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 - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-claim-decision-for-R4"/>
  <text>
    <status value="generated"/>
    <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>  <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>  <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>  <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>  <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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r5.r4"/>
    </extension>
    <extension url="version">
      <valueString value="0.0.1-snapshot-2"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="informative">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/5.0/ValueSet/R5-claim-decision-for-R4"/>
  <version value="0.0.1-snapshot-2"/>
  <name value="R5_claim_decision_for_R4"/>
  <title
         value="Cross-version VS for R5.ClaimAdjudicationDecisionsCodes for use in FHIR R4"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-09-01T22:37:02.022549+10:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <name value="Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description
               value="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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/claim-decision"/>
      <version value="5.0.0"/>
      <concept>
        <code value="denied"/>
        <display value="Denied"/>
      </concept>
      <concept>
        <code value="approved"/>
        <display value="Approved"/>
      </concept>
      <concept>
        <code value="partial"/>
        <display value="Partial"/>
      </concept>
      <concept>
        <code value="pending"/>
        <display value="Pending"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2025-09-01T22:37:02.022546+10:00"/>
    <contains>
      <system value="http://hl7.org/fhir/claim-decision"/>
      <version value="5.0.0"/>
      <code value="denied"/>
      <display value="Denied"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/claim-decision"/>
      <version value="5.0.0"/>
      <code value="approved"/>
      <display value="Approved"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/claim-decision"/>
      <version value="5.0.0"/>
      <code value="partial"/>
      <display value="Partial"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/claim-decision"/>
      <version value="5.0.0"/>
      <code value="pending"/>
      <display value="Pending"/>
    </contains>
  </expansion>
</ValueSet>