Release 4 Snapshot 3: Connectathon 32 Base

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU (v5.0.0-snapshot3: R5 Snapshot #3, to support Connectathon 32 ) in it's permanent home (it will always be available at this URL). ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R4 R3 R2

Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.3.15.523 4.4.1.451 HL7 Version 2 Table 0523 ValueSet http://hl7.org/fhir/ValueSet/claim-decision

Vocabulary Financial Management icon Work Group   Maturity Level : N/A 2 External Trial Use Use Context : Any Country: World, Not yet ready for Production use, Not yet ready for Production use
This is a table defined as part of HL7 v2
    .
  • Summary Narrative
    • Code System URL:
  • XML http://terminology.hl7.org/CodeSystem/v2-0523
  • JSON Value Set URL:
  • http://terminology.hl7.org/ValueSet/v2-0523 TTL
Definition:
Official URL : Version: 2.9 http://hl7.org/fhir/ValueSet/claim-decision v2.0523 Title: v2 Computation type Version : 5.0.0-snapshot3
draft as of 2022-12-14 FHIR Value set/code system definition for HL7 v2 table 0523 ( Computation type) OID: Computable Name : ClaimAdjudicationDecisionsCodes ??
CodeSystem Resource Flags : Experimental OID : 2.16.840.1.113883.4.642.3.2983 XML

This value set is used in the following places:

4.4.1.451.1 Definition ValueSet Resource XML / JSON Note: V2 code systems may or may not be case sensitive. V2 Code systems will have the CodeSystem.caseSensitive correctly populated in a future version of this specification.

This value set is not currently used includes Claim Adjudication Decision codes.

4.3.15.523.1 4.4.1.451.2 Code System Content Logical Definition

 

4.4.1.451.3 Expansion Nederlands (Dutch)

This expansion generated 14 Dec 2022

This code system http://terminology.hl7.org/CodeSystem/v2-0523 defines the following codes: value set contains 4 concepts

Expansion based on Claim Adjudication Decision Codes v5.0.0-snapshot3 (CodeSystem)

Code Display System Definition Display Version Definition
%    denied en: Indicates a percent change nl: Geeft een percentage aan http://hl7.org/fhir/claim-decision Denied added v2.5

The claim, or individual services, are not approved for any payment. This may also be known as 'rejected'.

a    approved en: Absolute Change nl: Absolute wijziging http://hl7.org/fhir/claim-decision Approved added v2.5

This code system http://terminology.hl7.org/CodeSystem/v2-0523 defines the following codes: The claim, or individual services, are approved as submitted.

Code    partial Display http://hl7.org/fhir/claim-decision Definition Partial Version

The claim, or individual services, are approved at an amount less than as submitted.

%    pending Indicates a percent change http://hl7.org/fhir/claim-decision added v2.5 a Pending Absolute Change

The adjudication processing is not complete. This may be due to requiring manual review or receipt of additional information.

added v2.5

Dit code systeem http://terminology.hl7.org/CodeSystem/v2-0523 definieert de volgende codes:  

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

Explanation of the columns that may appear on this page:

Code Definition % a
Display 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 Versie The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code Geeft een percentage aan 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 added v2.5 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 Absolute wijziging An explanation of the meaning of the concept
Comments added v2.5 Additional notes about how to use the code
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