Definition for Code SystemClaimProcessingOutcomeCodes

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="claim-outcome"/> 
  <meta> 
    
    

    <lastUpdated value="2025-11-10T04:50:58.407+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p class="res-header-id">
        <b> Generated Narrative: CodeSystem claim-outcome</b> 
      </p> 
      <a name="claim-outcome"> </a> 
      <a name="hcclaim-outcome"> </a> 
      
      display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%
        
        Profile: 
          
        
      

      <p> This case-sensitive code system 
        <code> http://hl7.org/fhir/claim-outcome</code>  defines the following codes:
      </p> 
      <table class="codes">
        <tr> 
          <td style="white-space:nowrap">
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">queued
            <a name="claim-outcome-queued"> </a> 
          </td> 
          <td> Queued</td> 
          <td> The Claim/Pre-authorization/Pre-determination has been received but processing
             has not begun.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">complete
            <a name="claim-outcome-complete"> </a> 
          </td> 
          <td> Processing Complete</td> 
          <td> The processing has completed without errors</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">error
            <a name="claim-outcome-error"> </a> 
          </td> 
          <td> Error</td> 
          <td> One or more errors have been detected in the Claim</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">partial
            <a name="claim-outcome-partial"> </a> 
          </td> 
          <td> Partial Processing</td> 
          <td> No errors have been detected in the Claim and some of the adjudication has been
             performed.</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/> 
  </extension> 
  <url value="http://hl7.org/fhir/claim-outcome"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.4.1897"/> 
  </identifier> 
  <version value="6.0.0-ballot3"/> 
  <name value="ClaimProcessingOutcomeCodes"/> 
  <title value="Claim Processing Outcome Codes"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <publisher value="HL7 International"/> 
  <description value="This value set includes Claim Processing Outcome codes."/> 
  <jurisdiction> 
    <coding> 
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
      <code value="001"/> 
      <display value="World"/> 
    </coding> 
  </jurisdiction> 
  <copyright value="HL7 Inc."/> 
  <caseSensitive value="true"/> 
  <content value="complete"/> 
  <concept> 
    <code value="queued"/> 
    <display value="Queued"/> 
    <definition value="The Claim/Pre-authorization/Pre-determination has been received but processing
     has not begun."/> 
  </concept> 
  <concept> 
    <code value="complete"/> 
    <display value="Processing Complete"/> 
    <definition value="The processing has completed without errors"/> 
  </concept> 
  <concept> 
    <code value="error"/> 
    <display value="Error"/> 
    <definition value="One or more errors have been detected in the Claim"/> 
  </concept> 
  <concept> 
    <code value="partial"/> 
    <display value="Partial Processing"/> 
    <definition value="No errors have been detected in the Claim and some of the adjudication has been
     performed."/> 
  </concept> 


</

CodeSystem

>