{
"description": "This value set includes Claim Processing Outcome codes.",
"_filename": "CodeSystem-claim-outcome.json",
"package_name": "hl7.fhir.uv.xver-r5.r3",
"date": "2026-03-20T14:49:51+11:00",
"publisher": "Financial Management",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"content": "complete",
"name": "ClaimProcessingOutcomeCodes",
"copyright": "HL7 Inc.",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "Claim Processing Outcome Codes",
"package_version": "0.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/package-source",
"extension": [ {
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r5.r3"
}, {
"url": "version",
"valueString": "0.1.0"
}, {
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
} ],
"status": "active",
"id": "4ed9663e-4fe9-47e6-bcba-d1b322208142",
"kind": null,
"url": "http://hl7.org/fhir/claim-outcome",
"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"
}, {
"code": "error",
"display": "Error",
"definition": "One or more errors have been detected in the Claim"
}, {
"code": "partial",
"display": "Partial Processing",
"definition": "No errors have been detected in the Claim and some of the adjudication has been performed."
} ],
"caseSensitive": true,
"version": "5.0.0",
"contact": [ {
"name": "Financial Management",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fm",
"system": "url"
} ]
} ]
}