This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw JSON (canonical form + also see JSON Format Specification)
Definition for Code SystemClaimProcessingOutcomeCodes
{ "resourceType" : "CodeSystem", "id" : "claim-outcome", "meta" : { "lastUpdated" : "2022-09-07T10:58:29.429+10:00", "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"] }, "text" : { "status" : "generated", "div" : "<div>!-- Snipped for Brevity --></div>" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "fm" }], "url" : "http://hl7.org/fhir/claim-outcome", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.4.642.4.1897" }], "version" : "5.0.0-ballot", "name" : "ClaimProcessingOutcomeCodes", "title" : "Claim Processing Outcome Codes", "status" : "draft", "experimental" : false, "description" : "This value set includes Claim Processing Outcome codes.", "copyright" : "HL7 Inc.", "caseSensitive" : true, "content" : "complete", "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." }] }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.