R6 Ballot (3rd Draft)

This page is part of the FHIR Specification v6.0.0-ballot3: Release 6 Ballot (3rd Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

4.4.1.212 ValueSet http://hl7.org/fhir/ValueSet/claim-outcome

Financial Management icon Work Group  Maturity Level: 2 Trial Use Use Context: Country: World
Official URL: http://hl7.org/fhir/ValueSet/claim-outcome Version: 6.0.0-ballot3
draft as of 2025-04-01 Computable Name: ClaimProcessingCodes
Flags: OID: 2.16.840.1.113883.4.642.3.2984

This value set is used in the following places:

4.4.1.212.1 Definition

This value set includes Claim Processing Outcome codes.

4.4.1.212.2 Content Logical Definition

Generated Narrative: ValueSet claim-outcome

Last updated: 2025-04-01T12:16:37.966+11:00

Profile: Shareable ValueSet

 

4.4.1.212.3 Expansion

This expansion generated 01 Apr 2025

ValueSet

Expansion performed internally based on codesystem Claim Processing Outcome Codes v6.0.0-ballot3 (CodeSystem)

This value set contains 4 concepts

CodeSystemDisplayDefinition
  queued http://hl7.org/fhir/claim-outcome Queued

The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.

  complete http://hl7.org/fhir/claim-outcome Processing Complete

The processing has completed without errors

  error http://hl7.org/fhir/claim-outcome Error

One or more errors have been detected in the Claim

  partial http://hl7.org/fhir/claim-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