Definition for Code SystemClaimProcessingOutcomeCodes
@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
# - resource -------------------------------------------------------------------
[] a fhir:CodeSystem ;
fhir:id [ fhir:v "claim-outcome"] ;
fhir:meta [
fhir:lastUpdated [ fhir:v "2024-08-12T16:52:12.437+08:00" ] ;
fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ] )
] ;
fhir:text [
fhir:status [ fhir:v "generated" ]
] ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
fhir:value [ fhir:v "fm" ]
] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/claim-outcome"], [ fhir:v "http://hl7.org/fhir/claim-outcome"] ;
fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.1897" ]
] [
fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.1897" ]
] ) ;
fhir:version [ fhir:v "6.0.0-ballot2"], [ fhir:v "6.0.0-ballot2"] ;
fhir:name [ fhir:v "ClaimProcessingOutcomeCodes"], [ fhir:v "ClaimProcessingOutcomeCodes"] ;
fhir:title [ fhir:v "Claim Processing Outcome Codes"], [ fhir:v "Claim Processing Outcome Codes"] ;
fhir:status [ fhir:v "active"], [ fhir:v "active"] ;
fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ;
fhir:publisher [ fhir:v "HL7 International"], [ fhir:v "HL7 International"] ;
fhir:description [ fhir:v "This value set includes Claim Processing Outcome codes."], [ fhir:v "This value set includes Claim Processing Outcome codes."] ;
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] ) ;
fhir:copyright [ fhir:v "HL7 Inc."], [ fhir:v "HL7 Inc."] ;
fhir:caseSensitive [ fhir:v "true"] ;
fhir:content [ fhir:v "complete"] ;
fhir:concept ( [
fhir:code [ fhir:v "queued" ] ;
fhir:display [ fhir:v "Queued" ] ;
fhir:definition [ fhir:v "The Claim/Pre-authorization/Pre-determination has been received but processing has not begun." ]
] [
fhir:code [ fhir:v "complete" ] ;
fhir:display [ fhir:v "Processing Complete" ] ;
fhir:definition [ fhir:v "The processing has completed without errors" ]
] [
fhir:code [ fhir:v "error" ] ;
fhir:display [ fhir:v "Error" ] ;
fhir:definition [ fhir:v "One or more errors have been detected in the Claim" ]
] [
fhir:code [ fhir:v "partial" ] ;
fhir:display [ fhir:v "Partial Processing" ] ;
fhir:definition [ fhir:v "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.