http://hl7.org/fhir/claim-decision|5.0.0

{
  "description" : "This value set provides Claim Adjudication Decision codes.",
  "compose" : null,
  "package" : "hl7.fhir.r5.core@5.0.0",
  "date" : null,
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
    "lastUpdated" : "2023-03-26T15:21:02.749+11:00"
  },
  "publisher" : "HL7 International",
  "jurisdiction" : [ {
    "coding" : [ {
      "code" : "001",
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display" : "World"
    } ]
  } ],
  "content" : "complete",
  "name" : "ClaimAdjudicationDecisionCodes",
  "copyright" : "HL7 Inc.",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Claim Adjudication Decision Codes",
  "supliment" : null,
  "extension" : [ {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  } ],
  "status" : "active",
  "id" : "113a8654-c1fa-53a6-87cb-5d578092d32b",
  "url" : "http://hl7.org/fhir/claim-decision",
  "identifier" : [ {
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1896",
    "system" : "urn:ietf:rfc:3986"
  } ],
  "concept" : [ {
    "code" : "denied",
    "display" : "Denied",
    "definition" : "The claim, or individual services, are not approved for any payment. This may also be known as 'rejected'."
  }, {
    "code" : "approved",
    "display" : "Approved",
    "definition" : "The claim, or individual services, are approved as submitted."
  }, {
    "code" : "partial",
    "display" : "Partial",
    "definition" : "The claim, or individual services, are approved at an amount less than as submitted."
  }, {
    "code" : "pending",
    "display" : "Pending",
    "definition" : "The adjudication processing is not complete. This may be due to requiring manual review or receipt of additional information."
  } ],
  "caseSensitive" : true,
  "version" : "5.0.0"
}