FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4b |
| Resource Type | ValueSet |
| Id | ValueSet-R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B.json |
| FHIR Version | R4B |
| Source | http://hl7.org/fhir/uv/xver-r5.r4b/0.1.0/ValueSet-R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B.html |
| URL | http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T21:02:03.8104715+00:00 |
| Name | R5V3ActInvoiceAdjudicationPaymentCodeForR4B |
| Title | Cross-version ValueSet R5.ActInvoiceAdjudicationPaymentCode for use in FHIR R4B |
| Realm | uv |
| Authority | hl7 |
| Description | This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentCode|2.0.0` for use in FHIR R4B. |
| Purpose | 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 R4B. 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 R4B |
No resources found
| CodeSystem | ||
| hl7.terminology#current | v3-ActCode | ActCode |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B
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. |
FHIR
FHIRsmith{
"resourceType": "ValueSet",
"id": "R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
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{
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}
],
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{
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"valueInteger": 0,
"_valueInteger": {
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"valueCode": "trial-use",
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],
"url": "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B",
"version": "0.1.0",
"name": "R5V3ActInvoiceAdjudicationPaymentCodeForR4B",
"title": "Cross-version ValueSet R5.ActInvoiceAdjudicationPaymentCode for use in FHIR R4B",
"status": "active",
"experimental": false,
"date": "2026-03-17T21:02:03.8104715+00:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
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],
"description": "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentCode|2.0.0` for use in FHIR R4B.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"purpose": "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentCode|2.0.0` as defined in FHIR R5\r\nin FHIR R4B.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentCode|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4B",
"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": "CONT",
"display": "contract"
},
{
"code": "DAY",
"display": "day"
},
{
"code": "EDU",
"display": "education fees"
},
{
"code": "EPYMT",
"display": "early payment fee"
},
{
"code": "GARN",
"display": "garnishee"
},
{
"code": "INVOICE",
"display": "submitted invoice"
},
{
"code": "INVTYPE",
"display": "invoice type"
},
{
"code": "LOC",
"display": "location"
},
{
"code": "MONTH",
"display": "month"
},
{
"code": "PAYEE",
"display": "payee"
},
{
"code": "PAYOR",
"display": "payor"
},
{
"code": "PERIOD",
"display": "period"
},
{
"code": "PINV",
"display": "paper invoice"
},
{
"code": "PPRD",
"display": "prior period adjustment"
},
{
"code": "PROA",
"display": "professional association deduction"
},
{
"code": "PROV",
"display": "provider"
},
{
"code": "RECOV",
"display": "recovery"
},
{
"code": "RETRO",
"display": "retro adjustment"
},
{
"code": "SENDAPP",
"display": "sending application"
},
{
"code": "TRAN",
"display": "transaction fee"
},
{
"code": "WEEK",
"display": "week"
},
{
"code": "YEAR",
"display": "year"
},
{
"code": "_ActInvoiceAdjudicationPaymentGroupCode",
"display": "ActInvoiceAdjudicationPaymentGroupCode"
},
{
"code": "_ActInvoiceAdjudicationPaymentSummaryCode",
"display": "ActInvoiceAdjudicationPaymentSummaryCode"
},
{
"code": "_ActInvoicePaymentCode",
"display": "ActInvoiceAdjudicationPaymentGroupCode"
}
]
}
]
},
"expansion": {
"timestamp": "2026-03-17T21:02:03.8104715+00:00",
"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": "CONT",
"display": "contract"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "DAY",
"display": "day"
},
{
"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": "INVTYPE",
"display": "invoice type"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "LOC",
"display": "location"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "MONTH",
"display": "month"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PAYEE",
"display": "payee"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PAYOR",
"display": "payor"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PERIOD",
"display": "period"
},
{
"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": "PROV",
"display": "provider"
},
{
"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": "SENDAPP",
"display": "sending application"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "TRAN",
"display": "transaction fee"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "WEEK",
"display": "week"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "YEAR",
"display": "year"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "_ActInvoiceAdjudicationPaymentGroupCode",
"display": "ActInvoiceAdjudicationPaymentGroupCode"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "_ActInvoiceAdjudicationPaymentSummaryCode",
"display": "ActInvoiceAdjudicationPaymentSummaryCode"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "_ActInvoicePaymentCode",
"display": "ActInvoiceAdjudicationPaymentGroupCode"
}
]
}
}