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: KSA Adjudication Codes - JSON Representation

Active as of 2025-07-30

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{
  "resourceType" : "CodeSystem",
  "id" : "ksa-adjudication",
  "meta" : {
    "versionId" : "4",
    "lastUpdated" : "2024-08-15T12:41:36.141+03:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem ksa-adjudication</b></p><a name=\"ksa-adjudication\"> </a><a name=\"hcksa-adjudication\"> </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 12:41:36+0300</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/ksa-adjudication</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\">discount<a name=\"ksa-adjudication-discount\"> </a></td><td>Discount</td><td>Amount discounted</td><td>المبلغ المخفض</td></tr><tr><td style=\"white-space:nowrap\">rejected<a name=\"ksa-adjudication-rejected\"> </a></td><td>Rejected</td><td>Amount rejected by the payer</td><td>المبلغ المرفوض من قبل الدافع</td></tr><tr><td style=\"white-space:nowrap\">patientShare<a name=\"ksa-adjudication-patientShare\"> </a></td><td>Patient share</td><td>Amount to be paid by the patient</td><td>حصة المريض</td></tr><tr><td style=\"white-space:nowrap\">approved-quantity<a name=\"ksa-adjudication-approved-quantity\"> </a></td><td>Approved Quantity</td><td>The quantity approved by the payer</td><td>الكمية الموافق عليها</td></tr><tr><td style=\"white-space:nowrap\">approved-duration<a name=\"ksa-adjudication-approved-duration\"> </a></td><td>Approved Duration</td><td>The treatment duration approved in days</td><td>مدة العلاج الموافق عليها</td></tr><tr><td style=\"white-space:nowrap\">approved-refill<a name=\"ksa-adjudication-approved-refill\"> </a></td><td>Approved Refill</td><td>The number of refill approved for this item</td><td>عدد مرات تجديد الوصفة المسموحة لهذا العنصر</td></tr></table></div>"
  },
  "url" : "http://nphies.sa/terminology/CodeSystem/ksa-adjudication",
  "version" : "0.3.0",
  "name" : "KSAAdjudictionCodes",
  "title" : "KSA Adjudication Codes",
  "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" : "KSA adjudication codes used in addition to the HL7 adjudication codesystem codes.",
  "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" : "discount",
      "display" : "Discount",
      "definition" : "Amount discounted",
      "designation" : [
        {
          "language" : "ar",
          "value" : "المبلغ المخفض"
        }
      ]
    },
    {
      "code" : "rejected",
      "display" : "Rejected",
      "definition" : "Amount rejected by the payer",
      "designation" : [
        {
          "language" : "ar",
          "value" : "المبلغ المرفوض من قبل الدافع"
        }
      ]
    },
    {
      "code" : "patientShare",
      "display" : "Patient share",
      "definition" : "Amount to be paid by the patient",
      "designation" : [
        {
          "language" : "ar",
          "value" : "حصة المريض"
        }
      ]
    },
    {
      "code" : "approved-quantity",
      "display" : "Approved Quantity",
      "definition" : "The quantity approved by the payer",
      "designation" : [
        {
          "language" : "ar",
          "value" : "الكمية الموافق عليها"
        }
      ]
    },
    {
      "code" : "approved-duration",
      "display" : "Approved Duration",
      "definition" : "The treatment duration approved in days",
      "designation" : [
        {
          "language" : "ar",
          "value" : "مدة العلاج الموافق عليها"
        }
      ]
    },
    {
      "code" : "approved-refill",
      "display" : "Approved Refill",
      "definition" : "The number of refill approved for this item",
      "designation" : [
        {
          "language" : "ar",
          "value" : "عدد مرات تجديد الوصفة المسموحة لهذا العنصر"
        }
      ]
    }
  ]
}