Healthcare Financial Services IG Edition 1
0.4.0 - STU-Ballot with Updates
Healthcare Financial Services IG Edition 1
0.4.0 - STU-Ballot with Updates
Healthcare Financial Services IG Edition 1 - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-outcome | Version: 0.4.0 | |||
| Draft as of 2025-10-12 | Computable Name: EXAdjudicationOutcome | |||
A code indicating the outcome of the adjudication such as rejected, partially approved/paid or approved/paid as submitted.
Context of Use
This extension may be used on the following element(s)
ClaimResponse
ClaimResponse.item
ClaimResponse.addItem
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Adjudication Outcome | |
  extension |
0..0 | |||
| url |
1..1 | uri | "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-outcome" | |
  Slices for value[x] |
1..1 | DP_CodeableConcept | Value of extension Slice: Unordered, Open by type:$this | |
   value[x]:valueCodeableConcept |
1..1 | CodeableConcept | Value of extension Binding: Adjudication Outcome (required) | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Adjudication Outcome | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-outcome" | |
| Slices for value[x] |
1..1 | DP_CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueCodeableConcept |
1..1 | CodeableConcept | Value of extension Binding: Adjudication Outcome (required) | |
| Documentation for this format | ||||
This structure is derived from Extension
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Adjudication Outcome | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-outcome" | |
| Slices for value[x] |
1..1 | DP_CodeableConcept | Value of extension Slice: Unordered, Open by type:$this | |
| value[x]:valueCodeableConcept |
1..1 | CodeableConcept | Value of extension Binding: Adjudication Outcome (required) | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Adjudication Outcome | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-outcome" | |
| Slices for value[x] |
1..1 | DP_CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueCodeableConcept |
1..1 | CodeableConcept | Value of extension Binding: Adjudication Outcome (required) | |
| Documentation for this format | ||||
This structure is derived from Extension
Other representations of profile: CSV, Excel, Schematron
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.value[x]:valueCodeableConcept | Base | required | Adjudication Outcome | 📦0.4.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|