FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions

ValueSet: Cross-version VS for R5.ClaimAdjudicationDecisionsCodes for use in FHIR R4

Official URL: http://hl7.org/fhir/5.0/ValueSet/R5-claim-decision-for-R4 Version: 0.0.1-snapshot-2
Standards status: Informative Maturity Level: 1 Responsible: Financial Management Computable Name: R5_claim_decision_for_R4

This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/claim-decision 5.0.0 for use in FHIR R4. Concepts not present here have direct equivalent mappings crossing all versions from R5 to R4.

References

Logical Definition (CLD)

  • Include these codes as defined in http://hl7.org/fhir/claim-decision version 5.0.0
    CodeDisplayDefinition
    deniedDeniedThe claim, or individual services, are not approved for any payment. This may also be known as 'rejected'.
    approvedApprovedThe claim, or individual services, are approved as submitted.
    partialPartialThe claim, or individual services, are approved at an amount less than as submitted.
    pendingPendingThe adjudication processing is not complete. This may be due to requiring manual review or receipt of additional information.

 

Expansion

This value set expansion contains 4 concepts.

CodeSystemDisplayDefinition
  deniedhttp://hl7.org/fhir/claim-decisionDeniedThe claim, or individual services, are not approved for any payment. This may also be known as 'rejected'.
  approvedhttp://hl7.org/fhir/claim-decisionApprovedThe claim, or individual services, are approved as submitted.
  partialhttp://hl7.org/fhir/claim-decisionPartialThe claim, or individual services, are approved at an amount less than as submitted.
  pendinghttp://hl7.org/fhir/claim-decisionPendingThe adjudication processing is not complete. This may be due to requiring manual review or receipt of additional information.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System 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)
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