FHIR Cross-Version Extensions package for FHIR R4B from FHIR R4 - Version 0.0.1-snapshot-2. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Claim Processing Codes - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "remittance-outcome",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem remittance-outcome</b></p><a name=\"remittance-outcome\"> </a><a name=\"hcremittance-outcome\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/remittance-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=\"remittance-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=\"remittance-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=\"remittance-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=\"remittance-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-standards-status",
      "valueCode" : "informative"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2
    },
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r4.r4b"
        },
        {
          "url" : "version",
          "valueString" : "0.0.1-snapshot-2"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    }
  ],
  "url" : "http://hl7.org/fhir/remittance-outcome",
  "version" : "4.0.1",
  "name" : "ClaimProcessingCodes",
  "title" : "Claim Processing Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-09-13T16:11:23-04:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "name" : "Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "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/remittance-outcome|4.3.0",
  "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."
    }
  ]
}