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

: Advanced Auth Reason - JSON Representation

Raw json | Download

{
  "resourceType" : "CodeSystem",
  "id" : "advancedAuth-reason",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2024-08-14T15:54:45.002+03:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem advancedAuth-reason</b></p><a name=\"advancedAuth-reason\"> </a><a name=\"hcadvancedAuth-reason\"> </a><a name=\"advancedAuth-reason-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: 2; Last updated: 2024-08-14 15:54:45+0300</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/advancedAuth-reason</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\">refill<a name=\"advancedAuth-reason-refill\"> </a></td><td>Refill</td><td>When a payer send an advance authorization for medication refill</td><td>إعادة صرف الدواء</td></tr><tr><td style=\"white-space:nowrap\">second-opinion<a name=\"advancedAuth-reason-second-opinion\"> </a></td><td>Second opinion</td><td>When a payer send an advance authorization for medical second opinion</td><td>رأي طبي ثان</td></tr><tr><td style=\"white-space:nowrap\">referral<a name=\"advancedAuth-reason-referral\"> </a></td><td>Referral</td><td>When a payer send an advance authorization for patient referral</td><td>تحويل</td></tr><tr><td style=\"white-space:nowrap\">authorization<a name=\"advancedAuth-reason-authorization\"> </a></td><td>Authorization</td><td>When a payer send an advance authorization for service to be rendered</td><td>موافقة مسبقة</td></tr><tr><td style=\"white-space:nowrap\">non-network<a name=\"advancedAuth-reason-non-network\"> </a></td><td>Non network</td><td>When a payer send an advance authorization for a non network provider</td><td>خارج شبكة التأمين</td></tr><tr><td style=\"white-space:nowrap\">medication-dispense<a name=\"advancedAuth-reason-medication-dispense\"> </a></td><td>Medication dispense</td><td>When a payer send an advance authorization for medication dispense</td><td>صرف الدواء</td></tr><tr><td style=\"white-space:nowrap\">home-healthcare<a name=\"advancedAuth-reason-home-healthcare\"> </a></td><td>Home healthcare</td><td>When a payer send an advance authorization for home healthcare</td><td>رعاية صحية منزلية</td></tr></table></div>"
  },
  "url" : "http://nphies.sa/terminology/CodeSystem/advancedAuth-reason",
  "version" : "0.3.0",
  "name" : "AdvancedAuthReason",
  "title" : "Advanced Auth Reason",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-06-23T22:09:21+03:00",
  "publisher" : "HL7 Saudi Arabia",
  "contact" : [
    {
      "name" : "HL7 Saudi Arabia",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://test-project.org/test-publisher"
        }
      ]
    }
  ],
  "description" : "Code to indicate the reason for sending an advanced-preAuthorization.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "SA",
          "display" : "Saudi Arabia"
        }
      ]
    }
  ],
  "copyright" : "nphies 2020+ (https://nphies.sa)",
  "caseSensitive" : true,
  "compositional" : false,
  "versionNeeded" : false,
  "content" : "complete",
  "concept" : [
    {
      "code" : "refill",
      "display" : "Refill",
      "definition" : "When a payer send an advance authorization for medication refill",
      "designation" : [
        {
          "language" : "ar",
          "value" : "إعادة صرف الدواء"
        }
      ]
    },
    {
      "code" : "second-opinion",
      "display" : "Second opinion",
      "definition" : "When a payer send an advance authorization for medical second opinion",
      "designation" : [
        {
          "language" : "ar",
          "value" : "رأي طبي ثان"
        }
      ]
    },
    {
      "code" : "referral",
      "display" : "Referral",
      "definition" : "When a payer send an advance authorization for patient referral",
      "designation" : [
        {
          "language" : "ar",
          "value" : "تحويل"
        }
      ]
    },
    {
      "code" : "authorization",
      "display" : "Authorization",
      "definition" : "When a payer send an advance authorization for service to be rendered",
      "designation" : [
        {
          "language" : "ar",
          "value" : "موافقة مسبقة"
        }
      ]
    },
    {
      "code" : "non-network",
      "display" : "Non network",
      "definition" : "When a payer send an advance authorization for a non network provider",
      "designation" : [
        {
          "language" : "ar",
          "value" : "خارج شبكة التأمين"
        }
      ]
    },
    {
      "code" : "medication-dispense",
      "display" : "Medication dispense",
      "definition" : "When a payer send an advance authorization for medication dispense",
      "designation" : [
        {
          "language" : "ar",
          "value" : "صرف الدواء"
        }
      ]
    },
    {
      "code" : "home-healthcare",
      "display" : "Home healthcare",
      "definition" : "When a payer send an advance authorization for home healthcare",
      "designation" : [
        {
          "language" : "ar",
          "value" : "رعاية صحية منزلية"
        }
      ]
    }
  ]
}