<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="claim-outcome"/>
  <meta>
    <lastUpdated value="2026-03-31T17:06:59.649+00:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p class="res-header-id">
        <b>Generated Narrative: CodeSystem claim-outcome</b>
      </p>
      <a name="claim-outcome"> </a>
      <a name="hcclaim-outcome"> </a>
      <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>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </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-ballot4"/>
  <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>