FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions

ValueSet: Cross-version VS for R5.Hl7VSOverallClaimDispositionCode for use in FHIR R4

Official URL: http://hl7.org/fhir/5.0/ValueSet/R5-v2-0457-for-R4 Version: 0.0.1-snapshot-2
Standards status: Informative Maturity Level: 0 Computable Name: R5_v2_0457_for_R4

This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v2-0457 2.0.0 for use in FHIR R4. Concepts not present here have direct equivalent mappings crossing all versions from R5 to R4.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v2-0457 version 2.1.0
    CodeDisplayDefinition
    0No edits present on claimNo edits present on claim
    1Only edits present are for line item denial or rejectionOnly edits present are for line item denial or rejection
    2Multiple-day claim with one or more days denied or rejectedMultiple-day claim with one or more days denied or rejected
    3Claim denied, rejected, suspended or returned to provider with only post payment editsClaim denied, rejected, suspended or returned to provider with only post payment edits
    4Claim denied, rejected, suspended or returned to provider with only pre payment editsClaim denied, rejected, suspended or returned to provider with only pre payment edits

 

Expansion

This value set expansion contains 5 concepts.

CodeSystemDisplayDefinition
  0http://terminology.hl7.org/CodeSystem/v2-0457No edits present on claimNo edits present on claim
  1http://terminology.hl7.org/CodeSystem/v2-0457Only edits present are for line item denial or rejectionOnly edits present are for line item denial or rejection
  2http://terminology.hl7.org/CodeSystem/v2-0457Multiple-day claim with one or more days denied or rejectedMultiple-day claim with one or more days denied or rejected
  3http://terminology.hl7.org/CodeSystem/v2-0457Claim denied, rejected, suspended or returned to provider with only post payment editsClaim denied, rejected, suspended or returned to provider with only post payment edits
  4http://terminology.hl7.org/CodeSystem/v2-0457Claim denied, rejected, suspended or returned to provider with only pre payment editsClaim denied, rejected, suspended or returned to provider with only pre payment edits

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code