<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-v3-ActInvoiceDetailGenericProviderCode-for-R4</b></p><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4"> </a><a name="hcR5-v3-ActInvoiceDetailGenericProviderCode-for-R4"> </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-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-CANCAPT"> </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-CANCAPT">CANCAPT</a></td><td>cancelled appointment</td><td><div><p>A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-DSC"> </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-DSC">DSC</a></td><td>discount</td><td><div><p>A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ESA"> </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-ESA">ESA</a></td><td>extraordinary service assessment</td><td><div><p>A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FFSTOP"> </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-FFSTOP">FFSTOP</a></td><td>fee for service top off</td><td><div><p>Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FNLFEE"> </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-FNLFEE">FNLFEE</a></td><td>final fee</td><td><div><p>Anticipated or actual final fee associated with treating a patient.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-FRSTFEE"> </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-FRSTFEE">FRSTFEE</a></td><td>first fee</td><td><div><p>Anticipated or actual initial fee associated with treating a patient.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-MARKUP"> </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-MARKUP">MARKUP</a></td><td>markup or up-charge</td><td><div><p>An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-MISSAPT"> </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-MISSAPT">MISSAPT</a></td><td>missed appointment</td><td><div><p>A charge to compensate the provider when a patient does not show for an appointment.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PERFEE"> </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-PERFEE">PERFEE</a></td><td>periodic fee</td><td><div><p>Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-PERMBNS"> </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-PERMBNS">PERMBNS</a></td><td>performance bonus</td><td><div><p>The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-RESTOCK"> </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-RESTOCK">RESTOCK</a></td><td>restocking fee</td><td><div><p>A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-TRAVEL"> </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-TRAVEL">TRAVEL</a></td><td>travel</td><td><div><p>A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.</p>
</div></td></tr><tr><td><a name="R5-v3-ActInvoiceDetailGenericProviderCode-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-URGENT"> </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-URGENT">URGENT</a></td><td>urgent</td><td><div><p>Premium paid on service fees in compensation for providing an expedited response to an urgent situation.</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.r4"/>
    </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.r4"/>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
      </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">
        <valueCanonical value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActInvoiceDetailGenericProviderCode-for-R4"/>
  <version value="0.1.0"/>
  <name value="R5V3ActInvoiceDetailGenericProviderCodeForR4"/>
  <title value="Cross-version ValueSet R5.ActInvoiceDetailGenericProviderCode for use in FHIR R4"/>
  <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-ActInvoiceDetailGenericProviderCode|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&#xD;&#xA;value set `http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericProviderCode|2.0.0` as defined in FHIR R5&#xD;&#xA;in FHIR R4.&#xD;&#xA;&#xD;&#xA;The source value set is bound to the following FHIR R5 elements:&#xD;&#xA;* &#xD;&#xA;&#xD;&#xA;Note that all concepts are included in this cross-version definition because no concepts have compatible representations&#xD;&#xA;&#xD;&#xA;Following are the generation technical comments:&#xD;&#xA;&#xA;FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericProviderCode|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="CANCAPT"/>
        <display value="cancelled appointment"/>
      </concept>
      <concept>
        <code value="DSC"/>
        <display value="discount"/>
      </concept>
      <concept>
        <code value="ESA"/>
        <display value="extraordinary service assessment"/>
      </concept>
      <concept>
        <code value="FFSTOP"/>
        <display value="fee for service top off"/>
      </concept>
      <concept>
        <code value="FNLFEE"/>
        <display value="final fee"/>
      </concept>
      <concept>
        <code value="FRSTFEE"/>
        <display value="first fee"/>
      </concept>
      <concept>
        <code value="MARKUP"/>
        <display value="markup or up-charge"/>
      </concept>
      <concept>
        <code value="MISSAPT"/>
        <display value="missed appointment"/>
      </concept>
      <concept>
        <code value="PERFEE"/>
        <display value="periodic fee"/>
      </concept>
      <concept>
        <code value="PERMBNS"/>
        <display value="performance bonus"/>
      </concept>
      <concept>
        <code value="RESTOCK"/>
        <display value="restocking fee"/>
      </concept>
      <concept>
        <code value="TRAVEL"/>
        <display value="travel"/>
      </concept>
      <concept>
        <code value="URGENT"/>
        <display value="urgent"/>
      </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="CANCAPT"/>
      <display value="cancelled appointment"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="DSC"/>
      <display value="discount"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="ESA"/>
      <display value="extraordinary service assessment"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="FFSTOP"/>
      <display value="fee for service top off"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="FNLFEE"/>
      <display value="final fee"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="FRSTFEE"/>
      <display value="first fee"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="MARKUP"/>
      <display value="markup or up-charge"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="MISSAPT"/>
      <display value="missed appointment"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="PERFEE"/>
      <display value="periodic fee"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="PERMBNS"/>
      <display value="performance bonus"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="RESTOCK"/>
      <display value="restocking fee"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="TRAVEL"/>
      <display value="travel"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <version value="8.0.0"/>
      <code value="URGENT"/>
      <display value="urgent"/>
    </contains>
  </expansion>
</ValueSet>