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Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
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Definition for Code SystemClaimProcessingCodes
@prefix fhir: <http://hl7.org/fhir/> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . # - resource ------------------------------------------------------------------- [] a fhir:CodeSystem ; fhir:id [ fhir:v "eligibility-outcome"] ; fhir:meta [ fhir:lastUpdated [ fhir:v "2023-03-26T15:21:02.749+11:00" ] ; 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/StructureDefinition/structuredefinition-standards-status" ] ; fhir:value [ fhir:v "trial-use" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ; fhir:value [ fhir:v "2" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/eligibility-outcome"], [ fhir:v "http://hl7.org/fhir/eligibility-outcome"] ; fhir:identifier ( [ fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ; fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.2072" ] ] [ fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ; fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.2072" ] ] ) ; fhir:version [ fhir:v "5.0.0"], [ fhir:v "5.0.0"] ; fhir:name [ fhir:v "ClaimProcessingCodes"], [ fhir:v "ClaimProcessingCodes"] ; fhir:title [ fhir:v "Claim Processing Codes"], [ fhir:v "Claim Processing Codes"] ; fhir:status [ fhir:v "active"], [ fhir:v "active"] ; fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ; fhir:publisher [ fhir:v "FHIR Project team"], [ fhir:v "FHIR Project team"] ; fhir:contact ( [ fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://hl7.org/fhir" ] ] ) ] [ fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://hl7.org/fhir" ] ] ) ] ) ; 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:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/eligibility-outcome"] ; 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.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:22+1100.
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