Healthcare Financial Services IG Edition 1
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: KSA Adjudication Codes - TTL Representation

Active as of 2025-06-23

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ksa-adjudication"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "4" ] ;
fhir:lastUpdated [ fhir:v "2024-08-15T12:41:36.141+03:00"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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><a name=\"ksa-adjudication-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: 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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://nphies.sa/terminology/CodeSystem/ksa-adjudication"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.3.0"] ; # 
  fhir:name [ fhir:v "KSAAdjudictionCodes"] ; # 
  fhir:title [ fhir:v "KSA Adjudication Codes"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2025-06-23T22:09:21+03:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 Saudi Arabia"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 Saudi Arabia" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://test-project.org/test-publisher" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "KSA adjudication codes used in addition to the HL7 adjudication codesystem codes."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SA" ] ;
fhir:display [ fhir:v "Saudi Arabia" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "nphies 2020+ (https://nphies.sa)"] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:compositional [ fhir:v false] ; # 
  fhir:versionNeeded [ fhir:v false] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "discount" ] ;
fhir:display [ fhir:v "Discount" ] ;
fhir:definition [ fhir:v "Amount discounted" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "المبلغ المخفض" ]     ] )
  ] [
fhir:code [ fhir:v "rejected" ] ;
fhir:display [ fhir:v "Rejected" ] ;
fhir:definition [ fhir:v "Amount rejected by the payer" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "المبلغ المرفوض من قبل الدافع" ]     ] )
  ] [
fhir:code [ fhir:v "patientShare" ] ;
fhir:display [ fhir:v "Patient share" ] ;
fhir:definition [ fhir:v "Amount to be paid by the patient" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "حصة المريض" ]     ] )
  ] [
fhir:code [ fhir:v "approved-quantity" ] ;
fhir:display [ fhir:v "Approved Quantity" ] ;
fhir:definition [ fhir:v "The quantity approved by the payer" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "الكمية الموافق عليها" ]     ] )
  ] [
fhir:code [ fhir:v "approved-duration" ] ;
fhir:display [ fhir:v "Approved Duration" ] ;
fhir:definition [ fhir:v "The treatment duration approved in days" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "مدة العلاج الموافق عليها" ]     ] )
  ] [
fhir:code [ fhir:v "approved-refill" ] ;
fhir:display [ fhir:v "Approved Refill" ] ;
fhir:definition [ fhir:v "The number of refill approved for this item" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "عدد مرات تجديد الوصفة المسموحة لهذا العنصر" ]     ] )
  ] ) . #