Healthcare Financial Services IG Edition 1
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: Benefit Type - XML Representation

Active as of 2025-06-23

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="benefit-type"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-11-11T17:23:47.442+03:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <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><a name="benefit-type-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: 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>
  </text>
  <url value="http://nphies.sa/terminology/CodeSystem/benefit-type"/>
  <version value="0.3.0"/>
  <name value="BenefitType"/>
  <title value="Benefit Type"/>
  <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 to indicate the benefit classification."/>
  <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="medical-primarycare"/>
    <display value="Medical Primary Health Coverage"/>
    <definition value="Medical Primary Health Coverage"/>
    <designation>
      <language value="ar"/>
      <value value="رعاية طبية أولية"/>
    </designation>
  </concept>
  <concept>
    <code value="deductible"/>
    <display value="Deductible"/>
    <definition value="Cost to be incurred before benefits are applied"/>
    <designation>
      <language value="ar"/>
      <value value="مستحق/خصم ماقبل التغطية"/>
    </designation>
  </concept>
  <concept>
    <code value="benefit"/>
    <display value="Benefit"/>
    <definition value="Maximum benefit allowable"/>
    <designation>
      <language value="ar"/>
      <value value="منفعة تأمينية"/>
    </designation>
  </concept>
  <concept>
    <code value="visit"/>
    <display value="Visit"/>
    <definition value="Service visit"/>
    <designation>
      <language value="ar"/>
      <value value="زيارة"/>
    </designation>
  </concept>
  <concept>
    <code value="room"/>
    <display value="Room"/>
    <definition value="Type of room"/>
    <designation>
      <language value="ar"/>
      <value value="غرفة"/>
    </designation>
  </concept>
  <concept>
    <code value="copay"/>
    <display value="Copayment per service"/>
    <definition value="Copayment per service"/>
    <designation>
      <language value="ar"/>
      <value value="تحمل/مشاركة مالية"/>
    </designation>
  </concept>
  <concept>
    <code value="vision-glasses"/>
    <display value="Vision Glasses"/>
    <definition value="Frames and lenses"/>
    <designation>
      <language value="ar"/>
      <value value="نظارات طبية"/>
    </designation>
  </concept>
  <concept>
    <code value="vision-contacts"/>
    <display value="Vision Contacts Coverage"/>
    <definition value="Contact Lenses"/>
    <designation>
      <language value="ar"/>
      <value value="عدسات لاصقة طبية"/>
    </designation>
  </concept>
  <concept>
    <code value="copay-percent"/>
    <display value="Copayment Percent per service"/>
    <definition value="Copayment percentage per service"/>
    <designation>
      <language value="ar"/>
      <value value="النسبة المئوية للتحمل/مشاركة مالية"/>
    </designation>
  </concept>
  <concept>
    <code value="copay-maximum"/>
    <display value="Copayment maximum per service"/>
    <definition value="Copayment maximum per service"/>
    <designation>
      <language value="ar"/>
      <value value="أقصى تحمل/مشاركة"/>
    </designation>
  </concept>
  <concept>
    <code value="vision-exam"/>
    <display value="Vision Exam"/>
    <definition value="Vision Exam"/>
    <designation>
      <language value="ar"/>
      <value value="اختبار نظر-عيون"/>
    </designation>
  </concept>
  <concept>
    <code value="pharmacy-dispense"/>
    <display value="Pharmacy Dispense Coverage"/>
    <definition value="Pharmacy Dispense Coverage"/>
    <designation>
      <language value="ar"/>
      <value value="صرف دواء-صيدلية"/>
    </designation>
  </concept>
  <concept>
    <code value="approval-limit"/>
    <display value="Approval limit"/>
    <definition
                value="The service cost at which prior approval must be submitted"/>
    <designation>
      <language value="ar"/>
      <value value="الحد الأدنى لطلب الموافقة"/>
    </designation>
  </concept>
</CodeSystem>