActInvoiceAdjudicationPaymentCode|2.0.0` for use in FHIR R4."/> <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-ActInvoiceAdjudicationPaymentCode|2.0.0` as defined in FHIR R5 in FHIR R4. 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-ActInvoiceAdjudicationPaymentCode|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4"/> <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="CONT"/> <display value="contract"/> </concept> <concept> <code value="DAY"/> <display value="day"/> </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="INVTYPE"/> <display value="invoice type"/> </concept> <concept> <code value="LOC"/> <display value="location"/> </concept> <concept> <code value="MONTH"/> <display value="month"/> </concept> <concept> <code value="PAYEE"/> <display value="payee"/> </concept> <concept> <code value="PAYOR"/> <display value="payor"/> </concept> <concept> <code value="PERIOD"/> <display value="period"/> </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="PROV"/> <display value="provider"/> </concept> <concept> <code value="RECOV"/> <display value="recovery"/> </concept> <concept> <code value="RETRO"/> <display value="retro adjustment"/> </concept> <concept> <code value="SENDAPP"/> <display value="sending application"/> </concept> <concept> <code value="TRAN"/> <display value="transaction fee"/> </concept> <concept> <code value="WEEK"/> <display value="week"/> </concept> <concept> <code value="YEAR"/> <display value="year"/> </concept> <concept> <code value="_ActInvoiceAdjudicationPaymentGroupCode"/> <display value="ActInvoiceAdjudicationPaymentGroupCode"/> </concept> <concept> <code value="_ActInvoiceAdjudicationPaymentSummaryCode"/> <display value="ActInvoiceAdjudicationPaymentSummaryCode"/> </concept> <concept> <code value="_ActInvoicePaymentCode"/> <display value="ActInvoiceAdjudicationPaymentGroupCode"/> </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="CONT"/> <display value="contract"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="DAY"/> <display value="day"/> </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="INVTYPE"/> <display value="invoice type"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="LOC"/> <display value="location"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="MONTH"/> <display value="month"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="PAYEE"/> <display value="payee"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="PAYOR"/> <display value="payor"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="PERIOD"/> <display value="period"/> </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="PROV"/> <display value="provider"/> </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="SENDAPP"/> <display value="sending application"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="TRAN"/> <display value="transaction fee"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="WEEK"/> <display value="week"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="YEAR"/> <display value="year"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="_ActInvoiceAdjudicationPaymentGroupCode"/> <display value="ActInvoiceAdjudicationPaymentGroupCode"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="_ActInvoiceAdjudicationPaymentSummaryCode"/> <display value="ActInvoiceAdjudicationPaymentSummaryCode"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <version value="8.0.0"/> <code value="_ActInvoicePaymentCode"/> <display value="ActInvoiceAdjudicationPaymentGroupCode"/> </contains> </expansion> </ValueSet>

Generated Narrative: ValueSet R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4

This value set expansion contains 28 concepts.

System	Version	Code	Display	Definition
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	ALEC	alternate electronic	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).
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	BONUS	bonus	Bonus payments based on performance, volume, etc. as agreed to by the payor.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	CFWD	carry forward adjusment	An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	CONT	contract	Transaction counts and value totals by Contract Identifier.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	DAY	day	Transaction counts and value totals for each calendar day within the date range specified.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	EDU	education fees	Fees deducted on behalf of a payee for tuition and continuing education.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	EPYMT	early payment fee	Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	GARN	garnishee	Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	INVOICE	submitted invoice	Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	INVTYPE	invoice type	Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	LOC	location	Transaction counts and value totals by service location (e.g clinic).
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	MONTH	month	Transaction counts and value totals for each calendar month within the date range specified.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	PAYEE	payee	Transaction counts and value totals by each instance of an invoice payee.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	PAYOR	payor	Transaction counts and value totals by each instance of an invoice payor.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	PERIOD	period	Transaction counts and value totals for the date range specified.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	PINV	paper invoice	Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	PPRD	prior period adjustment	An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	PROA	professional association deduction	Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	PROV	provider	Transaction counts and value totals by Provider Identifier.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	RECOV	recovery	Retroactive adjustment such as fee rate adjustment due to contract negotiations.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	RETRO	retro adjustment	Bonus payments based on performance, volume, etc. as agreed to by the payor.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	SENDAPP	sending application	Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	TRAN	transaction fee	Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	WEEK	week	Transaction counts and value totals for each calendar week within the date range specified.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	YEAR	year	Transaction counts and value totals for each calendar year within the date range specified.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	_ActInvoiceAdjudicationPaymentGroupCode	ActInvoiceAdjudicationPaymentGroupCode	Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	_ActInvoiceAdjudicationPaymentSummaryCode	ActInvoiceAdjudicationPaymentSummaryCode	Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	8.0.0	_ActInvoicePaymentCode	ActInvoiceAdjudicationPaymentGroupCode	Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.