{
  "description": "This value set provides Claim Adjudication Decision codes.",
  "_filename": "CodeSystem-claim-decision.json",
  "package_name": "hl7.fhir.r5.core",
  "date": null,
  "meta": {
    "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
    "lastUpdated": "2023-03-01T23:03:57.298+11:00"
  },
  "publisher": "HL7 International",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "content": "complete",
  "name": "ClaimAdjudicationDecisionCodes",
  "copyright": "HL7 Inc.",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "Claim Adjudication Decision Codes",
  "package_version": "5.0.0-draft-final",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "fm"
  } ],
  "status": "active",
  "id": "abdf86af-bb4e-4b86-92a6-07e9f97ce264",
  "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-draft-final"
}