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This page is part of the Continuous Integration Build of FHIR Specification (v5.0.0: R5 - STU ). This is the current published version in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). For a full list of available versions, see times).
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4.4.1.197 4.4.1.380 ValueSet http://hl7.org/fhir/ValueSet/claim-outcome

  Maturity Level : 2
Responsible Owner: Financial Management icon Work Group Trial Use Use Context : Country: World
Official URL : http://hl7.org/fhir/ValueSet/claim-outcome Version : 5.0.0 6.0.0-ballot3
draft as of 2023-03-26 2025-11-09 Computable Name : ClaimProcessingCodes
Flags : OID : 2.16.840.1.113883.4.642.3.2984

This value set is used in the following places:

4.4.1.197.1 4.4.1.380.1 Definition

This value set includes Claim Processing Outcome codes.

4.4.1.197.2 4.4.1.380.2 Content Logical Definition

Generated Narrative: ValueSet claim-outcome

Last updated: 2025-11-09T23:50:21.857Z

 

4.4.1.197.3 4.4.1.380.3 Expansion

This expansion generated 26 Mar 2023 09 Nov 2025

This value set contains 4 concepts

ValueSet

Expansion performed internally based on codesystem Claim Processing Outcome Codes v5.0.0 v6.0.0-ballot3 (CodeSystem)

This value set contains 4 concepts

http://hl7.org/fhir/claim-outcome http://hl7.org/fhir/claim-outcome http://hl7.org/fhir/claim-outcome http://hl7.org/fhir/claim-outcome
Code System System Code Display Definition
http://hl7.org/fhir/claim-outcome    queued Queued The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.
http://hl7.org/fhir/claim-outcome    complete Processing Complete The processing has completed without errors
http://hl7.org/fhir/claim-outcome    error Error One or more errors have been detected in the Claim
http://hl7.org/fhir/claim-outcome    partial Partial Processing No errors have been detected in the Claim and some of the adjudication has been performed.

 

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

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