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 - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="payment-outcome"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            <p>This code system 
              <code>http://hl7.org/fhir/payment-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="payment-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="payment-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="payment-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="payment-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-standards-status">
    <valueCode value="informative"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </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-wg">
    <valueCode value="fm"/>
  </extension>
  <url value="http://hl7.org/fhir/payment-outcome"/>
  <version value="5.0.0"/>
  <name value="ClaimProcessingCodes"/>
  <title value="Claim Processing Codes"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-09-13T16:55:28-04:00"/>
  <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 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"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/payment-outcome"/>
  <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>