Generated Narrative: Bundle 06b80922-b538-4ab3-9176-a80b51249001

Bundle 06b80922-b538-4ab3-9176-a80b51249001 of type message

Entry 1 - fullUrl = urn:uuid:000739e8-c8d0-44f8-b0e0-f89310ea9061

Resource MessageHeader:

Generated Narrative: MessageHeader 000739e8-c8d0-44f8-b0e0-f89310ea9061

Profile: Nphies MessageHeader

event: KSA Message Events payment-notice: Payment Notice

Destinations

-	Receiver
*	Identifier: http://nphies.sa/license/nphies/NPHIES

sender: Identifier: http://nphies.sa/license/provider-license/PR-FHIR

source

focus: Bundle: type = message; timestamp = 2023-12-07 18:30:29+0000

Entry 2 - fullUrl = http://saudidentalclinic.com.sa/PaymentNotice/99061

Resource PaymentNotice:

Generated Narrative: PaymentNotice 99061

Profile: Nphies Payment Notice

identifier: http://sni.com.sa/identifiers/paymentnotice/9290894061

status: Active

created: 2023-12-06

payment: Identifier: http://sni.com.sa/identifiers/paymentreconciliation/90581

paymentDate: 2023-12-06

payee: Bundle: type = message; timestamp = 2023-12-07 18:30:29+0000

recipient: Identifier: Other/NPHIES

Amounts

-	Value	Currency
*	239.55	SAR

paymentStatus: Cleared

Entry 3 - fullUrl = http://saudidentalclinic.com.sa/Organization/215

Resource Organization:

Generated Narrative: Organization 215

Profile: Nphies Provider Organization

Provider Type: Clinic

identifier: http://nphies.sa/license/provider-license/DC-FHIR

active: true

type: Healthcare Provider

name: Saudi Dental Clinic

Contacts

-	Address
*	Hajar Valley, Building 104, Riyadh Saudi Arabia(work)