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FHIR IG Statistics: CodeSystem/v2-0457

Packagehl7.terminology
Resource TypeCodeSystem
Idv2-0457
FHIR VersionR5
Sourcehttp://terminology.hl7.org/https://build.fhir.org/ig/HL7/UTG/CodeSystem-v2-0457.html
URLhttp://terminology.hl7.org/CodeSystem/v2-0457
Version2.0.0
Statusactive
Date2019-12-01
NameOverallClaimDisposition
TitleoverallClaimDisposition
Realmuv
Authorityhl7
DescriptionCode system of concepts specifying the final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment.
PurposeUnderlying Master Code System for V2 table 0457 (Overall Claim Disposition Code)
CopyrightThis material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
Contentcomplete

Resources that use this resource

ValueSet
v2-0457hl7VS-overallClaimDispositionCode

Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: CodeSystem v2-0457

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
statusstatushttp://terminology.hl7.org/CodeSystem/utg-concept-properties#statuscodeStatus of the concept
deprecateddeprecatedhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecatedcodeVersion of HL7 in which the code was deprecated

Concepts

This case-sensitive code system http://terminology.hl7.org/CodeSystem/v2-0457 defines the following codes in a Is-A hierarchy:

CodeDisplayDefinitionstatus
0 No edits present on claimNo edits present on claimA
1 Only edits present are for line item denial or rejectionOnly edits present are for line item denial or rejectionA
2 Multiple-day claim with one or more days denied or rejectedMultiple-day claim with one or more days denied or rejectedA
3 Claim denied, rejected, suspended or returned to provider with only post payment editsClaim denied, rejected, suspended or returned to provider with only post payment editsA
4 Claim denied, rejected, suspended or returned to provider with only pre payment editsClaim denied, rejected, suspended or returned to provider with only pre payment editsA

Source

{
  "resourceType": "CodeSystem",
  "id": "v2-0457",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/v2-0457",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.18.292"
    }
  ],
  "version": "2.0.0",
  "name": "OverallClaimDisposition",
  "title": "overallClaimDisposition",
  "status": "active",
  "experimental": false,
  "date": "2019-12-01",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "Code system of concepts specifying the final status of the claim.  Used in HL7 Version 2.x messaging in the GP1 segment.",
  "purpose": "Underlying Master Code System for V2 table 0457 (Overall Claim Disposition Code)",
  "copyright": "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/v2-0457",
  "hierarchyMeaning": "is-a",
  "compositional": false,
  "versionNeeded": false,
  "content": "complete",
  "property": [
    {
      "code": "status",
      "uri": "http://terminology.hl7.org/CodeSystem/utg-concept-properties#status",
      "description": "Status of the concept",
      "type": "code"
    },
    {
      "code": "deprecated",
      "uri": "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated",
      "description": "Version of HL7 in which the code was deprecated",
      "type": "code"
    }
  ],
  "concept": [
    {
      "id": "4832",
      "code": "0",
      "display": "No edits present on claim",
      "definition": "No edits present on claim",
      "property": [
        {
          "code": "status",
          "valueCode": "A"
        }
      ]
    },
    {
      "id": "4833",
      "code": "1",
      "display": "Only edits present are for line item denial or rejection",
      "definition": "Only edits present are for line item denial or rejection",
      "property": [
        {
          "code": "status",
          "valueCode": "A"
        }
      ]
    },
    {
      "id": "4834",
      "code": "2",
      "display": "Multiple-day claim with one or more days denied or rejected",
      "definition": "Multiple-day claim with one or more days denied or rejected",
      "property": [
        {
          "code": "status",
          "valueCode": "A"
        }
      ]
    },
    {
      "id": "4835",
      "code": "3",
      "display": "Claim denied, rejected, suspended or returned to provider with only post payment edits",
      "definition": "Claim denied, rejected, suspended or returned to provider with only post payment edits",
      "property": [
        {
          "code": "status",
          "valueCode": "A"
        }
      ]
    },
    {
      "id": "4836",
      "code": "4",
      "display": "Claim denied, rejected, suspended or returned to provider with only pre payment edits",
      "definition": "Claim denied, rejected, suspended or returned to provider with only pre payment edits",
      "property": [
        {
          "code": "status",
          "valueCode": "A"
        }
      ]
    }
  ]
}