CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue ButtonĀ®)
1.1.0 - STU1 Update

This page is part of the CARIN Blue Button Implementation Guide (v1.1.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: C4BB Payer Claim Payment Status Code - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "C4BBPayerClaimPaymentStatusCode"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html\"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-paid\">paid</a></td><td>Paid</td><td>Indicates if the claim was approved for payment</td></tr><tr><td><a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-denied\">denied</a></td><td>Denied</td><td>Indicates if the claim was denied</td></tr><tr><td><a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-partiallypaid\">partiallypaid</a></td><td>Partially Paid</td><td>Indicates that some line items on the claim were denied</td></tr></table></li></ul></div>"
  ];
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode"];
  fhir:ValueSet.version [ fhir:value "1.1.0"];
  fhir:ValueSet.name [ fhir:value "C4BBPayerClaimPaymentStatusCode"];
  fhir:ValueSet.title [ fhir:value "C4BB Payer Claim Payment Status Code"];
  fhir:ValueSet.status [ fhir:value "active"];
  fhir:ValueSet.date [ fhir:value "2021-07-02T17:53:32+00:00"^^xsd:dateTime];
  fhir:ValueSet.publisher [ fhir:value "HL7 Financial Management Working Group"];
  fhir:ValueSet.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 Financial Management Working Group" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm/index.cfm" ]     ], [
       fhir:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "fm@lists.HL7.org" ]     ]
  ];
  fhir:ValueSet.description [ fhir:value "Indicates whether the claim / item was paid or denied."];
  fhir:ValueSet.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:ValueSet.copyright [ fhir:value "This Valueset is not copyrighted."];
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0;
       fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus" ];
       fhir:ValueSet.compose.include.concept [
         fhir:index 0;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "paid" ]       ], [
         fhir:index 1;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "denied" ]       ], [
         fhir:index 2;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "partiallypaid" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.