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Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.4.1.607 4.4.1.665 Value Set ValueSet http://hl7.org/fhir/ValueSet/adjudication-reason

  Maturity Level : 1

Responsible Owner: Financial Management Work Group

Draft

Use Context : Any Country: World

This is a value set defined by the FHIR project. Summary

• Defining URL: Narrative http://hl7.org/fhir/ValueSet/adjudication-reason
• XML Version:
• 4.0.1 JSON
• Name: TTL AdjudicationReasonCodes

Committee:

Official URL : Title: http://hl7.org/fhir/ValueSet/adjudication-reason Adjudication Reason Codes Definition:				This value set includes smattering of Adjudication Reason codes. Version : 6.0.0-ballot3
draft as of 2025-11-09				Financial Management Computable Name : AdjudicationReasonCodes Work Group
OID: Flags :				2.16.840.1.113883.4.642.3.598 (for OID based terminology systems) Copyright: This is an example set. Source Resource XML / JSON : 2.16.840.1.113883.4.642.3.598

This value set is used in the following places:

• CodeSystem: This value set is the designated 'entire code system' value set for AdjudicationReasonCodes Resource: ExplanationOfBenefit.item.adjudication.reason (CodeableConcept / Example )
• Resource: ClaimResponse.item.adjudication.reason (CodeableConcept / Example )

4.4.1.607.1 4.4.1.665.1 Content Logical Definition

This value set includes codes from the following code systems: smattering of Adjudication Reason codes.

4.4.1.665.2 Content Logical Definition

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4.4.1.607.2 4.4.1.665.3 Expansion

This expansion generated 01 09 Nov 2019 2025

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See the full registry of value sets defined as part of FHIR.

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Explanation of the columns that may appear on this page:

Lvl	A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - 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