Codesystem-eligibility-outcome.xml

Definition for Code System ClaimProcessingCodes

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

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="eligibility-outcome"/> 
  <meta> 
    <lastUpdated value="2021-04-15T13:25:09.461+11:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> This code system http://hl7.org/fhir/eligibility-outcome defines the following codes:</p> 
      <table class="codes">
        <tr> 
          <td style="white-space:nowrap">
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">queued
            <a name="eligibility-outcome-queued"> </a> 
          </td> 
          <td> Queued</td> 
          <td> The Claim/Pre-authorization/Pre-determination has been received but processing has not
             begun.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">complete
            <a name="eligibility-outcome-complete"> </a> 
          </td> 
          <td> Processing Complete</td> 
          <td> The processing has completed without errors</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">error
            <a name="eligibility-outcome-error"> </a> 
          </td> 
          <td> Error</td> 
          <td> One or more errors have been detected in the Claim</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">partial
            <a name="eligibility-outcome-partial"> </a> 
          </td> 
          <td> Partial Processing</td> 
          <td> No errors have been detected in the Claim and some of the adjudication has been performed.</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/> 
  </extension> 
  <url value="http://hl7.org/fhir/eligibility-outcome"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.0"/> 
  </identifier> 
  <version value="4.6.0"/> 
  <name value="ClaimProcessingCodes"/> 
  <title value="Claim Processing Codes"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <publisher value="FHIR Project team"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <description value="This value set includes Claim Processing Outcome codes."/> 
  <copyright value="HL7 Inc."/> 
  <caseSensitive value="true"/> 
  <valueSet value="http://hl7.org/fhir/ValueSet/eligibility-outcome"/> 
  <content value="complete"/> 
  <concept> 
    <code value="queued"/> 
    <display value="Queued"/> 
    <definition value="The Claim/Pre-authorization/Pre-determination has been received but processing has not
     begun."/> 
  </concept> 
  <concept> 
    <code value="complete"/> 
    <display value="Processing Complete"/> 
    <definition value="The processing has completed without errors"/> 
  </concept> 
  <concept> 
    <code value="error"/> 
    <display value="Error"/> 
    <definition value="One or more errors have been detected in the Claim"/> 
  </concept> 
  <concept> 
    <code value="partial"/> 
    <display value="Partial Processing"/> 
    <definition value="No errors have been detected in the Claim and some of the adjudication has been performed."/> 
  </concept> 
</CodeSystem>