Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3

V2-0457.cs.json

Vocabulary Work GroupMaturity Level: N/AStandards Status: Informative

Raw JSON (canonical form + also see JSON Format Specification)

FHIR Value set/code system definition for HL7 v2 table 0457 ( Overall claim disposition code)

{
  "resourceType" : "CodeSystem",
  "id" : "v2-0457",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "language" : "en",
  "text" : {
    "status" : "additional",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "external"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/v2-0457",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.18.292"
  }],
  "version" : "2.9",
  "name" : "v2.0457",
  "title" : "v2 Overall claim disposition code",
  "status" : "active",
  "experimental" : false,
  "publisher" : "HL7, Inc",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org"
    }]
  }],
  "description" : "FHIR Value set/code system definition for HL7 v2 table 0457 ( Overall claim disposition code)",
  "content" : "complete",
  "concept" : [{
    "code" : "0",
    "display" : "No edits present on claim"
  },
  {
    "code" : "1",
    "display" : "Only edits present are for line item denial or rejection"
  },
  {
    "code" : "2",
    "display" : "Multiple-day claim with one or more days denied or rejected"
  },
  {
    "code" : "3",
    "display" : "Claim denied, rejected, suspended or returned to provider with only post payment edits"
  },
  {
    "code" : "4",
    "display" : "Claim denied, rejected, suspended or returned to provider with only pre payment edits"
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.