Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.5 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Claim Decision Reason Code System - TTL Representation

Draft as of 2026-07-20

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/claim-decision-reason-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "claim-decision-reason-cs"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem claim-decision-reason-cs</b></p><a name=\"claim-decision-reason-cs\"> </a><a name=\"hcclaim-decision-reason-cs\"> </a><p>This case-sensitive code system <code>https://fhir-ig.digital.health.nz/shared-care/CodeSystem/claim-decision-reason-cs</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\">DET040.014<a name=\"claim-decision-reason-cs-DET040.46014\"> </a></td><td>Passed</td><td>A valid claim date has been provided.</td></tr><tr><td style=\"white-space:nowrap\">DET040.015<a name=\"claim-decision-reason-cs-DET040.46015\"> </a></td><td>Failed</td><td>Claim date provided is not valid.</td></tr><tr><td style=\"white-space:nowrap\">DET052.001<a name=\"claim-decision-reason-cs-DET052.46001\"> </a></td><td>Passed</td><td>No duplicate found for this claim</td></tr><tr><td style=\"white-space:nowrap\">DET052.002<a name=\"claim-decision-reason-cs-DET052.46002\"> </a></td><td>Failed</td><td>Claim is a duplicate of claim [Claim Number] received on [Received Date].</td></tr><tr><td style=\"white-space:nowrap\">DET001.006<a name=\"claim-decision-reason-cs-DET001.46006\"> </a></td><td>Passed</td><td>Agreement is valid for {service name} services</td></tr><tr><td style=\"white-space:nowrap\">DET001.001<a name=\"claim-decision-reason-cs-DET001.46001\"> </a></td><td>Failed</td><td>Agreement number provided cannot be found in our records</td></tr><tr><td style=\"white-space:nowrap\">DET001.007<a name=\"claim-decision-reason-cs-DET001.46007\"> </a></td><td>Failed</td><td>Agreement is not valid for {service name} services</td></tr><tr><td style=\"white-space:nowrap\">DET063.003<a name=\"claim-decision-reason-cs-DET063.46003\"> </a></td><td>Passed</td><td>Provider HPI organisation is appropriate for the Agreement</td></tr><tr><td style=\"white-space:nowrap\">DET063.004<a name=\"claim-decision-reason-cs-DET063.46004\"> </a></td><td>Failed</td><td>Provider HPI organisation is not appropriate for the Agreement</td></tr><tr><td style=\"white-space:nowrap\">DET055.001<a name=\"claim-decision-reason-cs-DET055.46001\"> </a></td><td>Passed</td><td>NHI number found in our records.</td></tr><tr><td style=\"white-space:nowrap\">DET055.002<a name=\"claim-decision-reason-cs-DET055.46002\"> </a></td><td>Failed</td><td>NHI number cannot be found in our records.</td></tr><tr><td style=\"white-space:nowrap\">DET055.004<a name=\"claim-decision-reason-cs-DET055.46004\"> </a></td><td>Passed</td><td>NHI number validation passes for health service user.</td></tr><tr><td style=\"white-space:nowrap\">DET055.018<a name=\"claim-decision-reason-cs-DET055.46018\"> </a></td><td>Passed</td><td>Patient is eligible for subsidised healthcare</td></tr><tr><td style=\"white-space:nowrap\">DET055.019<a name=\"claim-decision-reason-cs-DET055.46019\"> </a></td><td>Failed</td><td>Patient is not eligible for subsidised healthcare</td></tr><tr><td style=\"white-space:nowrap\">DET041.088<a name=\"claim-decision-reason-cs-DET041.46088\"> </a></td><td>Passed</td><td>Date of Service is earlier than or equal to Claim Date.</td></tr><tr><td style=\"white-space:nowrap\">DET041.087<a name=\"claim-decision-reason-cs-DET041.46087\"> </a></td><td>Failed</td><td>Date of Service is later than Claim Date.</td></tr><tr><td style=\"white-space:nowrap\">DET020.003<a name=\"claim-decision-reason-cs-DET020.46003\"> </a></td><td>Passed</td><td>Date of Service falls between Agreement start and end date.</td></tr><tr><td style=\"white-space:nowrap\">DET020.002<a name=\"claim-decision-reason-cs-DET020.46002\"> </a></td><td>Failed</td><td>Date of Service did not occur between the Agreement start and termination dates.</td></tr><tr><td style=\"white-space:nowrap\">DET064.001<a name=\"claim-decision-reason-cs-DET064.46001\"> </a></td><td>Passed</td><td>Record of encounter was found in our system.</td></tr><tr><td style=\"white-space:nowrap\">DET064.002<a name=\"claim-decision-reason-cs-DET064.46002\"> </a></td><td>Failed</td><td>Could not find the encounter with identifier {identifier} in our system.</td></tr><tr><td style=\"white-space:nowrap\">DET064.003<a name=\"claim-decision-reason-cs-DET064.46003\"> </a></td><td>Passed</td><td>Encounter is for the same Patient as the Claim.</td></tr><tr><td style=\"white-space:nowrap\">DET064.004<a name=\"claim-decision-reason-cs-DET064.46004\"> </a></td><td>Failed</td><td>Encounter and Claim do not refer to the same Patient.</td></tr><tr><td style=\"white-space:nowrap\">DET064.005<a name=\"claim-decision-reason-cs-DET064.46005\"> </a></td><td>Passed</td><td>Encounter is for the same Service Date as the Claim Item.</td></tr><tr><td style=\"white-space:nowrap\">DET064.006<a name=\"claim-decision-reason-cs-DET064.46006\"> </a></td><td>Failed</td><td>Encounter and Claim Item have different Service Dates.</td></tr><tr><td style=\"white-space:nowrap\">DET064.007<a name=\"claim-decision-reason-cs-DET064.46007\"> </a></td><td>Passed</td><td>Patient attended the Encounter.</td></tr><tr><td style=\"white-space:nowrap\">DET064.008<a name=\"claim-decision-reason-cs-DET064.46008\"> </a></td><td>Failed</td><td>Cannot claim for an Encounter that did not occur.</td></tr><tr><td style=\"white-space:nowrap\">DET064.009<a name=\"claim-decision-reason-cs-DET064.46009\"> </a></td><td>Passed</td><td>Encounter is only claimed once.</td></tr><tr><td style=\"white-space:nowrap\">DET064.010<a name=\"claim-decision-reason-cs-DET064.46010\"> </a></td><td>Failed</td><td>Encounter cannot be claimed more than once.</td></tr><tr><td style=\"white-space:nowrap\">DET055.005<a name=\"claim-decision-reason-cs-DET055.46005\"> </a></td><td>Failed</td><td>NHI number provided is for a deceased health service user.</td></tr><tr><td style=\"white-space:nowrap\">DET064.011<a name=\"claim-decision-reason-cs-DET064.46011\"> </a></td><td>Passed</td><td>Fee(s) found for purchase unit code and contracted service.</td></tr><tr><td style=\"white-space:nowrap\">DET064.012<a name=\"claim-decision-reason-cs-DET064.46012\"> </a></td><td>Passed</td><td>Purchase unit code not valid for this contracted service - no fee(s) found.</td></tr><tr><td style=\"white-space:nowrap\">DET064.013<a name=\"claim-decision-reason-cs-DET064.46013\"> </a></td><td>Passed</td><td>Claimed fee {feeCode} is valid for the patient's age.</td></tr><tr><td style=\"white-space:nowrap\">DET064.014<a name=\"claim-decision-reason-cs-DET064.46014\"> </a></td><td>Failed</td><td>Patient's age was older than maximum allowed age for claimed fee {feeCode}.</td></tr><tr><td style=\"white-space:nowrap\">DET064.015<a name=\"claim-decision-reason-cs-DET064.46015\"> </a></td><td>Failed</td><td>Patient's age was younger than minimum allowed age for claimed fee {feeCode}.</td></tr><tr><td style=\"white-space:nowrap\">DET064.016<a name=\"claim-decision-reason-cs-DET064.46016\"> </a></td><td>Passed</td><td>Claimed fee {feeCode} is valid for consultation date &amp; time.</td></tr><tr><td style=\"white-space:nowrap\">DET064.017<a name=\"claim-decision-reason-cs-DET064.46017\"> </a></td><td>Failed</td><td>Patient's consultation occurred outside of time period for claimed fee {feeCode}.</td></tr><tr><td style=\"white-space:nowrap\">DET064.018<a name=\"claim-decision-reason-cs-DET064.46018\"> </a></td><td>Passed</td><td>Claimed fee {feeCode} is valid for patient's CSC status.</td></tr><tr><td style=\"white-space:nowrap\">DET064.019<a name=\"claim-decision-reason-cs-DET064.46019\"> </a></td><td>Failed</td><td>Patient's CSC status does not correspond to the claimed fee {feeCode}.</td></tr><tr><td style=\"white-space:nowrap\">DET064.020<a name=\"claim-decision-reason-cs-DET064.46020\"> </a></td><td>Passed</td><td>Fee(s) found for product code and contracted service.</td></tr><tr><td style=\"white-space:nowrap\">DET064.021<a name=\"claim-decision-reason-cs-DET064.46021\"> </a></td><td>Failed</td><td>Product code not valid for this contracted service - no fee(s) found.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://fhir-ig.digital.health.nz/shared-care/CodeSystem/claim-decision-reason-cs"] ;
  fhir:CodeSystem.version [ fhir:value "0.4.5"] ;
  fhir:CodeSystem.name [ fhir:value "ClaimDecisionReasonCS"] ;
  fhir:CodeSystem.title [ fhir:value "Claim Decision Reason Code System"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.date [ fhir:value "2026-07-20T04:35:02+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Te Whatu Ora"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Te Whatu Ora" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.tewhatuora.govt.nz/" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Te Whatu Ora Integration Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "integration@tewhatuora.govt.nz" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Code system for claim decision reasons based on validation rule IDs"] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "NZ" ] ;
       fhir:Coding.display [ fhir:value "New Zealand" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "40"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET040.014" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A valid claim date has been provided." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET040.015" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Claim date provided is not valid." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET052.001" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "No duplicate found for this claim" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET052.002" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Claim is a duplicate of claim [Claim Number] received on [Received Date]." ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET001.006" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Agreement is valid for {service name} services" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET001.001" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Agreement number provided cannot be found in our records" ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET001.007" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Agreement is not valid for {service name} services" ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET063.003" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Provider HPI organisation is appropriate for the Agreement" ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET063.004" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Provider HPI organisation is not appropriate for the Agreement" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET055.001" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "NHI number found in our records." ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET055.002" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "NHI number cannot be found in our records." ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET055.004" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "NHI number validation passes for health service user." ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET055.018" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient is eligible for subsidised healthcare" ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET055.019" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient is not eligible for subsidised healthcare" ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET041.088" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Date of Service is earlier than or equal to Claim Date." ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET041.087" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Date of Service is later than Claim Date." ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET020.003" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Date of Service falls between Agreement start and end date." ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET020.002" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Date of Service did not occur between the Agreement start and termination dates." ]
  ], [
     fhir:index 18 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.001" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Record of encounter was found in our system." ]
  ], [
     fhir:index 19 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.002" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Could not find the encounter with identifier {identifier} in our system." ]
  ], [
     fhir:index 20 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.003" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Encounter is for the same Patient as the Claim." ]
  ], [
     fhir:index 21 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.004" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Encounter and Claim do not refer to the same Patient." ]
  ], [
     fhir:index 22 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.005" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Encounter is for the same Service Date as the Claim Item." ]
  ], [
     fhir:index 23 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.006" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Encounter and Claim Item have different Service Dates." ]
  ], [
     fhir:index 24 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.007" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient attended the Encounter." ]
  ], [
     fhir:index 25 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.008" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Cannot claim for an Encounter that did not occur." ]
  ], [
     fhir:index 26 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.009" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Encounter is only claimed once." ]
  ], [
     fhir:index 27 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.010" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Encounter cannot be claimed more than once." ]
  ], [
     fhir:index 28 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET055.005" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "NHI number provided is for a deceased health service user." ]
  ], [
     fhir:index 29 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.011" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Fee(s) found for purchase unit code and contracted service." ]
  ], [
     fhir:index 30 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.012" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Purchase unit code not valid for this contracted service - no fee(s) found." ]
  ], [
     fhir:index 31 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.013" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Claimed fee {feeCode} is valid for the patient's age." ]
  ], [
     fhir:index 32 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.014" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient's age was older than maximum allowed age for claimed fee {feeCode}." ]
  ], [
     fhir:index 33 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.015" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient's age was younger than minimum allowed age for claimed fee {feeCode}." ]
  ], [
     fhir:index 34 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.016" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Claimed fee {feeCode} is valid for consultation date & time." ]
  ], [
     fhir:index 35 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.017" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient's consultation occurred outside of time period for claimed fee {feeCode}." ]
  ], [
     fhir:index 36 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.018" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Claimed fee {feeCode} is valid for patient's CSC status." ]
  ], [
     fhir:index 37 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.019" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient's CSC status does not correspond to the claimed fee {feeCode}." ]
  ], [
     fhir:index 38 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.020" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Passed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Fee(s) found for product code and contracted service." ]
  ], [
     fhir:index 39 ;
     fhir:CodeSystem.concept.code [ fhir:value "DET064.021" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Failed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Product code not valid for this contracted service - no fee(s) found." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/claim-decision-reason-cs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/claim-decision-reason-cs.ttl> .