Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-snapshot - STU 2.2 - Public Review United States of America flag

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-snapshot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

ValueSet: Claim Response Outcome

2.2.0-snapshot
Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimResponseOutcome Version:
Standards status: Trial-use Active as of 2026-01-30 Maturity Level: 4 Computable Name: ClaimResponseOutcome
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.48.20

This set of codes restricts the outcome of a claim response.

References

Logical Definition (CLD)

  • Include these codes as defined in http://hl7.org/fhir/remittance-outcome version 📦4.0.1
    CodeDisplayDefinition
    completeProcessing CompleteThe processing has completed without errors
    errorErrorOne or more errors have been detected in the Claim
    partialPartial ProcessingNo errors have been detected in the Claim and some of the adjudication has been performed.

 

Expansion

Expansion performed internally based on codesystem Claim Processing Codes v4.0.1 (CodeSystem)

This value set contains 3 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://hl7.org/fhir/remittance-outcome  completeProcessing CompleteThe processing has completed without errors
http://hl7.org/fhir/remittance-outcome  errorErrorOne or more errors have been detected in the Claim
http://hl7.org/fhir/remittance-outcome  partialPartial ProcessingNo errors have been detected in the Claim and some of the adjudication has been performed.

Description of the above table(s).