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Packagehl7.fhir.uv.xver-r4.r4b
Resource TypeCodeSystem
IdCodeSystem-remittance-outcome.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r4.r4b/0.1.0/CodeSystem-remittance-outcome.html
URLhttp://hl7.org/fhir/remittance-outcome
Version4.0.1
Statusdraft
Date2026-03-20T13:27:21+11:00
NameClaimProcessingCodes
TitleClaim Processing Codes
Realmuv
Authorityhl7
DescriptionThis value set includes Claim Processing Outcome codes.
CopyrightHL7 Inc.
Contentcomplete

Resources that use this resource

ConceptMap
hl7.fhir.uv.xver-r4.r3#0.1.0R4-remittance-outcome-for-R3Cross-version ConceptMap for ValueSet R4-remittance-outcome-for-R3 from FHIR R4 to FHIR STU3
ValueSet
hl7.fhir.us.davinci-pas#currentClaimResponseOutcomeClaim Response Outcome
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2R3-remittance-outcome-for-R4BCross-version VS for R3.Claim Processing Codes for use in FHIR R4B
hl7.fhir.uv.xver-r4.r3#0.1.0R4-remittance-outcome-for-R3Cross-version ValueSet R4.ClaimProcessingCodes for use in FHIR STU3
hl7.fhir.uv.xver-r4.r4b.r4b#0.0.1-snapshot-2R4-remittance-outcome-for-R4BCross-version VS for R4.ClaimProcessingCodes for use in FHIR R4B
hl7.fhir.uv.xver-r2.r4b.r4#0.0.1-snapshot-2R2-remittance-outcome-for-R4BCross-version VS for R2.RemittanceOutcome for use in FHIR R4B

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:

CodeDisplayDefinition
queued QueuedThe Claim/Pre-authorization/Pre-determination has been received but processing has not begun.
complete Processing CompleteThe processing has completed without errors
error ErrorOne or more errors have been detected in the Claim
partial Partial ProcessingNo 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": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"
        }
      ],
      "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": "2026-03-20T13:27:21+11:00",
  "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."
    }
  ]
}