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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: Claim Processing Codes - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "payment-outcome",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>This code system \n              <code>http://hl7.org/fhir/payment-outcome</code> defines the following codes:\n            </p>\n            <table class=\"codes\">\n              <tr>\n                <td style=\"white-space:nowrap\">\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">queued\n                  <a name=\"payment-outcome-queued\"> </a>\n                </td>\n                <td>Queued</td>\n                <td>The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">complete\n                  <a name=\"payment-outcome-complete\"> </a>\n                </td>\n                <td>Processing Complete</td>\n                <td>The processing has completed without errors</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">error\n                  <a name=\"payment-outcome-error\"> </a>\n                </td>\n                <td>Error</td>\n                <td>One or more errors have been detected in the Claim</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">partial\n                  <a name=\"payment-outcome-partial\"> </a>\n                </td>\n                <td>Partial Processing</td>\n                <td>No errors have been detected in the Claim and some of the adjudication has been performed.</td>\n              </tr>\n            </table>\n          </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2
    },
    {
      "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-wg",
      "valueCode" : "fm"
    }
  ],
  "url" : "http://hl7.org/fhir/payment-outcome",
  "version" : "5.0.0",
  "name" : "ClaimProcessingCodes",
  "title" : "Claim Processing Codes",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-13T16:55:28-04:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "name" : "Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "This value set includes Claim Processing Outcome codes.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "copyright" : "HL7 Inc.",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/payment-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."
    }
  ]
}