This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions
Example CodeSystem/claim-outcome (XML)
Raw XML (canonical form + also see XML Format Specification)
Definition for Code SystemClaimProcessingOutcomeCodes
<?xml version="1.0" encoding="UTF-8"?>
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="claim-outcome"/>
<meta>
<lastUpdated value="2023-12-18T15:12:07.602+11:00"/>
<profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p> This case-sensitive code system
<code> http://hl7.org/fhir/claim-outcome</code> defines the following codes:
</p>
<table class="codes">
<tr>
<td style="white-space:nowrap">
<b> Code</b>
</td>
<td>
<b> Display</b>
</td>
<td>
<b> Definition</b>
</td>
</tr>
<tr>
<td style="white-space:nowrap">queued
<a name="claim-outcome-queued"> </a>
</td>
<td> Queued</td>
<td> The Claim/Pre-authorization/Pre-determination has been received but processing
has not begun.</td>
</tr>
<tr>
<td style="white-space:nowrap">complete
<a name="claim-outcome-complete"> </a>
</td>
<td> Processing Complete</td>
<td> The processing has completed without errors</td>
</tr>
<tr>
<td style="white-space:nowrap">error
<a name="claim-outcome-error"> </a>
</td>
<td> Error</td>
<td> One or more errors have been detected in the Claim</td>
</tr>
<tr>
<td style="white-space:nowrap">partial
<a name="claim-outcome-partial"> </a>
</td>
<td> Partial Processing</td>
<td> No errors have been detected in the Claim and some of the adjudication has been
performed.</td>
</tr>
</table>
</div>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<url value="http://hl7.org/fhir/claim-outcome"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.4.1897"/>
</identifier>
<version value="6.0.0-ballot1"/>
<name value="ClaimProcessingOutcomeCodes"/>
<title value="Claim Processing Outcome Codes"/>
<status value="active"/>
<experimental value="false"/>
<publisher value="HL7 International"/>
<description value="This value set includes Claim Processing Outcome codes."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<copyright value="HL7 Inc."/>
<caseSensitive value="true"/>
<content value="complete"/>
<concept>
<code value="queued"/>
<display value="Queued"/>
<definition value="The Claim/Pre-authorization/Pre-determination has been received but processing
has not begun."/>
</concept>
<concept>
<code value="complete"/>
<display value="Processing Complete"/>
<definition value="The processing has completed without errors"/>
</concept>
<concept>
<code value="error"/>
<display value="Error"/>
<definition value="One or more errors have been detected in the Claim"/>
</concept>
<concept>
<code value="partial"/>
<display value="Partial Processing"/>
<definition value="No errors have been detected in the Claim and some of the adjudication has been
performed."/>
</concept>
</CodeSystem>
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.