Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Adjudication Outcome - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "adjudication-outcome"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "4" ] ;
fhir:lastUpdated [ fhir:v "2024-08-15T10:35:13.09+03:00"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem adjudication-outcome</b></p><a name=\"adjudication-outcome\"> </a><a name=\"hcadjudication-outcome\"> </a><a name=\"adjudication-outcome-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 4; Last updated: 2024-08-15 10:35:13+0300</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/adjudication-outcome</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><td><b>Arabic (ar)</b></td></tr><tr><td style=\"white-space:nowrap\">not-required<a name=\"adjudication-outcome-not-required\"> </a></td><td>Not Required</td><td>No Authorization is required for this request</td><td>لا يتطلب موافقة مسبقة</td></tr><tr><td style=\"white-space:nowrap\">pended<a name=\"adjudication-outcome-pended\"> </a></td><td>Pended</td><td>The processing of the requested has been pended awaiting further information or processing</td><td>معلّق</td></tr><tr><td style=\"white-space:nowrap\">approved<a name=\"adjudication-outcome-approved\"> </a></td><td>Approved</td><td>All items approved</td><td>موافق عليه-مقبول</td></tr><tr><td style=\"white-space:nowrap\">rejected<a name=\"adjudication-outcome-rejected\"> </a></td><td>Rejected</td><td>All items rejected</td><td>مرفوض</td></tr><tr><td style=\"white-space:nowrap\">partial<a name=\"adjudication-outcome-partial\"> </a></td><td>Partially Approved</td><td>At least one item rejected</td><td>مقبول جزئيًا</td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://nphies.sa/terminology/CodeSystem/adjudication-outcome"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.3.0"] ; # 
  fhir:name [ fhir:v "AdjudicationOutcome"] ; # 
  fhir:title [ fhir:v "Adjudication Outcome"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2025-06-23T22:09:21+03:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 Saudi Arabia"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 Saudi Arabia" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://test-project.org/test-publisher" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "A code indicating the outcome of the adjudication such as rejected, partially approved/paid or approved/paid as submitted."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SA" ] ;
fhir:display [ fhir:v "Saudi Arabia" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "nphies 2020+ (https://nphies.sa)"] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:compositional [ fhir:v false] ; # 
  fhir:versionNeeded [ fhir:v false] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "not-required" ] ;
fhir:display [ fhir:v "Not Required" ] ;
fhir:definition [ fhir:v "No Authorization is required for this request" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "لا يتطلب موافقة مسبقة" ]     ] )
  ] [
fhir:code [ fhir:v "pended" ] ;
fhir:display [ fhir:v "Pended" ] ;
fhir:definition [ fhir:v "The processing of the requested has been pended awaiting further information or processing" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "معلّق" ]     ] )
  ] [
fhir:code [ fhir:v "approved" ] ;
fhir:display [ fhir:v "Approved" ] ;
fhir:definition [ fhir:v "All items approved" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "موافق عليه-مقبول" ]     ] )
  ] [
fhir:code [ fhir:v "rejected" ] ;
fhir:display [ fhir:v "Rejected" ] ;
fhir:definition [ fhir:v "All items rejected" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "مرفوض" ]     ] )
  ] [
fhir:code [ fhir:v "partial" ] ;
fhir:display [ fhir:v "Partially Approved" ] ;
fhir:definition [ fhir:v "At least one item rejected" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "مقبول جزئيًا" ]     ] )
  ] ) . #