Release 4
This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Codesystem-remittance-outcome.json

Financial Management Work Group Maturity Level : N/A Standards Status : Informative

Raw JSON ( canonical form + also see JSON Format Specification )

Definition for Code System ClaimProcessingCodes RemittanceOutcome

{
  "resourceType" : "CodeSystem",
  "id" : "remittance-outcome",
  "meta" : {
    "lastUpdated" : "2019-11-01T09:29:23.356+11:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]

    "lastUpdated" : "2020-01-21T20:48:01.643+00:00"

  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  }],
  "url" : "http://hl7.org/fhir/remittance-outcome",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.14"

    "value" : "urn:oid:2.16.840.1.113883.4.642.1.14"

  }],
  "version" : "4.0.1",
  "name" : "ClaimProcessingCodes",
  "title" : "Claim Processing Codes",

  "version" : "4.2.0",
  "name" : "RemittanceOutcome",
  "title" : "RemittanceOutcome",

  "status" : "draft",
  "experimental" : false,
  "publisher" : "FHIR Project team",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  }],
  "description" : "This value set includes Claim Processing Outcome codes.",
  "copyright" : "HL7 Inc.",

  "date" : "2020-01-21T20:48:01+00:00",
  "description" : "The outcome of the processing.",

  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome",
  "content" : "complete",
  "concept" : [{
    "code" : "queued",
    "display" : "Queued",
    "definition" : "The Claim/Pre-authorization/Pre-determination has been received but processing has not begun."
  },
  {

    "code" : "complete",
    "display" : "Processing Complete",
    "definition" : "The processing has completed without errors"

    "display" : "Complete",
    "definition" : "The processing completed without errors."

  },
  {
    "code" : "error",
    "display" : "Error",
    "definition" : "One or more errors have been detected in the Claim"

    "definition" : "The processing identified errors."

  },
  {
    "code" : "partial",
    "display" : "Partial Processing",
    "definition" : "No errors have been detected in the Claim and some of the adjudication has been performed."

    "display" : "Partial",
    "definition" : "No errors have been detected and some of the adjudication has been performed."

  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.