Healthcare Financial Services IG Edition 1
0.3.0 - ci-build
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
ValueSet: Claim response outcome
| Official URL: http://nphies.sa/terminology/ValueSet/claim-response-outcome | Version: 0.3.0 | |||
| Active as of 2024-08-15 | Computable Name: ClaimResponseOutcome | |||
Copyright/Legal: nphies 2020+ (https://nphies.sa) |
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Claim processing outcome codes.
References
Logical Definition (CLD)
Generated Narrative: ValueSet claim-response-outcome
version: 10; Last updated: 2024-08-15 11:38:33+0300
This value set includes codes based on the following rules:
- Include all codes defined in
http://nphies.sa/terminology/CodeSystem/claim-response-outcome - Include all codes defined in
http://hl7.org/fhir/remittance-outcome
Expansion
ValueSet
Expansion performed internally based on:
This value set contains 5 concepts
| Code | System | Display (en-US) | Definition |
| cancelled | http://nphies.sa/terminology/CodeSystem/claim-response-outcome | cancelled | The Claim/Pre-authorization has been cancelled |
| queued | http://hl7.org/fhir/remittance-outcome | Queued | The Claim/Pre-authorization/Pre-determination has been received but processing has not begun. |
| complete | http://hl7.org/fhir/remittance-outcome | Processing Complete | The processing has completed without errors |
| error | http://hl7.org/fhir/remittance-outcome | Error | One or more errors have been detected in the Claim |
| partial | http://hl7.org/fhir/remittance-outcome | Partial Processing | No errors have been detected in the Claim and some of the adjudication has been performed. |
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 |