Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version 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: R5 R4B R4 R3

Codesystem-remittance-outcome.json

Example CodeSystem/remittance-outcome (JSON)

Financial Management Work Group Maturity Level : N/A Standards Status : Informative

Raw JSON ( canonical form + also see JSON Format Specification )

Definition for Code System ClaimProcessingCodes SystemRemittanceOutcome

{
  "resourceType" : "CodeSystem",
  "id" : "remittance-outcome",
  "meta" : {
    "lastUpdated" : "2019-11-01T09:29:23.356+11:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]

    "lastUpdated" : "2023-03-26T15:21:02.749+11:00"

  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"

    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://hl7.org/fhir/remittance-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\">complete<a name=\"remittance-outcome-complete\"> </a></td><td>Complete</td><td>The processing completed without errors.</td></tr><tr><td style=\"white-space:nowrap\">error<a name=\"remittance-outcome-error\"> </a></td><td>Error</td><td>The processing identified errors.</td></tr><tr><td style=\"white-space:nowrap\">partial<a name=\"remittance-outcome-partial\"> </a></td><td>Partial</td><td>No errors have been detected and some of the adjudication has been performed.</td></tr></table></div>"

  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2

  }],
  "url" : "http://hl7.org/fhir/remittance-outcome",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.14"
  }],
  "version" : "4.0.1",
  "name" : "ClaimProcessingCodes",
  "title" : "Claim Processing Codes",

  "version" : "5.0.0",
  "name" : "RemittanceOutcome",
  "title" : "RemittanceOutcome",

  "status" : "draft",
  "experimental" : false,
  "publisher" : "FHIR Project team",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"

  "date" : "2023-03-26T15:21:02+11:00",
  "description" : "The outcome of the processing.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"

    }]
  }],
  "description" : "This value set includes Claim Processing Outcome codes.",
  "copyright" : "HL7 Inc.",

  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome",
  "content" : "complete",
  "concept" : [{
    "code" : "queued",
    "display" : "Queued",
    "definition" : "The Claim/Pre-authorization/Pre-determination has been received but processing has not begun."
  },
  {

    "code" : "complete",
    "display" : "Processing Complete",
    "definition" : "The processing has completed without errors"

    "display" : "Complete",
    "definition" : "The processing completed without errors."

  },
  {
    "code" : "error",
    "display" : "Error",
    "definition" : "One or more errors have been detected in the Claim"

    "definition" : "The processing identified errors."

  },
  {
    "code" : "partial",
    "display" : "Partial Processing",
    "definition" : "No errors have been detected in the Claim and some of the adjudication has been performed."

    "display" : "Partial",
    "definition" : "No errors have been detected and some of the adjudication has been performed."

  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.