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" : "ksa-message-events",
"meta" : {
"versionId" : "7",
"lastUpdated" : "2024-08-15T12:46:22.561+03:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem ksa-message-events</b></p><a name=\"ksa-message-events\"> </a><a name=\"hcksa-message-events\"> </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: 7; Last updated: 2024-08-15 12:46:22+0300</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/ksa-message-events</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\">claim-request<a name=\"ksa-message-events-claim-request\"> </a></td><td>Claim Request</td><td>A request for adjudication of a claim for products and services.</td><td>طلب تحكيم مطالبة</td></tr><tr><td style=\"white-space:nowrap\">cancel-request<a name=\"ksa-message-events-cancel-request\"> </a></td><td>Cancel Request</td><td>A request to cancel the processing, where complete or not, of a prior submission such as a claim.</td><td>طلب إلغاء</td></tr><tr><td style=\"white-space:nowrap\">communication-request<a name=\"ksa-message-events-communication-request\"> </a></td><td>Communication Request</td><td>A request for supporting information for a previously submitted request.</td><td>طلب تواصل</td></tr><tr><td style=\"white-space:nowrap\">batch-request<a name=\"ksa-message-events-batch-request\"> </a></td><td>Batch-Request</td><td>A request for adjudication of a batch of claims for products and services.</td><td>طلب تحكيم مجموعة مطالبات</td></tr><tr><td style=\"white-space:nowrap\">payment-notice<a name=\"ksa-message-events-payment-notice\"> </a></td><td>Payment Notice</td><td>A notice providing the current status of a payment.</td><td>اشعار باستلام الدفعة</td></tr><tr><td style=\"white-space:nowrap\">communication<a name=\"ksa-message-events-communication\"> </a></td><td>Communication</td><td>A provision of supporting information in response to a request or to support a prior submission.</td><td>تواصل</td></tr><tr><td style=\"white-space:nowrap\">cancel-response<a name=\"ksa-message-events-cancel-response\"> </a></td><td>Cancel Response</td><td>A response to request to cancel the processing, where complete or not, of a prior submission such as a claim.</td><td>استجابة طلب الإلغاء</td></tr><tr><td style=\"white-space:nowrap\">eligibility-response<a name=\"ksa-message-events-eligibility-response\"> </a></td><td>Eligibility Response</td><td>A message responding to the Eligibility Request with errors or insurance details.</td><td>استجابة طلب الأهلية</td></tr><tr><td style=\"white-space:nowrap\">eligibility-request<a name=\"ksa-message-events-eligibility-request\"> </a></td><td>Eligibility Request</td><td>A message requesting the identified patients insurance, determination if the insurance is in force, and potentially requesting the table of benefits or other insurance details.</td><td>طلب الأهلية/الاستحقاق</td></tr><tr><td style=\"white-space:nowrap\">nullify-request<a name=\"ksa-message-events-nullify-request\"> </a></td><td>Nullify Request</td><td>A request to cancel the processing, where complete or not, of a prior submission such as a claim. All copies of the original submission are to be purged, although audit logs may be retained.</td><td/></tr><tr><td style=\"white-space:nowrap\">status-response<a name=\"ksa-message-events-status-response\"> </a></td><td>Status Response</td><td>A response to a request to check on the processing status of a prior submission.</td><td>استجابة فحص الحالة</td></tr><tr><td style=\"white-space:nowrap\">status-check<a name=\"ksa-message-events-status-check\"> </a></td><td>Status Check</td><td>A request to check on the processing status of a prior submission.</td><td>الاستعلام عن حالة الطلب</td></tr><tr><td style=\"white-space:nowrap\">poll-request<a name=\"ksa-message-events-poll-request\"> </a></td><td>Poll Request</td><td>A request for the next 'n' undelivered messages from the queue of undelivered messages for the requetor.</td><td>طلب استطلاع</td></tr><tr><td style=\"white-space:nowrap\">payment-reconciliation<a name=\"ksa-message-events-payment-reconciliation\"> </a></td><td>Payment Reconciliation</td><td>A report of a payment and the allocation of the payment to the respective claims being settled.</td><td>إشعار الدفع</td></tr><tr><td style=\"white-space:nowrap\">priorauth-request<a name=\"ksa-message-events-priorauth-request\"> </a></td><td>Prior Authorization Request</td><td>A request for prior authorization of products and services.</td><td>طلب موافقة مسبقة</td></tr><tr><td style=\"white-space:nowrap\">priorauth-response<a name=\"ksa-message-events-priorauth-response\"> </a></td><td>Prior Authorization Response</td><td>A response to a request for prior authorization of products and services.</td><td>إجابة موافقة مسبقة</td></tr><tr><td style=\"white-space:nowrap\">acknowledgement<a name=\"ksa-message-events-acknowledgement\"> </a></td><td>Acknowledgement</td><td>Message with just a MessageHeader, and optional referenced OperationOutcome if there are errors, to acknowledge the receipt of a request.</td><td>إشعار بالاستلام</td></tr><tr><td style=\"white-space:nowrap\">poll-response<a name=\"ksa-message-events-poll-response\"> </a></td><td>Poll Response</td><td>A message responding to a poll-request containing up to 'n' requested undelivered messages.</td><td>استجابة الاستطلاع</td></tr><tr><td style=\"white-space:nowrap\">claim-response<a name=\"ksa-message-events-claim-response\"> </a></td><td>Claim Response</td><td>A response to a request for adjudication of a claim for products and services.</td><td>استجابة مطالبة</td></tr><tr><td style=\"white-space:nowrap\">nullify-response<a name=\"ksa-message-events-nullify-response\"> </a></td><td>Nullify Response</td><td>A response to request to cancel the processing, where complete or not, of a prior submission, such as a claim, and acceptance that the origibal submission shall be purged.</td><td/></tr><tr><td style=\"white-space:nowrap\">error-notice<a name=\"ksa-message-events-error-notice\"> </a></td><td>Error Notice</td><td>A notice providing the error detected in the received message.</td><td>إشعار الخطأ</td></tr><tr><td style=\"white-space:nowrap\">batch-response<a name=\"ksa-message-events-batch-response\"> </a></td><td>Batch Response</td><td>A response for adjudication of a batch of claims for products and services.</td><td>استجابة مجموعة مطالبات</td></tr><tr><td style=\"white-space:nowrap\">advanced-authorization<a name=\"ksa-message-events-advanced-authorization\"> </a></td><td>Advanced Authorization</td><td>A response without existing request for prior authorization of products and services.</td><td>موافقة مسبقة متقدمة</td></tr><tr><td style=\"white-space:nowrap\">prescriber-response<a name=\"ksa-message-events-prescriber-response\"> </a></td><td>Prescriber Response</td><td>A response for advisory request received from provider during medication prescription</td><td>رد على المعالج</td></tr><tr><td style=\"white-space:nowrap\">prescriber-request<a name=\"ksa-message-events-prescriber-request\"> </a></td><td>Prescriber Request</td><td>A request for advisory response from payer during medication prescription</td><td>طلب المعالج</td></tr></table></div>"
},
"url" : "http://nphies.sa/terminology/CodeSystem/ksa-message-events",
"version" : "0.3.0",
"name" : "KSAMessageEvents",
"title" : "KSA Message Events",
"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" : "The Saudi codes for FHIR message events.",
"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" : "claim-request",
"display" : "Claim Request",
"definition" : "A request for adjudication of a claim for products and services.",
"designation" : [
{
"language" : "ar",
"value" : "طلب تحكيم مطالبة"
}
]
},
{
"code" : "cancel-request",
"display" : "Cancel Request",
"definition" : "A request to cancel the processing, where complete or not, of a prior submission such as a claim.",
"designation" : [
{
"language" : "ar",
"value" : "طلب إلغاء"
}
]
},
{
"code" : "communication-request",
"display" : "Communication Request",
"definition" : "A request for supporting information for a previously submitted request.",
"designation" : [
{
"language" : "ar",
"value" : "طلب تواصل"
}
]
},
{
"code" : "batch-request",
"display" : "Batch-Request",
"definition" : "A request for adjudication of a batch of claims for products and services.",
"designation" : [
{
"language" : "ar",
"value" : "طلب تحكيم مجموعة مطالبات"
}
]
},
{
"code" : "payment-notice",
"display" : "Payment Notice",
"definition" : "A notice providing the current status of a payment.",
"designation" : [
{
"language" : "ar",
"value" : "اشعار باستلام الدفعة"
}
]
},
{
"code" : "communication",
"display" : "Communication",
"definition" : "A provision of supporting information in response to a request or to support a prior submission.",
"designation" : [
{
"language" : "ar",
"value" : "تواصل"
}
]
},
{
"code" : "cancel-response",
"display" : "Cancel Response",
"definition" : "A response to request to cancel the processing, where complete or not, of a prior submission such as a claim.",
"designation" : [
{
"language" : "ar",
"value" : "استجابة طلب الإلغاء"
}
]
},
{
"code" : "eligibility-response",
"display" : "Eligibility Response",
"definition" : "A message responding to the Eligibility Request with errors or insurance details.",
"designation" : [
{
"language" : "ar",
"value" : "استجابة طلب الأهلية"
}
]
},
{
"code" : "eligibility-request",
"display" : "Eligibility Request",
"definition" : "A message requesting the identified patients insurance, determination if the insurance is in force, and potentially requesting the table of benefits or other insurance details.",
"designation" : [
{
"language" : "ar",
"value" : "طلب الأهلية/الاستحقاق"
}
]
},
{
"code" : "nullify-request",
"display" : "Nullify Request",
"definition" : "A request to cancel the processing, where complete or not, of a prior submission such as a claim. All copies of the original submission are to be purged, although audit logs may be retained."
},
{
"code" : "status-response",
"display" : "Status Response",
"definition" : "A response to a request to check on the processing status of a prior submission.",
"designation" : [
{
"language" : "ar",
"value" : "استجابة فحص الحالة"
}
]
},
{
"code" : "status-check",
"display" : "Status Check",
"definition" : "A request to check on the processing status of a prior submission.",
"designation" : [
{
"language" : "ar",
"value" : "الاستعلام عن حالة الطلب"
}
]
},
{
"code" : "poll-request",
"display" : "Poll Request",
"definition" : "A request for the next 'n' undelivered messages from the queue of undelivered messages for the requetor.",
"designation" : [
{
"language" : "ar",
"value" : "طلب استطلاع"
}
]
},
{
"code" : "payment-reconciliation",
"display" : "Payment Reconciliation",
"definition" : "A report of a payment and the allocation of the payment to the respective claims being settled.",
"designation" : [
{
"language" : "ar",
"value" : "إشعار الدفع"
}
]
},
{
"code" : "priorauth-request",
"display" : "Prior Authorization Request",
"definition" : "A request for prior authorization of products and services.",
"designation" : [
{
"language" : "ar",
"value" : "طلب موافقة مسبقة"
}
]
},
{
"code" : "priorauth-response",
"display" : "Prior Authorization Response",
"definition" : "A response to a request for prior authorization of products and services.",
"designation" : [
{
"language" : "ar",
"value" : "إجابة موافقة مسبقة"
}
]
},
{
"code" : "acknowledgement",
"display" : "Acknowledgement",
"definition" : "Message with just a MessageHeader, and optional referenced OperationOutcome if there are errors, to acknowledge the receipt of a request.",
"designation" : [
{
"language" : "ar",
"value" : "إشعار بالاستلام"
}
]
},
{
"code" : "poll-response",
"display" : "Poll Response",
"definition" : "A message responding to a poll-request containing up to 'n' requested undelivered messages.",
"designation" : [
{
"language" : "ar",
"value" : "استجابة الاستطلاع"
}
]
},
{
"code" : "claim-response",
"display" : "Claim Response",
"definition" : "A response to a request for adjudication of a claim for products and services.",
"designation" : [
{
"language" : "ar",
"value" : "استجابة مطالبة"
}
]
},
{
"code" : "nullify-response",
"display" : "Nullify Response",
"definition" : "A response to request to cancel the processing, where complete or not, of a prior submission, such as a claim, and acceptance that the origibal submission shall be purged."
},
{
"code" : "error-notice",
"display" : "Error Notice",
"definition" : "A notice providing the error detected in the received message.",
"designation" : [
{
"language" : "ar",
"value" : "إشعار الخطأ"
}
]
},
{
"code" : "batch-response",
"display" : "Batch Response",
"definition" : "A response for adjudication of a batch of claims for products and services.",
"designation" : [
{
"language" : "ar",
"value" : "استجابة مجموعة مطالبات"
}
]
},
{
"code" : "advanced-authorization",
"display" : "Advanced Authorization",
"definition" : "A response without existing request for prior authorization of products and services.",
"designation" : [
{
"language" : "ar",
"value" : "موافقة مسبقة متقدمة"
}
]
},
{
"code" : "prescriber-response",
"display" : "Prescriber Response",
"definition" : "A response for advisory request received from provider during medication prescription",
"designation" : [
{
"language" : "ar",
"value" : "رد على المعالج"
}
]
},
{
"code" : "prescriber-request",
"display" : "Prescriber Request",
"definition" : "A request for advisory response from payer during medication prescription",
"designation" : [
{
"language" : "ar",
"value" : "طلب المعالج"
}
]
}
]
}