Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://nphies.sa/terminology/ValueSet/adjudication-outcome | Version: 0.3.0 | |||
Active as of 2024-08-15 | Computable Name: AdjudicationOutcome | |||
Copyright/Legal: nphies 2020+ (https://nphies.sa) |
The processing status of the claim or authorization.
References
Generated Narrative: ValueSet adjudication-outcome
version: 9; Last updated: 2024-08-15 10:35:23+0300
http://nphies.sa/terminology/CodeSystem/adjudication-outcome
ValueSet
Expansion performed internally based on codesystem Adjudication Outcome v0.3.0 (CodeSystem)
This value set contains 5 concepts
Code | System | Display (en-US) | Definition |
not-required | http://nphies.sa/terminology/CodeSystem/adjudication-outcome | Not Required | No Authorization is required for this request |
pended | http://nphies.sa/terminology/CodeSystem/adjudication-outcome | Pended | The processing of the requested has been pended awaiting further information or processing |
approved | http://nphies.sa/terminology/CodeSystem/adjudication-outcome | Approved | All items approved |
rejected | http://nphies.sa/terminology/CodeSystem/adjudication-outcome | Rejected | All items rejected |
partial | http://nphies.sa/terminology/CodeSystem/adjudication-outcome | Partially Approved | At least one item rejected |
Explanation of the columns that may appear on this page:
Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
Code | The code (used as the code in the resource instance) |
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
Definition | An explanation of the meaning of the concept |
Comments | Additional notes about how to use the code |