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Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
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Definition for Code SystemClaimProcessingCodes
{ "resourceType" : "CodeSystem", "id" : "enrollment-outcome", "meta" : { "lastUpdated" : "2024-08-12T19:52:12.437+11:00", "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem enrollment-outcome</b></p><a name=\"enrollment-outcome\"> </a><a name=\"hcenrollment-outcome\"> </a><a name=\"enrollment-outcome-en-AU\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2020-12-28T16:55:11.085+11:00</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://hl7.org/fhir/enrollment-outcome</code> 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=\"enrollment-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=\"enrollment-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=\"enrollment-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=\"enrollment-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>" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "fm" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "trial-use" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 2 }], "url" : "http://hl7.org/fhir/enrollment-outcome", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.4.642.4.1974" }], "version" : "6.0.0-ballot2", "name" : "ClaimProcessingCodes", "title" : "Claim Processing Codes", "status" : "active", "experimental" : false, "publisher" : "FHIR Project team", "contact" : [{ "telecom" : [{ "system" : "url", "value" : "http://hl7.org/fhir" }] }], "description" : "This value set includes Claim Processing Outcome codes.", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001", "display" : "World" }] }], "copyright" : "HL7 Inc.", "caseSensitive" : true, "valueSet" : "http://hl7.org/fhir/ValueSet/enrollment-outcome", "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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Mon, Aug 12, 2024 16:56+0800.
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