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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: KSA Adjudication Codes - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="ksa-adjudication"/>
  <meta>
    <versionId value="4"/>
    <lastUpdated value="2024-08-15T12:41:36.141+03:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="http://nphies.sa/terminology/CodeSystem/ksa-adjudication"/>
  <version value="0.3.0"/>
  <name value="KSAAdjudictionCodes"/>
  <title value="KSA Adjudication Codes"/>
  <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="KSA adjudication codes used in addition to the HL7 adjudication codesystem codes."/>
  <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="discount"/>
    <display value="Discount"/>
    <definition value="Amount discounted"/>
    <designation>
      <language value="ar"/>
      <value value="المبلغ المخفض"/>
    </designation>
  </concept>
  <concept>
    <code value="rejected"/>
    <display value="Rejected"/>
    <definition value="Amount rejected by the payer"/>
    <designation>
      <language value="ar"/>
      <value value="المبلغ المرفوض من قبل الدافع"/>
    </designation>
  </concept>
  <concept>
    <code value="patientShare"/>
    <display value="Patient share"/>
    <definition value="Amount to be paid by the patient"/>
    <designation>
      <language value="ar"/>
      <value value="حصة المريض"/>
    </designation>
  </concept>
  <concept>
    <code value="approved-quantity"/>
    <display value="Approved Quantity"/>
    <definition value="The quantity approved by the payer"/>
    <designation>
      <language value="ar"/>
      <value value="الكمية الموافق عليها"/>
    </designation>
  </concept>
  <concept>
    <code value="approved-duration"/>
    <display value="Approved Duration"/>
    <definition value="The treatment duration approved in days"/>
    <designation>
      <language value="ar"/>
      <value value="مدة العلاج الموافق عليها"/>
    </designation>
  </concept>
  <concept>
    <code value="approved-refill"/>
    <display value="Approved Refill"/>
    <definition value="The number of refill approved for this item"/>
    <designation>
      <language value="ar"/>
      <value value="عدد مرات تجديد الوصفة المسموحة لهذا العنصر"/>
    </designation>
  </concept>
</CodeSystem>