KSA Message Events - TTL Representation - Healthcare Financial Services IG Edition 1 v0.3.0

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
: KSA Message Events - 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-message-events"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "7" ] ;
fhir:lastUpdated [ fhir:v "2024-08-15T12:46:22.561+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-message-events</b></p><a name=\"ksa-message-events\"> </a><a name=\"hcksa-message-events\"> </a><a name=\"ksa-message-events-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: 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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://nphies.sa/terminology/CodeSystem/ksa-message-events"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.3.0"] ; # 
  fhir:name [ fhir:v "KSAMessageEvents"] ; # 
  fhir:title [ fhir:v "KSA Message Events"] ; # 
  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 "The Saudi codes for FHIR message events."] ; # 
  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 "claim-request" ] ;
fhir:display [ fhir:v "Claim Request" ] ;
fhir:definition [ fhir:v "A request for adjudication of a claim for products and services." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "طلب تحكيم مطالبة" ]     ] )
  ] [
fhir:code [ fhir:v "cancel-request" ] ;
fhir:display [ fhir:v "Cancel Request" ] ;
fhir:definition [ fhir:v "A request to cancel the processing, where complete or not,  of a prior submission such as a claim." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "طلب إلغاء" ]     ] )
  ] [
fhir:code [ fhir:v "communication-request" ] ;
fhir:display [ fhir:v "Communication Request" ] ;
fhir:definition [ fhir:v "A request for supporting information for a previously submitted request." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "طلب تواصل" ]     ] )
  ] [
fhir:code [ fhir:v "batch-request" ] ;
fhir:display [ fhir:v "Batch-Request" ] ;
fhir:definition [ fhir:v "A request for adjudication of a batch of claims for products and services." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "طلب تحكيم مجموعة مطالبات" ]     ] )
  ] [
fhir:code [ fhir:v "payment-notice" ] ;
fhir:display [ fhir:v "Payment Notice" ] ;
fhir:definition [ fhir:v "A notice providing the current status of a payment." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "اشعار باستلام الدفعة" ]     ] )
  ] [
fhir:code [ fhir:v "communication" ] ;
fhir:display [ fhir:v "Communication" ] ;
fhir:definition [ fhir:v "A provision of supporting information in response to a request or to support a prior submission." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "تواصل" ]     ] )
  ] [
fhir:code [ fhir:v "cancel-response" ] ;
fhir:display [ fhir:v "Cancel Response" ] ;
fhir:definition [ fhir:v "A response to request to cancel the processing, where complete or not,  of a prior submission such as a claim." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "استجابة طلب الإلغاء" ]     ] )
  ] [
fhir:code [ fhir:v "eligibility-response" ] ;
fhir:display [ fhir:v "Eligibility Response" ] ;
fhir:definition [ fhir:v "A message responding to the Eligibility Request with errors or insurance details." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "استجابة طلب الأهلية" ]     ] )
  ] [
fhir:code [ fhir:v "eligibility-request" ] ;
fhir:display [ fhir:v "Eligibility Request" ] ;
fhir:definition [ fhir:v "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." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "طلب الأهلية/الاستحقاق" ]     ] )
  ] [
fhir:code [ fhir:v "nullify-request" ] ;
fhir:display [ fhir:v "Nullify Request" ] ;
fhir:definition [ fhir:v "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." ]
  ] [
fhir:code [ fhir:v "status-response" ] ;
fhir:display [ fhir:v "Status Response" ] ;
fhir:definition [ fhir:v "A response to a request to check on the processing status of a prior submission." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "استجابة فحص الحالة" ]     ] )
  ] [
fhir:code [ fhir:v "status-check" ] ;
fhir:display [ fhir:v "Status Check" ] ;
fhir:definition [ fhir:v "A request to check on the processing status of a prior submission." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "الاستعلام عن حالة الطلب" ]     ] )
  ] [
fhir:code [ fhir:v "poll-request" ] ;
fhir:display [ fhir:v "Poll Request" ] ;
fhir:definition [ fhir:v "A request for the next 'n' undelivered messages from the queue of undelivered messages for the requetor." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "طلب استطلاع" ]     ] )
  ] [
fhir:code [ fhir:v "payment-reconciliation" ] ;
fhir:display [ fhir:v "Payment Reconciliation" ] ;
fhir:definition [ fhir:v "A report of a payment and the allocation of the payment to the respective claims being settled." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "إشعار الدفع" ]     ] )
  ] [
fhir:code [ fhir:v "priorauth-request" ] ;
fhir:display [ fhir:v "Prior Authorization Request" ] ;
fhir:definition [ fhir:v "A request for prior authorization of products and services." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "طلب موافقة مسبقة" ]     ] )
  ] [
fhir:code [ fhir:v "priorauth-response" ] ;
fhir:display [ fhir:v "Prior Authorization Response" ] ;
fhir:definition [ fhir:v "A response to a request for prior authorization of products and services." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "إجابة موافقة مسبقة" ]     ] )
  ] [
fhir:code [ fhir:v "acknowledgement" ] ;
fhir:display [ fhir:v "Acknowledgement" ] ;
fhir:definition [ fhir:v "Message with just a MessageHeader, and optional referenced OperationOutcome if there are errors, to acknowledge the receipt of a request." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "إشعار بالاستلام" ]     ] )
  ] [
fhir:code [ fhir:v "poll-response" ] ;
fhir:display [ fhir:v "Poll Response" ] ;
fhir:definition [ fhir:v "A message responding to a poll-request containing up to 'n' requested undelivered messages." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "استجابة الاستطلاع" ]     ] )
  ] [
fhir:code [ fhir:v "claim-response" ] ;
fhir:display [ fhir:v "Claim Response" ] ;
fhir:definition [ fhir:v "A response to a request for adjudication of a claim for products and services." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "استجابة مطالبة" ]     ] )
  ] [
fhir:code [ fhir:v "nullify-response" ] ;
fhir:display [ fhir:v "Nullify Response" ] ;
fhir:definition [ fhir:v "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." ]
  ] [
fhir:code [ fhir:v "error-notice" ] ;
fhir:display [ fhir:v "Error Notice" ] ;
fhir:definition [ fhir:v "A notice providing the error detected in the received message." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "إشعار الخطأ" ]     ] )
  ] [
fhir:code [ fhir:v "batch-response" ] ;
fhir:display [ fhir:v "Batch Response" ] ;
fhir:definition [ fhir:v "A response for adjudication of a batch of claims for products and services." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "استجابة مجموعة مطالبات" ]     ] )
  ] [
fhir:code [ fhir:v "advanced-authorization" ] ;
fhir:display [ fhir:v "Advanced Authorization" ] ;
fhir:definition [ fhir:v "A response without existing  request for prior authorization of products and services." ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "موافقة مسبقة متقدمة" ]     ] )
  ] [
fhir:code [ fhir:v "prescriber-response" ] ;
fhir:display [ fhir:v "Prescriber Response" ] ;
fhir:definition [ fhir:v "A response for advisory request received from provider during medication prescription" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "رد على المعالج" ]     ] )
  ] [
fhir:code [ fhir:v "prescriber-request" ] ;
fhir:display [ fhir:v "Prescriber Request" ] ;
fhir:definition [ fhir:v "A request for advisory response from payer during medication prescription" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "ar" ] ;
fhir:value [ fhir:v "طلب المعالج" ]     ] )
  ] ) . #