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

name
ClaimProcessingOutcomeCodes
package
hl7.fhir.r5.core@5.0.0
content
complete
status
active

Claim Processing Outcome Codes

This value set includes Claim Processing Outcome codes.

{
  "description" : "This value set includes Claim Processing Outcome 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" : "ClaimProcessingOutcomeCodes",
  "copyright" : "HL7 Inc.",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Claim Processing Outcome Codes",
  "supliment" : null,
  "extension" : [ {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  } ],
  "status" : "active",
  "id" : "279b6308-0ec7-5e0b-a16f-7a9a38a9a489",
  "url" : "http://hl7.org/fhir/claim-outcome",
  "identifier" : [ {
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1897",
    "system" : "urn:ietf:rfc:3986"
  } ],
  "concept" : [ {
    "code" : "queued",
    "display" : "Queued",
    "definition" : "The Claim/Pre-authorization/Pre-determination has been received but processing has not begun."
  }, {
    "code" : "complete",
    "display" : "Processing Complete",
    "definition" : "The processing has completed without errors"
  }, {
    "code" : "error",
    "display" : "Error",
    "definition" : "One or more errors have been detected in the Claim"
  }, {
    "code" : "partial",
    "display" : "Partial Processing",
    "definition" : "No errors have been detected in the Claim and some of the adjudication has been performed."
  } ],
  "caseSensitive" : true,
  "version" : "5.0.0"
}