FHIRsmith: CodeSystem/CodeSystem-remittance-outcome.json

FHIR IG analytics

Package	hl7.fhir.uv.xver-r4.r4b
Resource Type	CodeSystem
Id	CodeSystem-remittance-outcome.json
FHIR Version	R4B
Source	http://hl7.org/fhir/uv/xver-r4.r4b/0.0.1-snapshot-2/CodeSystem-remittance-outcome.html
URL	http://hl7.org/fhir/remittance-outcome
Version	4.0.1
Status	draft
Date	2025-09-13T16:11:23-04:00
Name	ClaimProcessingCodes
Title	Claim Processing Codes
Realm	uv
Authority	hl7
Description	This value set includes Claim Processing Outcome codes.
Copyright	HL7 Inc.
Content	complete

Resources that use this resource

ValueSet
ClaimResponseOutcome	Claim Response Outcome
R4-remittance-outcome-for-R4B	Cross-version VS for R4.ClaimProcessingCodes for use in FHIR R4B
R2-remittance-outcome-for-R4B	Cross-version VS for R2.RemittanceOutcome for use in FHIR R4B
R3-remittance-outcome-for-R4B	Cross-version VS for R3.Claim Processing Codes for use in FHIR R4B
R4-remittance-outcome-for-R5	Cross-version VS for R4.ClaimProcessingCodes for use in FHIR R5
R2-remittance-outcome-for-R5	Cross-version VS for R2.RemittanceOutcome for use in FHIR R5
R3-remittance-outcome-for-R5	Cross-version VS for R3.Claim Processing Codes for use in FHIR R5

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem remittance-outcome

This case-sensitive code system http://hl7.org/fhir/remittance-outcome defines the following codes:

Code	Display	Definition
queued	Queued	The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.
complete	Processing Complete	The processing has completed without errors
error	Error	One or more errors have been detected in the Claim
partial	Partial Processing	No errors have been detected in the Claim and some of the adjudication has been performed.

Source1

{
  "resourceType": "CodeSystem",
  "id": "remittance-outcome",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4.r4b"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://hl7.org/fhir/remittance-outcome",
  "version": "4.0.1",
  "name": "ClaimProcessingCodes",
  "title": "Claim Processing Codes",
  "status": "draft",
  "experimental": false,
  "date": "2025-09-13T16:11:23-04:00",
  "publisher": "Financial Management",
  "contact": [
    {
      "name": "Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "This value set includes Claim Processing Outcome codes.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "copyright": "HL7 Inc.",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0",
  "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"
    },
    {
      "code": "error",
      "display": "Error",
      "definition": "One or more errors have been detected in the Claim"
    },
    {
      "code": "partial",
      "display": "Partial Processing",
      "definition": "No errors have been detected in the Claim and some of the adjudication has been performed."
    }
  ]
}