This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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: R5 R4B R4 R3
| Financial Management Work Group | Maturity Level: N/A | Ballot Status: Informative |
Definition for Code System Claim Processing Codes
{
"resourceType": "CodeSystem",
"id": "remittance-outcome",
"meta": {
"lastUpdated": "2018-04-03T12:05:46.262+10:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
"valueString": "Trial Use"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/remittance-outcome",
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.1.14"
},
"version": "3.3.0",
"name": "Claim Processing Codes",
"status": "draft",
"experimental": true,
"publisher": "FHIR Project team",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org/fhir"
}
]
}
],
"description": "This value set includes Claim Processing Outcome codes.",
"copyright": "HL7 Inc.",
"caseSensitive": true,
"valueSet": "http://hl7.org/fhir/ValueSet/remittance-outcome",
"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."
}
]
}
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.