Healthcare Financial Services IG Edition 1
0.3.0 - ci-build Saudi Arabia flag

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

ValueSet: KSA Message Events

Official URL: http://nphies.sa/terminology/ValueSet/ksa-message-events Version: 0.3.0
Active as of 2024-08-15 Computable Name: KSAMessageEvents

Copyright/Legal: nphies 2020+ (https://nphies.sa)

List of message event codes used in Saudi Arabia healthcare message exchanges.

References

Logical Definition (CLD)

Generated Narrative: ValueSet ksa-message-events

version: 21; Last updated: 2024-08-15 12:46:29+0300

 

Expansion

ValueSet

Expansion performed internally based on codesystem KSA Message Events v0.3.0 (CodeSystem)

This value set contains 25 concepts

CodeSystemDisplay (en-US)Definition
  claim-requesthttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsClaim Request

A request for adjudication of a claim for products and services.

  cancel-requesthttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsCancel Request

A request to cancel the processing, where complete or not, of a prior submission such as a claim.

  communication-requesthttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsCommunication Request

A request for supporting information for a previously submitted request.

  batch-requesthttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsBatch-Request

A request for adjudication of a batch of claims for products and services.

  payment-noticehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsPayment Notice

A notice providing the current status of a payment.

  communicationhttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsCommunication

A provision of supporting information in response to a request or to support a prior submission.

  cancel-responsehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsCancel Response

A response to request to cancel the processing, where complete or not, of a prior submission such as a claim.

  eligibility-responsehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsEligibility Response

A message responding to the Eligibility Request with errors or insurance details.

  eligibility-requesthttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsEligibility Request

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.

  nullify-requesthttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsNullify Request

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.

  status-responsehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsStatus Response

A response to a request to check on the processing status of a prior submission.

  status-checkhttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsStatus Check

A request to check on the processing status of a prior submission.

  poll-requesthttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsPoll Request

A request for the next 'n' undelivered messages from the queue of undelivered messages for the requetor.

  payment-reconciliationhttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsPayment Reconciliation

A report of a payment and the allocation of the payment to the respective claims being settled.

  priorauth-requesthttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsPrior Authorization Request

A request for prior authorization of products and services.

  priorauth-responsehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsPrior Authorization Response

A response to a request for prior authorization of products and services.

  acknowledgementhttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsAcknowledgement

Message with just a MessageHeader, and optional referenced OperationOutcome if there are errors, to acknowledge the receipt of a request.

  poll-responsehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsPoll Response

A message responding to a poll-request containing up to 'n' requested undelivered messages.

  claim-responsehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsClaim Response

A response to a request for adjudication of a claim for products and services.

  nullify-responsehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsNullify Response

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.

  error-noticehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsError Notice

A notice providing the error detected in the received message.

  batch-responsehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsBatch Response

A response for adjudication of a batch of claims for products and services.

  advanced-authorizationhttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsAdvanced Authorization

A response without existing request for prior authorization of products and services.

  prescriber-responsehttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsPrescriber Response

A response for advisory request received from provider during medication prescription

  prescriber-requesthttp://nphies.sa/terminology/CodeSystem/ksa-message-eventsPrescriber Request

A request for advisory response from payer during medication prescription


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