<?xml version="1.0" encoding="UTF-8"?><CodeSystem xmlns="http://hl7.org/fhir"><id value="eligibility-outcome"/><meta><lastUpdated value="2026-03-22T05:47:02.355+11:00"/></meta><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem eligibility-outcome</b></p><a name="eligibility-outcome"> </a><a name="hceligibility-outcome"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2020-12-28T16:55:11.085+11:00</p></div><p>This case-sensitive code system <code>http://hl7.org/fhir/eligibility-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="eligibility-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="eligibility-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="eligibility-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="eligibility-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="4"/></extension><url value="http://hl7.org/fhir/eligibility-outcome"/><identifier><system value="urn:ietf:rfc:3986"/><value value="urn:oid:2.16.840.1.113883.4.642.4.2072"/></identifier><version value="6.0.0-ballot4"/><name value="ClaimProcessingCodes"/><title value="Claim Processing Codes"/><status value="active"/><experimental value="false"/><publisher value="FHIR Project team"/><contact><telecom><system value="url"/><value value="http://hl7.org/fhir"/></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/eligibility-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>