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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: Advanced Auth Reason - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="advancedAuth-reason"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2024-08-14T15:54:45.002+03:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="http://nphies.sa/terminology/CodeSystem/advancedAuth-reason"/>
  <version value="0.3.0"/>
  <name value="AdvancedAuthReason"/>
  <title value="Advanced Auth Reason"/>
  <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="Code to indicate the reason for sending an advanced-preAuthorization."/>
  <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="refill"/>
    <display value="Refill"/>
    <definition
                value="When a payer send an advance authorization for medication refill"/>
    <designation>
      <language value="ar"/>
      <value value="إعادة صرف الدواء"/>
    </designation>
  </concept>
  <concept>
    <code value="second-opinion"/>
    <display value="Second opinion"/>
    <definition
                value="When a payer send an advance authorization for medical second opinion"/>
    <designation>
      <language value="ar"/>
      <value value="رأي طبي ثان"/>
    </designation>
  </concept>
  <concept>
    <code value="referral"/>
    <display value="Referral"/>
    <definition
                value="When a payer send an advance authorization for patient referral"/>
    <designation>
      <language value="ar"/>
      <value value="تحويل"/>
    </designation>
  </concept>
  <concept>
    <code value="authorization"/>
    <display value="Authorization"/>
    <definition
                value="When a payer send an advance authorization for service to be rendered"/>
    <designation>
      <language value="ar"/>
      <value value="موافقة مسبقة"/>
    </designation>
  </concept>
  <concept>
    <code value="non-network"/>
    <display value="Non network"/>
    <definition
                value="When a payer send an advance authorization for a non network provider"/>
    <designation>
      <language value="ar"/>
      <value value="خارج شبكة التأمين"/>
    </designation>
  </concept>
  <concept>
    <code value="medication-dispense"/>
    <display value="Medication dispense"/>
    <definition
                value="When a payer send an advance authorization for medication dispense"/>
    <designation>
      <language value="ar"/>
      <value value="صرف الدواء"/>
    </designation>
  </concept>
  <concept>
    <code value="home-healthcare"/>
    <display value="Home healthcare"/>
    <definition
                value="When a payer send an advance authorization for home healthcare"/>
    <designation>
      <language value="ar"/>
      <value value="رعاية صحية منزلية"/>
    </designation>
  </concept>
</CodeSystem>