Healthcare Financial Services IG Edition 1
0.4.0 - STU-Ballot with Updates
Healthcare Financial Services IG Edition 1
0.4.0 - STU-Ballot with Updates
Healthcare Financial Services IG Edition 1 - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://nphies.sa/terminology/ValueSet/adjudication-error | Version: 0.4.0 | |||
| Active as of 2023-08-13 | Computable Name: AdjudicationError | |||
Copyright/Legal: nphies 2020+ ( https://nphies.sa ) |
||||
Valueset for errors encountered during the processing of the adjudication.
References
version: 15
http://nphies.sa/terminology/CodeSystem/adjudication-error version 📦0.4.0
Expansion based on code system fragment http://nphies.sa/terminology/CodeSystem/adjudication-error Adjudication Error v0.4.0 (CodeSystem)
Expansion performed internally based on codesystem Adjudication Error v0.4.0 (CodeSystem)
This value set contains at least 100 concepts
| System | Code | Display (en) | Definition | JSON | XML |
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1191 | Missing element: [Patient] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1190 | Missing element: [Communication.note.text] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1199 | Missing element: [patient.birthDate] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1198 | Missing element: [gender.extensionKsaGender] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1197 | Missing element: [patient.gender ] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1196 | Missing element: [patient.name] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1195 | Missing element: [patient.active] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1194 | Missing element: [patient.identifier] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1193 | Missing element: [patient.id] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 260 | Missing element: [Claim.careTeam.role] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1192 | Missing element: [patient.resourceType] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 760 | Missing element: [Claim.insurance.coverage] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 761 | Missing element: [Claim.insurance.preAuthRef] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 762 | Missing element: [Claim.insurance.claimResponse] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 261 | Missing element: [Claim.supportingInfo] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 763 | Missing element: [Claim.accident] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 764 | Missing element: [Claim.accident.Date] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 262 | Missing element: [Claim.supportingInfo.sequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 765 | Missing element: [Claim.accident.type] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1133 | Missing element: [ClaimResponse.processNote] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 263 | Missing element: [Claim.supportingInfo.category] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 766 | Missing element: [Claim.accident.locationAdress] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 264 | Missing element: [Claim.supportingInfo.code] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1625 | ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1132 | Missing element: [ClaimResponse.fundsReserve] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 767 | Missing element: [Claim.item] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 34 | Missing element: [CoverageEligibilityResponse.patient] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 265 | Missing element: [Claim.supportingInfo.timingDate] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1189 | Missing element: [Communication.note.time] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1131 | Missing element: [ClaimResponse.total.amount.currency] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 768 | Missing element: [Claim.item.extension.tax] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1130 | Missing element: [ClaimResponse.total.amount.value] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 266 | Missing element: [Claim.supportingInfo.timingPeriod] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1624 | ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 769 | Missing element: [Claim.item.sequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 35 | Missing element: [CoverageEligibilityResponse.servicedDate] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 770 | Missing element: [Claim.item.careTeamSequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 267 | Missing element: [Claim.supportingInfo.valueBoolean] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1672 | Services performed outside the coverage effective period | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 36 | Missing element: [CoverageEligibilityResponse.created] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 268 | Missing element: [Claim.supportingInfo.valueString] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1177 | Missing element: [Communication.subject] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 37 | Missing element: [CoverageEligibilityResponse.request] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 269 | Missing element: [Claim.supportingInfo.valueQuantity] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1176 | Missing element: [Communication.medium] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 12 | Missing element: [entry.CoverageEligibilityRequest] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1671 | The requested medicine(s) is not registered | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 38 | Missing element: [CoverageEligibilityResponse.outcome] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1175 | Missing element: [Communication.priority] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 270 | Missing element: [Claim.supportingInfo.valueAttachment] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 340 | Missing element: [Claim.fundsReserve] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 39 | Missing element: [CoverageEligibilityResponse.disposition] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1174 | Missing element: [Communication.category] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1670 | Service code is inconsistent with the patient's gender | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 13 | Missing element: [CoverageEligibilityRequest.resourceType] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 380 | Missing element: [Claim.item.extension.tax] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 271 | Missing element: [Claim.supportingInfo.valueReference] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1669 | Diagnosis is inconsistent with the patient's gender | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 14 | Missing element: [CoverageEligibilityRequest.id] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 381 | Missing element: [Claim.item.sequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1668 | Supporting information not related to the patient | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 272 | Missing element: [Claim.supportingInfo.reason] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 382 | Missing element: [Claim.item.careTeamSequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1667 | The service code is invalid given the patient history | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1666 | Provider not licensed during the date of service | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 273 | Missing element: [Claim.diagnosis] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1665 | New born exceeds 30 days of age | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 274 | Missing element: [Claim.diagnosis.sequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1129 | Missing element: [ClaimResponse.total.amount] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1664 | Policy is cancelled/expired | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 275 | Missing element: [Claim.diagnosis.diagnosisCodeableConcept] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1663 | MEMBER DELETED | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1662 | Tooth number is missing | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 276 | Missing element: [Claim.diagnosis.type] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1682 | The patient information does not match the insurance member details. | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1128 | Missing element: [ClaimResponse.total.category] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 320 | Missing element: [Claim.item.detail.subDetail.unitPrice] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 277 | Missing element: [Claim.insurance] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1111 | Missing element: [ClaimResponse.item.detail.noteNumber] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1127 | Missing element: [ClaimResponse.total] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 278 | Missing element: [Claim.insurance.sequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1126 | Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.currency] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 279 | Missing element: [Claim.insurance.focal] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1125 | Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.value] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1595 | Claim serviced SHALL be on OR after the creation date if the claim use=Authorization | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 56 | Missing element: [Claim.status] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 700 | Missing element: [Claim.item.detail.subDetail.sequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 57 | Missing element: [Claim.type] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1124 | Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 321 | Missing element: [Claim.item.detail.subDetail.net] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1110 | Missing element: [ClaimResponse.item.detail.detailSequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 58 | Missing element: [Claim.subType] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 701 | Missing element: [Claim.item.detail.subDetail.productOrService] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 771 | Missing element: [Claim.item.diagnosisSequence] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 59 | Missing element: [Claim.use] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1123 | Missing element: [ClaimResponse.item.detail.subDetail.adjudication.reason] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1594 | Claim.billablePeriod SHALL be within the encounter start and end date if encounter is provided | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 322 | Missing element: [Claim.item.detail.subDetail.udi] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 60 | Missing element: [Claim.patient] within the message | |||
http://nphies.sa/terminology/CodeSystem/adjudication-error | 1593 | Claim.subType If Claim type is profesional ,then the Claim sub-type SHALL not be IP |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |