{"caseSensitive":true,"concept":[{"code":"queued","definition":"The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.","display":"Queued"},{"code":"complete","definition":"The processing has completed without errors","display":"Processing Complete"},{"code":"error","definition":"One or more errors have been detected in the Claim","display":"Error"},{"code":"partial","definition":"No errors have been detected in the Claim and some of the adjudication has been performed.","display":"Partial Processing"}],"content":"complete","copyright":"HL7 Inc.","description":"This value set includes Claim Processing Outcome codes.","experimental":false,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fm"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":2}],"id":"claim-outcome","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.4.1897"}],"jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"meta":{"lastUpdated":"2026-03-29T21:54:20.327+00:00"},"name":"ClaimProcessingOutcomeCodes","publisher":"HL7 International","resourceType":"CodeSystem","status":"active","text":{"div":"<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>","status":"generated"},"title":"Claim Processing Outcome Codes","url":"http://hl7.org/fhir/claim-outcome","version":"6.0.0-ballot4"}