Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot 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

: Message: Payment Notice #1 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="06b80922-b538-4ab3-9176-a80b51249001"/>
  <meta>
    <profile
             value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/bundle|0.3.0"/>
  </meta>
  <type value="message"/>
  <timestamp value="2023-12-07T18:30:29.683Z"/>
  <entry>
    <fullUrl value="urn:uuid:000739e8-c8d0-44f8-b0e0-f89310ea9061"/>
    <resource>
      <MessageHeader>
        <id value="000739e8-c8d0-44f8-b0e0-f89310ea9061"/>
        <meta>
          <profile
                   value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/message-header|0.3.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_000739e8-c8d0-44f8-b0e0-f89310ea9061"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader 000739e8-c8d0-44f8-b0e0-f89310ea9061</b></p><a name="000739e8-c8d0-44f8-b0e0-f89310ea9061"> </a><a name="hc000739e8-c8d0-44f8-b0e0-f89310ea9061"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-message-header.html">Nphies MessageHeaderversion: null0.3.0)</a></p></div><p><b>event</b>: <a href="CodeSystem-ksa-message-events.html#ksa-message-events-payment-notice">KSA Message Events payment-notice</a>: Payment Notice</p><h3>Destinations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style="display: none">*</td><td><a href="http://nphies.sa">http://nphies.sa</a></td><td>Identifier: <code>http://nphies.sa/license/nphies</code>/NPHIES</td></tr></table><p><b>sender</b>: Identifier: <code>http://nphies.sa/license/provider-license</code>/PR-FHIR</p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td><a href="http://saudidentalclinic.com.sa">http://saudidentalclinic.com.sa</a></td></tr></table><p><b>focus</b>: <a href="Bundle-06b80922-b538-4ab3-9176-a80b51249001.html#http-//saudidentalclinic.com.sa/PaymentNotice/99061">Bundle: type = message; timestamp = 2023-12-07 18:30:29+0000</a></p></div>
        </text>
        <eventCoding>
          <system
                  value="http://nphies.sa/terminology/CodeSystem/ksa-message-events"/>
          <code value="payment-notice"/>
        </eventCoding>
        <destination>
          <endpoint value="http://nphies.sa"/>
          <receiver>
            <type value="Organization"/>
            <identifier>
              <system value="http://nphies.sa/license/nphies"/>
              <value value="NPHIES"/>
            </identifier>
          </receiver>
        </destination>
        <sender>
          <type value="Organization"/>
          <identifier>
            <system value="http://nphies.sa/license/provider-license"/>
            <value value="PR-FHIR"/>
          </identifier>
        </sender>
        <source>
          <endpoint value="http://saudidentalclinic.com.sa"/>
        </source>
        <focus>
          <reference
                     value="http://saudidentalclinic.com.sa/PaymentNotice/99061"/>
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://saudidentalclinic.com.sa/PaymentNotice/99061"/>
    <resource>
      <PaymentNotice>
        <id value="99061"/>
        <meta>
          <profile
                   value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/payment-notice|0.3.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PaymentNotice_99061"> </a><p class="res-header-id"><b>Generated Narrative: PaymentNotice 99061</b></p><a name="99061"> </a><a name="hc99061"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-payment-notice.html">Nphies Payment Noticeversion: null0.3.0)</a></p></div><p><b>identifier</b>: <code>http://sni.com.sa/identifiers/paymentnotice</code>/9290894061</p><p><b>status</b>: Active</p><p><b>created</b>: 2023-12-06</p><p><b>provider</b>: <a href="Bundle-06b80922-b538-4ab3-9176-a80b51249001.html#http-//saudidentalclinic.com.sa/Organization/215">Bundle: type = message; timestamp = 2023-12-07 18:30:29+0000</a></p><p><b>payment</b>: Identifier: <code>http://sni.com.sa/identifiers/paymentreconciliation</code>/90581</p><p><b>paymentDate</b>: 2023-12-06</p><p><b>payee</b>: <a href="Bundle-06b80922-b538-4ab3-9176-a80b51249001.html#http-//saudidentalclinic.com.sa/Organization/215">Bundle: type = message; timestamp = 2023-12-07 18:30:29+0000</a></p><p><b>recipient</b>: Identifier: Other/NPHIES</p><h3>Amounts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>239.55</td><td>Saudi riyal</td></tr></table><p><b>paymentStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/paymentstatus cleared}">Cleared</span></p></div>
        </text>
        <identifier>
          <system value="http://sni.com.sa/identifiers/paymentnotice"/>
          <value value="9290894061"/>
        </identifier>
        <status value="active"/>
        <created value="2023-12-06"/>
        <provider>
          <reference
                     value="http://saudidentalclinic.com.sa/Organization/215"/>
        </provider>
        <payment>
          <identifier>
            <system
                    value="http://sni.com.sa/identifiers/paymentreconciliation"/>
            <value value="90581"/>
          </identifier>
        </payment>
        <paymentDate value="2023-12-06"/>
        <payee>
          <reference
                     value="http://saudidentalclinic.com.sa/Organization/215"/>
        </payee>
        <recipient>
          <type value="Organization"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://nphies.sa/terminology/CodeSystem/organization-type"/>
                <code value="other"/>
              </coding>
            </type>
            <system value="http://nphies.sa/license/nphies"/>
            <value value="NPHIES"/>
          </identifier>
        </recipient>
        <amount>
          <value value="239.55"/>
          <currency value="SAR"/>
        </amount>
        <paymentStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/paymentstatus"/>
            <code value="cleared"/>
          </coding>
        </paymentStatus>
      </PaymentNotice>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://saudidentalclinic.com.sa/Organization/215"/>
    <resource>
      <Organization>
        <id value="215"/>
        <meta>
          <profile
                   value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/provider-organization|0.3.0"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_215"> </a><p class="res-header-id"><b>Generated Narrative: Organization 215</b></p><a name="215"> </a><a name="hc215"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-provider-organization.html">Nphies Provider Organizationversion: null0.3.0)</a></p></div><p><b>Provider Type</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/provider-type 5}">Clinic</span></p><p><b>identifier</b>: <code>http://nphies.sa/license/provider-license</code>/DC-FHIR</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: Saudi Dental Clinic</p><p><b>address</b>: Hajar Valley, Building 104, Riyadh Saudi Arabia(work)</p></div>
        </text>
        <extension
                   url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-provider-type">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://nphies.sa/terminology/CodeSystem/provider-type"/>
              <code value="5"/>
              <display value="Clinic"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <system value="http://nphies.sa/license/provider-license"/>
          <value value="DC-FHIR"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://nphies.sa/terminology/CodeSystem/organization-type"/>
            <code value="prov"/>
          </coding>
        </type>
        <name value="Saudi Dental Clinic"/>
        <address>
          <use value="work"/>
          <text value="Hajar Valley, Building 104, Riyadh Saudi Arabia"/>
          <line value="Hajar Valley, Building 104"/>
          <line value="Al Malga District"/>
          <city value="Riyadh"/>
          <country value="Saudi Arabia"/>
        </address>
      </Organization>
    </resource>
  </entry>
</Bundle>