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 | Version: 0.4.0 | |||
| Active as of 2024-09-01 | Computable Name: Adjudication | |||
Copyright/Legal: nphies 2020+ ( https://nphies.sa ) |
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Adjudication valueset to indicate the amounts eligible under the plan, the amount of benefit, copays etc.
References
version: 10; Last updated: 2024-09-01 14:15:31+0300
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/adjudication version 📦1.0.1http://nphies.sa/terminology/CodeSystem/ksa-adjudication version 📦0.4.0
Expansion performed internally based on:
This value set contains 14 concepts
| System | Code | Display (en) | JSON | XML |
http://terminology.hl7.org/CodeSystem/adjudication | submitted | Submitted Amount | ||
http://terminology.hl7.org/CodeSystem/adjudication | copay | CoPay | ||
http://terminology.hl7.org/CodeSystem/adjudication | eligible | Eligible Amount | ||
http://terminology.hl7.org/CodeSystem/adjudication | deductible | Deductible | ||
http://terminology.hl7.org/CodeSystem/adjudication | unallocdeduct | Unallocated Deductible | ||
http://terminology.hl7.org/CodeSystem/adjudication | eligpercent | Eligible % | ||
http://terminology.hl7.org/CodeSystem/adjudication | tax | Tax | ||
http://terminology.hl7.org/CodeSystem/adjudication | benefit | Benefit Amount | ||
http://nphies.sa/terminology/CodeSystem/ksa-adjudication | discount | Discount | ||
http://nphies.sa/terminology/CodeSystem/ksa-adjudication | rejected | Rejected | ||
http://nphies.sa/terminology/CodeSystem/ksa-adjudication | patientShare | Patient share | ||
http://nphies.sa/terminology/CodeSystem/ksa-adjudication | approved-quantity | Approved Quantity | ||
http://nphies.sa/terminology/CodeSystem/ksa-adjudication | approved-duration | Approved Duration | ||
http://nphies.sa/terminology/CodeSystem/ksa-adjudication | approved-refill | Approved Refill |
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 |