R6 Ballot (3rd Draft) FHIR CI-Build

This page is part of the FHIR Specification v6.0.0-ballot3: Release 6 Ballot (3rd Draft) (see Ballot Notes ). The current version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
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4.3.2.217 4.3.2.202 CodeSystem http://hl7.org/fhir/claim-outcome

Responsible Owner: Financial Management icon Work Group   Maturity Level : 0 Informative Use Context : Country: World
Official URL : http://hl7.org/fhir/claim-outcome Version : 6.0.0-ballot3
active as of 2025-04-01 2025-11-10 Computable Name : ClaimProcessingOutcomeCodes
Flags : CaseSensitive, Complete OID : 2.16.840.1.113883.4.642.4.1897

"This Code system is used in the following FHIR core-defined or referenced value sets:

4.3.2.217.1 4.3.2.202.1 Definition

This value set includes Claim Processing Outcome codes.

4.3.2.217.2 4.3.2.202.2 Content

Generated Narrative: CodeSystem claim-outcome

Last updated: 2025-04-01T12:16:37.966+11:00 Profile: Shareable CodeSystem 2025-11-10T04:50:58.407Z

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

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

 

See the full registry of code systems defined as part of FHIR.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. See Code System for further information.
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
Display The display (used in the display element of a Coding ). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code