openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build

openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

ValueSet: Rejection reasons (Claim)

Official URL: https://openimis.github.io/openimis_fhir_r4_ig/ValueSet/claim-rejection-reasons Version: 1.0.0
Active as of 2022-05-31 Responsible: openIMIS Initiative Computable Name: ClaimRejectionReasonsVS

Indicates the rejection reason of an item from a Claim. Values limited by openIMIS.

References

Logical Definition (CLD)

 

Expansion

This value set contains 20 concepts

Expansion based on Rejection Reasons (Claim) v1.0.0 (CodeSystem)

All codes in this table are from the system https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-rejection-reasons

CodeDisplay
  -1REJECTED BY MEDICAL OFFICER
  0ACCEPTED
  1INVALID ITEM OR SERVICE
  2NOT IN PRICE LIST
  3NO PRODUCT FOUND
  4CATEGORY LIMITATION
  5FREQUENCY FAILURE
  6DUPLICATED
  7FAMILY
  8DIAGNOSIS NOT IN LIST
  9TARGET DATE
  10CARE TYPE
  11MAX HOSPITAL ADMISSIONS
  12MAX VISITS
  13MAX CONSULTATIONS
  14MAX SURGERIES
  15MAX DELIVERIES
  16QTY OVER LIMIT
  17WAITING PERIOD FAIL
  19MAX ANTENATAL

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display 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 An explanation of the meaning of the concept
Comments Additional notes about how to use the code