FHIR R6 FM Incubator
0.1.0 - ci-build International flag

FHIR R6 FM Incubator, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fm-incubator/ and changes regularly. See the Directory of published versions

: Claim Processing Codes - TTL Representation

Page standards status: Trial-use Maturity Level: 2

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@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 "enrollment-outcome"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2020-12-28T16:55:11.085+11:00"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem enrollment-outcome</b></p><a name=\"enrollment-outcome\"> </a><a name=\"hcenrollment-outcome\"> </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: 2020-12-28 16:55:11+1100</p></div><p>This case-sensitive code system <code>http://hl7.org/fhir/enrollment-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=\"enrollment-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=\"enrollment-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=\"enrollment-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=\"enrollment-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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "fm"     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "trial-use"     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
fhir:value [
a fhir:Integer ;
fhir:v 2     ]
  ] ) ; # 
  fhir:url [
fhir:v "http://hl7.org/fhir/enrollment-outcome"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/enrollment-outcome>
  ] ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
fhir:l <urn:ietf:rfc:3986>     ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.1974" ]
  ] ) ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "ClaimProcessingCodes"] ; # 
  fhir:title [ fhir:v "Claim Processing Codes"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-05-28T22:07:38+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Financial Management"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ]     ] )
  ] ) ; # 
  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:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "HL7 Inc."] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/enrollment-outcome"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/enrollment-outcome>
  ] ; # 
  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." ]
  ] ) . #