R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

4.4.1.159 ValueSet http://hl7.org/fhir/ValueSet/eligibility-outcome

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Work Group

Maturity Level: 2

Trial Use

Use Context: Country: World

Official URL: `http://hl7.org/fhir/ValueSet/eligibility-outcome`				Version: 5.0.0-draft-final
draft as of 2020-12-28				Computable Name: EligibilityOutcome
Flags: Immutable				OID: 2.16.840.1.113883.4.642.3.3233

This value set is used in the following places:

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

4.4.1.159.1 Definition

The outcome of the processing.

4.4.1.159.2 Content Logical Definition

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

4.4.1.159.3 Expansion

This expansion generated 01 Mar 2023

This value set contains 4 concepts

Expansion based on Claim Processing Codes v5.0.0-draft-final (CodeSystem)

Code	System	Display	Definition
queued	http://hl7.org/fhir/eligibility-outcome	Queued	The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.
complete	http://hl7.org/fhir/eligibility-outcome	Processing Complete	The processing has completed without errors
error	http://hl7.org/fhir/eligibility-outcome	Error	One or more errors have been detected in the Claim
partial	http://hl7.org/fhir/eligibility-outcome	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