FHIR IG analytics| Package | hl7.terminology.r4 |
| Resource Type | ValueSet |
| Id | ValueSet-claim-adjudication-basis-categories.json |
| FHIR Version | R4 |
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Generated Narrative: ValueSet claim-adjudication-basis-categories
Last updated: 2026-06-12 00:00:00+0000
Profile: Shareable ValueSet
http://terminology.hl7.org/CodeSystem/claim-adjudication-basis-categories version 📦1.0.0{
"resourceType": "ValueSet",
"id": "claim-adjudication-basis-categories",
"meta": {
"lastUpdated": "2026-06-12T00:00:00+00:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/shareablevalueset"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
}
],
"url": "http://terminology.hl7.org/ValueSet/claim-adjudication-basis-categories",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.11.21041"
}
],
"version": "1.0.0",
"name": "ClaimAdjudicationBasisCategories",
"title": "Claim Adjudication Basis Categories",
"status": "active",
"experimental": false,
"date": "2026-06-12T00:00:00+00:00",
"publisher": "Health Level Seven International",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org"
},
{
"system": "email",
"value": "hq@HL7.org"
}
]
}
],
"description": "Categories of contractual, policy, benefit, or administrative bases used by a payer when adjudicating a healthcare claim and determining the allowed, paid, or adjusted amounts. These codes include categories that describe why a claim line or claim total was adjudicated as it was, rather than the result of the adjudication.",
"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",
"compose": {
"include": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-adjudication-basis-categories"
}
]
}
}