Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot

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-ballot 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

Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimResponseOutcome | Version: 2.2.0-ballot
Standards status: Trial-use Active as of 2026-01-30 | Maturity Level: 3 | 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

- PAS Claim Response Base

### Logical Definition (CLD)

- Include these codes as defined in `http://hl7.org/fhir/remittance-outcome` version 📦4.0.1

  Code | Display | Definition
  complete | Processing Complete | The processing has completed without errors
  error | Error | One or more errors have been detected in the Claim
  partial | Partial Processing | No 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

System | Code | Display (en) | Definition | JSON | XML
`http://hl7.org/fhir/remittance-outcome` | complete | Processing Complete | The processing has completed without errors |  |
`http://hl7.org/fhir/remittance-outcome` | error | Error | One or more errors have been detected in the Claim |  |
`http://hl7.org/fhir/remittance-outcome` | partial | Partial Processing | No errors have been detected in the Claim and some of the adjudication has been performed. |  |

Description of the above table(s).