Release 5 Preview #3

This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

4.4.1.591 Value Set http://hl7.org/fhir/ValueSet/remittance-outcome

Financial Management

Work Group

Maturity Level: 2

Trial Use

Use Context: Any

This is a value set defined by the FHIR project.

Summary

Defining URL: http://hl7.org/fhir/ValueSet/remittance-outcome

Version: 4.5.0

Name: ClaimProcessingCodes

Title: Claim Processing Codes

Definition:

This value set includes Claim Processing Outcome codes.

Committee: Financial Management Work Group

OID: 2.16.840.1.113883.4.642.3.13 (for OID based terminology systems)

Copyright:

HL7 Inc.

Source Resource XML / JSON

This value set is used in the following places:

CodeSystem: This value set is the designated 'entire code system' value set for ClaimProcessingCodes
Resource: ExplanationOfBenefit.outcome (code / Required)
Resource: ClaimResponse.outcome (code / Required)

4.4.1.591.1 Content Logical Definition

Include all codes defined in http://hl7.org/fhir/remittance-outcome

4.4.1.591.2 Expansion

This expansion generated 20 Aug 2020

This value set contains 4 concepts

Expansion based on Claim Processing Codes v4.5.0 (CodeSystem)

All codes from system http://hl7.org/fhir/remittance-outcome

Code	Display	Definition
queued	Queued	The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.
complete	Processing Complete	The processing has completed without errors
error	Error	One or more errors have been detected in the Claim
partial	Partial Processing	No errors have been detected in the Claim and some of the adjudication has been performed.

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl

A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')

Display

The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code