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

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

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{
  "resourceType" : "ValueSet",
  "id" : "R5-claim-decision-for-R4",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-claim-decision-for-R4</b></p><a name=\"R5-claim-decision-for-R4\"> </a><a name=\"hcR5-claim-decision-for-R4\"> </a><p>This value set expansion contains 4 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-claim-decision-for-R4-http://hl7.org/fhir/claim-decision-denied\"> </a>\u00a0\u00a0<a href=\"CodeSystem-claim-decision.html#claim-decision-denied\">denied</a></td><td>http://hl7.org/fhir/claim-decision</td><td>Denied</td><td>The claim, or individual services, are not approved for any payment. This may also be known as 'rejected'.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-claim-decision-for-R4-http://hl7.org/fhir/claim-decision-approved\"> </a>\u00a0\u00a0<a href=\"CodeSystem-claim-decision.html#claim-decision-approved\">approved</a></td><td>http://hl7.org/fhir/claim-decision</td><td>Approved</td><td>The claim, or individual services, are approved as submitted.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-claim-decision-for-R4-http://hl7.org/fhir/claim-decision-partial\"> </a>\u00a0\u00a0<a href=\"CodeSystem-claim-decision.html#claim-decision-partial\">partial</a></td><td>http://hl7.org/fhir/claim-decision</td><td>Partial</td><td>The claim, or individual services, are approved at an amount less than as submitted.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-claim-decision-for-R4-http://hl7.org/fhir/claim-decision-pending\"> </a>\u00a0\u00a0<a href=\"CodeSystem-claim-decision.html#claim-decision-pending\">pending</a></td><td>http://hl7.org/fhir/claim-decision</td><td>Pending</td><td>The adjudication processing is not complete. This may be due to requiring manual review or receipt of additional information.</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r5.r4"
        },
        {
          "url" : "version",
          "valueString" : "0.0.1-snapshot-2"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/5.0/ValueSet/R5-claim-decision-for-R4",
  "version" : "0.0.1-snapshot-2",
  "name" : "R5_claim_decision_for_R4",
  "title" : "Cross-version VS for R5.ClaimAdjudicationDecisionsCodes for use in FHIR R4",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-01T22:37:02.022549+10:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "name" : "Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "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.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/claim-decision",
        "version" : "5.0.0",
        "concept" : [
          {
            "code" : "denied",
            "display" : "Denied"
          },
          {
            "code" : "approved",
            "display" : "Approved"
          },
          {
            "code" : "partial",
            "display" : "Partial"
          },
          {
            "code" : "pending",
            "display" : "Pending"
          }
        ]
      }
    ]
  },
  "expansion" : {
    "timestamp" : "2025-09-01T22:37:02.022546+10:00",
    "contains" : [
      {
        "system" : "http://hl7.org/fhir/claim-decision",
        "version" : "5.0.0",
        "code" : "denied",
        "display" : "Denied"
      },
      {
        "system" : "http://hl7.org/fhir/claim-decision",
        "version" : "5.0.0",
        "code" : "approved",
        "display" : "Approved"
      },
      {
        "system" : "http://hl7.org/fhir/claim-decision",
        "version" : "5.0.0",
        "code" : "partial",
        "display" : "Partial"
      },
      {
        "system" : "http://hl7.org/fhir/claim-decision",
        "version" : "5.0.0",
        "code" : "pending",
        "display" : "Pending"
      }
    ]
  }
}