Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
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
| Active as of 2025-07-30 |
{
"resourceType" : "CodeSystem",
"id" : "benefit-type",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2020-11-11T17:23:47.442+03:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem benefit-type</b></p><a name=\"benefit-type\"> </a><a name=\"hcbenefit-type\"> </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: 1; Last updated: 2020-11-11 17:23:47+0300</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/benefit-type</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\">medical-primarycare<a name=\"benefit-type-medical-primarycare\"> </a></td><td>Medical Primary Health Coverage</td><td>Medical Primary Health Coverage</td><td>رعاية طبية أولية</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"benefit-type-deductible\"> </a></td><td>Deductible</td><td>Cost to be incurred before benefits are applied</td><td>مستحق/خصم ماقبل التغطية</td></tr><tr><td style=\"white-space:nowrap\">benefit<a name=\"benefit-type-benefit\"> </a></td><td>Benefit</td><td>Maximum benefit allowable</td><td>منفعة تأمينية</td></tr><tr><td style=\"white-space:nowrap\">visit<a name=\"benefit-type-visit\"> </a></td><td>Visit</td><td>Service visit</td><td>زيارة</td></tr><tr><td style=\"white-space:nowrap\">room<a name=\"benefit-type-room\"> </a></td><td>Room</td><td>Type of room</td><td>غرفة</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"benefit-type-copay\"> </a></td><td>Copayment per service</td><td>Copayment per service</td><td>تحمل/مشاركة مالية</td></tr><tr><td style=\"white-space:nowrap\">vision-glasses<a name=\"benefit-type-vision-glasses\"> </a></td><td>Vision Glasses</td><td>Frames and lenses</td><td>نظارات طبية</td></tr><tr><td style=\"white-space:nowrap\">vision-contacts<a name=\"benefit-type-vision-contacts\"> </a></td><td>Vision Contacts Coverage</td><td>Contact Lenses</td><td>عدسات لاصقة طبية</td></tr><tr><td style=\"white-space:nowrap\">copay-percent<a name=\"benefit-type-copay-percent\"> </a></td><td>Copayment Percent per service</td><td>Copayment percentage per service</td><td>النسبة المئوية للتحمل/مشاركة مالية</td></tr><tr><td style=\"white-space:nowrap\">copay-maximum<a name=\"benefit-type-copay-maximum\"> </a></td><td>Copayment maximum per service</td><td>Copayment maximum per service</td><td>أقصى تحمل/مشاركة</td></tr><tr><td style=\"white-space:nowrap\">vision-exam<a name=\"benefit-type-vision-exam\"> </a></td><td>Vision Exam</td><td>Vision Exam</td><td>اختبار نظر-عيون</td></tr><tr><td style=\"white-space:nowrap\">pharmacy-dispense<a name=\"benefit-type-pharmacy-dispense\"> </a></td><td>Pharmacy Dispense Coverage</td><td>Pharmacy Dispense Coverage</td><td>صرف دواء-صيدلية</td></tr><tr><td style=\"white-space:nowrap\">approval-limit<a name=\"benefit-type-approval-limit\"> </a></td><td>Approval limit</td><td>The service cost at which prior approval must be submitted</td><td>الحد الأدنى لطلب الموافقة</td></tr></table></div>"
},
"url" : "http://nphies.sa/terminology/CodeSystem/benefit-type",
"version" : "0.3.0",
"name" : "BenefitType",
"title" : "Benefit Type",
"status" : "active",
"experimental" : false,
"date" : "2025-07-30T12:41:32+03:00",
"publisher" : "HL7 Saudi Arabia",
"contact" : [
{
"name" : "HL7 Saudi Arabia",
"telecom" : [
{
"system" : "url",
"value" : "http://test-project.org/test-publisher"
}
]
}
],
"description" : "A code to indicate the benefit classification.",
"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" : "medical-primarycare",
"display" : "Medical Primary Health Coverage",
"definition" : "Medical Primary Health Coverage",
"designation" : [
{
"language" : "ar",
"value" : "رعاية طبية أولية"
}
]
},
{
"code" : "deductible",
"display" : "Deductible",
"definition" : "Cost to be incurred before benefits are applied",
"designation" : [
{
"language" : "ar",
"value" : "مستحق/خصم ماقبل التغطية"
}
]
},
{
"code" : "benefit",
"display" : "Benefit",
"definition" : "Maximum benefit allowable",
"designation" : [
{
"language" : "ar",
"value" : "منفعة تأمينية"
}
]
},
{
"code" : "visit",
"display" : "Visit",
"definition" : "Service visit",
"designation" : [
{
"language" : "ar",
"value" : "زيارة"
}
]
},
{
"code" : "room",
"display" : "Room",
"definition" : "Type of room",
"designation" : [
{
"language" : "ar",
"value" : "غرفة"
}
]
},
{
"code" : "copay",
"display" : "Copayment per service",
"definition" : "Copayment per service",
"designation" : [
{
"language" : "ar",
"value" : "تحمل/مشاركة مالية"
}
]
},
{
"code" : "vision-glasses",
"display" : "Vision Glasses",
"definition" : "Frames and lenses",
"designation" : [
{
"language" : "ar",
"value" : "نظارات طبية"
}
]
},
{
"code" : "vision-contacts",
"display" : "Vision Contacts Coverage",
"definition" : "Contact Lenses",
"designation" : [
{
"language" : "ar",
"value" : "عدسات لاصقة طبية"
}
]
},
{
"code" : "copay-percent",
"display" : "Copayment Percent per service",
"definition" : "Copayment percentage per service",
"designation" : [
{
"language" : "ar",
"value" : "النسبة المئوية للتحمل/مشاركة مالية"
}
]
},
{
"code" : "copay-maximum",
"display" : "Copayment maximum per service",
"definition" : "Copayment maximum per service",
"designation" : [
{
"language" : "ar",
"value" : "أقصى تحمل/مشاركة"
}
]
},
{
"code" : "vision-exam",
"display" : "Vision Exam",
"definition" : "Vision Exam",
"designation" : [
{
"language" : "ar",
"value" : "اختبار نظر-عيون"
}
]
},
{
"code" : "pharmacy-dispense",
"display" : "Pharmacy Dispense Coverage",
"definition" : "Pharmacy Dispense Coverage",
"designation" : [
{
"language" : "ar",
"value" : "صرف دواء-صيدلية"
}
]
},
{
"code" : "approval-limit",
"display" : "Approval limit",
"definition" : "The service cost at which prior approval must be submitted",
"designation" : [
{
"language" : "ar",
"value" : "الحد الأدنى لطلب الموافقة"
}
]
}
]
}