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Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
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Definition for Code SystemClaimProcessingCodes
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:CodeSystem ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "payment-outcome"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2025-02-17T02:32:40.206+11:00"^^xsd:dateTime ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem payment-outcome</b></p><a name=\"payment-outcome\"> </a><a name=\"hcpayment-outcome\"> </a><a name=\"payment-outcome-en-US\"> </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><p style=\"margin-bottom: 0px\">Profile: <a href=\"shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://hl7.org/fhir/payment-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=\"payment-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=\"payment-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=\"payment-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=\"payment-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>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ; fhir:value [ fhir:v "fm" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ fhir:v "trial-use" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ; fhir:value [ fhir:v "2"^^xsd:integer ] ] ) ; # fhir:url [ fhir:v "http://hl7.org/fhir/payment-outcome"^^xsd:anyURI] ; # fhir:identifier ( [ fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ; fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.2058" ] ] ) ; # fhir:version [ fhir:v "6.0.0-ballot2"] ; # fhir:name [ fhir:v "ClaimProcessingCodes"] ; # fhir:title [ fhir:v "Claim Processing Codes"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # fhir:publisher [ fhir:v "FHIR Project team"] ; # fhir:contact ( [ fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://hl7.org/fhir" ] ] ) ] ) ; # fhir:description [ fhir:v "This value set includes Claim Processing Outcome codes."] ; # fhir:jurisdiction ( [ fhir:coding ( [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; # fhir:copyright [ fhir:v "HL7 Inc."] ; # fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/payment-outcome"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/payment-outcome> ] ; # fhir:hierarchyMeaning [] ; # fhir:content [ fhir:v "complete"] ; # fhir:concept ( [ fhir:code [ fhir:v "queued" ] ; fhir:display [ fhir:v "Queued" ] ; fhir:definition [ fhir:v "The Claim/Pre-authorization/Pre-determination has been received but processing has not begun." ] ] [ fhir:code [ fhir:v "complete" ] ; fhir:display [ fhir:v "Processing Complete" ] ; fhir:definition [ fhir:v "The processing has completed without errors" ] ] [ fhir:code [ fhir:v "error" ] ; fhir:display [ fhir:v "Error" ] ; fhir:definition [ fhir:v "One or more errors have been detected in the Claim" ] ] [ fhir:code [ fhir:v "partial" ] ; fhir:display [ fhir:v "Partial Processing" ] ; fhir:definition [ fhir:v "No errors have been detected in the Claim and some of the adjudication has been performed." ] ] )] . # # -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Sun, Feb 16, 2025 16:10+0000.
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