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

• Narrative Content
• XML
• JSON
• TTL

: Claim Response Outcome

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="ClaimResponseOutcome"/>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet ClaimResponseOutcome</b></p><a name="ClaimResponseOutcome"> </a><a name="hcClaimResponseOutcome"> </a><ul><li>Include these codes as defined in <a href="http://hl7.org/fhir/R4/codesystem-remittance-outcome.html"><code>http://hl7.org/fhir/remittance-outcome</code></a><span title="Version is not explicitly stated, which means it is fixed to 4.0.1, the version found through the package references"> version &#x1F4E6;4.0.1</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="http://hl7.org/fhir/R4/codesystem-remittance-outcome.html#remittance-outcome-complete">complete</a></td><td style="color: #cccccc">Processing Complete</td><td>The processing has completed without errors</td></tr><tr><td><a href="http://hl7.org/fhir/R4/codesystem-remittance-outcome.html#remittance-outcome-error">error</a></td><td style="color: #cccccc">Error</td><td>One or more errors have been detected in the Claim</td></tr><tr><td><a href="http://hl7.org/fhir/R4/codesystem-remittance-outcome.html#remittance-outcome-partial">partial</a></td><td style="color: #cccccc">Partial Processing</td><td>No errors have been detected in the Claim and some of the adjudication has been performed.</td></tr></table></li></ul></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="4">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimResponseOutcome"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.24.48.20"/>
  </identifier>
  <version value="2.2.0-snapshot"/>
  <name value="ClaimResponseOutcome"/>
  <title value="Claim Response Outcome"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-01-30T23:58:09+00:00"/>
  <publisher value="HL7 International / Financial Management"/>
  <contact>
    <name value="HL7 International / Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fmlists@lists.hl7.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="Jean Duteau"/>
    <telecom>
      <system value="email"/>
      <value value="mailto:jean@duteaudesign.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 International / Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description
               value="This set of codes restricts the outcome of a claim response."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/remittance-outcome"/>
      <concept>
        <code value="complete"/>
      </concept>
      <concept>
        <code value="error"/>
      </concept>
      <concept>
        <code value="partial"/>
      </concept>
    </include>
  </compose>
</ValueSet>