{
  "description": "This value set provides Claim Adjudication Decision codes.",
  "_filename": "CodeSystem-claim-decision.json",
  "package_name": "hl7.fhir.r5.examples",
  "date": null,
  "meta": {
    "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
    "lastUpdated": "2022-09-10T04:52:37.223+10:00"
  },
  "publisher": null,
  "content": "complete",
  "name": "ClaimAdjudicationDecisionCodes",
  "copyright": "HL7 Inc.",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "Claim Adjudication Decision Codes",
  "package_version": "5.0.0-ballot",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "fm"
  } ],
  "status": "draft",
  "id": "723d623e-550a-43de-8406-841b5ee86fce",
  "kind": null,
  "url": "http://hl7.org/fhir/claim-decision",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.4.1896",
    "system": "urn:ietf:rfc:3986"
  } ],
  "concept": [ {
    "code": "denied",
    "display": "Denied",
    "definition": "The claim, or individual services, are not approved for any payment. This may also be known as 'rejected'."
  }, {
    "code": "approved",
    "display": "Approved",
    "definition": "The claim, or individual services, are approved as submitted."
  }, {
    "code": "partial",
    "display": "Partial",
    "definition": "The claim, or individual services, are approved at an amount less than as submitted."
  }, {
    "code": "pending",
    "display": "Pending",
    "definition": "The adjudication processing is not complete. This may be due to requiring manual review or receipt of additional information."
  } ],
  "caseSensitive": true,
  "version": "5.0.0-ballot"
}