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

• Narrative Content
• XML
• JSON
• TTL

: Adjudication Outcome - XML Representation

Raw xml | Download

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="adjudication-outcome"/>
  <meta>
    <versionId value="4"/>
    <lastUpdated value="2024-08-15T10:35:13.09+03:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="http://nphies.sa/terminology/CodeSystem/adjudication-outcome"/>
  <version value="0.3.0"/>
  <name value="AdjudicationOutcome"/>
  <title value="Adjudication Outcome"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-06-23T22:09:21+03:00"/>
  <publisher value="HL7 Saudi Arabia"/>
  <contact>
    <name value="HL7 Saudi Arabia"/>
    <telecom>
      <system value="url"/>
      <value value="http://test-project.org/test-publisher"/>
    </telecom>
  </contact>
  <description
               value="A code indicating the outcome of the adjudication such as rejected, partially approved/paid or approved/paid as submitted."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="SA"/>
      <display value="Saudi Arabia"/>
    </coding>
  </jurisdiction>
  <copyright value="nphies 2020+ (https://nphies.sa)"/>
  <caseSensitive value="true"/>
  <compositional value="false"/>
  <versionNeeded value="false"/>
  <content value="complete"/>
  <concept>
    <code value="not-required"/>
    <display value="Not Required"/>
    <definition value="No Authorization is required for this request"/>
    <designation>
      <language value="ar"/>
      <value value="لا يتطلب موافقة مسبقة"/>
    </designation>
  </concept>
  <concept>
    <code value="pended"/>
    <display value="Pended"/>
    <definition
                value="The processing of the requested has been pended awaiting further information or processing"/>
    <designation>
      <language value="ar"/>
      <value value="معلّق"/>
    </designation>
  </concept>
  <concept>
    <code value="approved"/>
    <display value="Approved"/>
    <definition value="All items approved"/>
    <designation>
      <language value="ar"/>
      <value value="موافق عليه-مقبول"/>
    </designation>
  </concept>
  <concept>
    <code value="rejected"/>
    <display value="Rejected"/>
    <definition value="All items rejected"/>
    <designation>
      <language value="ar"/>
      <value value="مرفوض"/>
    </designation>
  </concept>
  <concept>
    <code value="partial"/>
    <display value="Partially Approved"/>
    <definition value="At least one item rejected"/>
    <designation>
      <language value="ar"/>
      <value value="مقبول جزئيًا"/>
    </designation>
  </concept>
</CodeSystem>