Healthcare Financial Services IG Edition 1
0.3.0 - ci-build
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 - XML Representation
| Active as of 2025-06-23 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="ksa-message-events"/>
<meta>
<versionId value="7"/>
<lastUpdated value="2024-08-15T12:46:22.561+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-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>
</text>
<url value="http://nphies.sa/terminology/CodeSystem/ksa-message-events"/>
<version value="0.3.0"/>
<name value="KSAMessageEvents"/>
<title value="KSA Message Events"/>
<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="The Saudi codes for FHIR message events."/>
<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="claim-request"/>
<display value="Claim Request"/>
<definition
value="A request for adjudication of a claim for products and services."/>
<designation>
<language value="ar"/>
<value value="طلب تحكيم مطالبة"/>
</designation>
</concept>
<concept>
<code value="cancel-request"/>
<display value="Cancel Request"/>
<definition
value="A request to cancel the processing, where complete or not, of a prior submission such as a claim."/>
<designation>
<language value="ar"/>
<value value="طلب إلغاء"/>
</designation>
</concept>
<concept>
<code value="communication-request"/>
<display value="Communication Request"/>
<definition
value="A request for supporting information for a previously submitted request."/>
<designation>
<language value="ar"/>
<value value="طلب تواصل"/>
</designation>
</concept>
<concept>
<code value="batch-request"/>
<display value="Batch-Request"/>
<definition
value="A request for adjudication of a batch of claims for products and services."/>
<designation>
<language value="ar"/>
<value value="طلب تحكيم مجموعة مطالبات"/>
</designation>
</concept>
<concept>
<code value="payment-notice"/>
<display value="Payment Notice"/>
<definition value="A notice providing the current status of a payment."/>
<designation>
<language value="ar"/>
<value value="اشعار باستلام الدفعة"/>
</designation>
</concept>
<concept>
<code value="communication"/>
<display value="Communication"/>
<definition
value="A provision of supporting information in response to a request or to support a prior submission."/>
<designation>
<language value="ar"/>
<value value="تواصل"/>
</designation>
</concept>
<concept>
<code value="cancel-response"/>
<display value="Cancel Response"/>
<definition
value="A response to request to cancel the processing, where complete or not, of a prior submission such as a claim."/>
<designation>
<language value="ar"/>
<value value="استجابة طلب الإلغاء"/>
</designation>
</concept>
<concept>
<code value="eligibility-response"/>
<display value="Eligibility Response"/>
<definition
value="A message responding to the Eligibility Request with errors or insurance details."/>
<designation>
<language value="ar"/>
<value value="استجابة طلب الأهلية"/>
</designation>
</concept>
<concept>
<code value="eligibility-request"/>
<display value="Eligibility Request"/>
<definition
value="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 value="ar"/>
<value value="طلب الأهلية/الاستحقاق"/>
</designation>
</concept>
<concept>
<code value="nullify-request"/>
<display value="Nullify Request"/>
<definition
value="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."/>
</concept>
<concept>
<code value="status-response"/>
<display value="Status Response"/>
<definition
value="A response to a request to check on the processing status of a prior submission."/>
<designation>
<language value="ar"/>
<value value="استجابة فحص الحالة"/>
</designation>
</concept>
<concept>
<code value="status-check"/>
<display value="Status Check"/>
<definition
value="A request to check on the processing status of a prior submission."/>
<designation>
<language value="ar"/>
<value value="الاستعلام عن حالة الطلب"/>
</designation>
</concept>
<concept>
<code value="poll-request"/>
<display value="Poll Request"/>
<definition
value="A request for the next 'n' undelivered messages from the queue of undelivered messages for the requetor."/>
<designation>
<language value="ar"/>
<value value="طلب استطلاع"/>
</designation>
</concept>
<concept>
<code value="payment-reconciliation"/>
<display value="Payment Reconciliation"/>
<definition
value="A report of a payment and the allocation of the payment to the respective claims being settled."/>
<designation>
<language value="ar"/>
<value value="إشعار الدفع"/>
</designation>
</concept>
<concept>
<code value="priorauth-request"/>
<display value="Prior Authorization Request"/>
<definition
value="A request for prior authorization of products and services."/>
<designation>
<language value="ar"/>
<value value="طلب موافقة مسبقة"/>
</designation>
</concept>
<concept>
<code value="priorauth-response"/>
<display value="Prior Authorization Response"/>
<definition
value="A response to a request for prior authorization of products and services."/>
<designation>
<language value="ar"/>
<value value="إجابة موافقة مسبقة"/>
</designation>
</concept>
<concept>
<code value="acknowledgement"/>
<display value="Acknowledgement"/>
<definition
value="Message with just a MessageHeader, and optional referenced OperationOutcome if there are errors, to acknowledge the receipt of a request."/>
<designation>
<language value="ar"/>
<value value="إشعار بالاستلام"/>
</designation>
</concept>
<concept>
<code value="poll-response"/>
<display value="Poll Response"/>
<definition
value="A message responding to a poll-request containing up to 'n' requested undelivered messages."/>
<designation>
<language value="ar"/>
<value value="استجابة الاستطلاع"/>
</designation>
</concept>
<concept>
<code value="claim-response"/>
<display value="Claim Response"/>
<definition
value="A response to a request for adjudication of a claim for products and services."/>
<designation>
<language value="ar"/>
<value value="استجابة مطالبة"/>
</designation>
</concept>
<concept>
<code value="nullify-response"/>
<display value="Nullify Response"/>
<definition
value="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."/>
</concept>
<concept>
<code value="error-notice"/>
<display value="Error Notice"/>
<definition
value="A notice providing the error detected in the received message."/>
<designation>
<language value="ar"/>
<value value="إشعار الخطأ"/>
</designation>
</concept>
<concept>
<code value="batch-response"/>
<display value="Batch Response"/>
<definition
value="A response for adjudication of a batch of claims for products and services."/>
<designation>
<language value="ar"/>
<value value="استجابة مجموعة مطالبات"/>
</designation>
</concept>
<concept>
<code value="advanced-authorization"/>
<display value="Advanced Authorization"/>
<definition
value="A response without existing request for prior authorization of products and services."/>
<designation>
<language value="ar"/>
<value value="موافقة مسبقة متقدمة"/>
</designation>
</concept>
<concept>
<code value="prescriber-response"/>
<display value="Prescriber Response"/>
<definition
value="A response for advisory request received from provider during medication prescription"/>
<designation>
<language value="ar"/>
<value value="رد على المعالج"/>
</designation>
</concept>
<concept>
<code value="prescriber-request"/>
<display value="Prescriber Request"/>
<definition
value="A request for advisory response from payer during medication prescription"/>
<designation>
<language value="ar"/>
<value value="طلب المعالج"/>
</designation>
</concept>
</CodeSystem>