Message: Coverage Eligibility #1 Request - Healthcare Financial Services IG Edition 1 v0.3.0

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

Example Bundle: Message: Coverage Eligibility #1 Request

Generated Narrative: Bundle 4350490e-98f0-4c23-9e7d-4cd2c7011959

Profile: Nphies Bundle

Bundle 4350490e-98f0-4c23-9e7d-4cd2c7011959 of type message

Entry 1 - fullUrl = urn:uuid:c19c71dc-cfad-4401-b5b0-c0f20e8f1959

Resource MessageHeader:

Generated Narrative: MessageHeader c19c71dc-cfad-4401-b5b0-c0f20e8f1959

Profile: Nphies MessageHeader
event: KSA Message Events eligibility-request: Eligibility Request
Destinations
- Receiver
* Identifier: http://nphies.sa/license/payer-license/INS-FHIR
sender: Identifier: http://nphies.sa/license/provider-license/PR-FHIR
source
focus: Bundle: type = message; timestamp = 2023-07-15 14:56:49+0300

Entry 2 - fullUrl = http://saudigeneralhospital.com.sa/CoverageEligibilityRequest/19596

Resource CoverageEligibilityRequest:

Generated Narrative: CoverageEligibilityRequest 19596

Profile: Nphies CoverageEligibilityRequest
identifier: http://saudigeneralhospital.com.sa/identifiers/coverageeligibilityrequest/req_161959
status: Active
priority: Normal
purpose: Coverage Validation, Coverage benefits
patient: Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)
serviced: 2023-07-15 --> 2023-07-16
created: 2023-07-16
provider: Organization Saudi General Hospital
insurer: Organization Saudi National Insurance
facility: Location Saudi General Hospital
Insurances
- Coverage
* Coverage: identifier = http://sni.com.sa/identifiers/memberid#0000000001; status = active; type = extended healthcare; dependent = 01; relationship = Self; network = Golden C

Entry 3 - fullUrl = http://saudigeneralhospital.com.sa/Coverage/1333

Resource Coverage:

Generated Narrative: Coverage 1333

Profile: Nphies Coverage
identifier: http://sni.com.sa/identifiers/memberid/0000000001
status: Active
type: extended healthcare
policyHolder: Organization Policy Holder Organization
subscriber: Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)
beneficiary: Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)
dependent: 01
relationship: Self
Classes
- Type Value Name
* Plan CB135 Insurance Plan A
network: Golden C

Entry 4 - fullUrl = http://saudigeneralhospital.com.sa/Organization/13

Resource Organization:

Generated Narrative: Organization 13

Profile: Nphies Policy Holder Organization
identifier: http://nphies.sa/identifiers/organization/5009
active: true
name: Policy Holder Organization

Entry 5 - fullUrl = http://saudigeneralhospital.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae

Resource Organization:

Generated Narrative: Organization b1b3432921324f97af3be9fd0b1a14ae

Profile: Nphies Provider Organization
Provider Type: Hospital
identifier: http://nphies.sa/license/provider-license/PR-FHIR
active: true
type: Healthcare Provider
name: Saudi General Hospital
Contacts
- Address
* Salamah Street, Building 25, Suite 2, Riyadh Saudi Arabia(work)

Entry 6 - fullUrl = http://saudigeneralhospital.com.sa/Patient/123454186

Resource Patient:

Generated Narrative: Patient 123454186

Profile: Nphies Patient
Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)
Active: true Deceased: false
Marital Status: Married
Contact Detail
+966512345691
Salamah Street, Building 25, Suite 2, Saudi Arabia(home)
Patient Occupation Business

Entry 7 - fullUrl = http://saudigeneralhospital.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db

Resource Organization:

Generated Narrative: Organization bff3aa1fbd3648619ac082357bf135db

Profile: Nphies Insurer Organization
identifier: National Insurance Organization Identifier/INS-FHIR (use: official, )
active: true
type: Insurance Company
name: Saudi National Insurance
Contacts
- Address
* Olaya Street, Building 70, Riyadh Saudi Arabia(work)

Entry 8 - fullUrl = http://saudigeneralhospital.com.sa/Location/2be1133308ed422a9923931c5a475f63

Resource Location:

Generated Narrative: Location 2be1133308ed422a9923931c5a475f63

Profile: Nphies Location
identifier: http://nphies.sa/license/location-license/GACH
status: Active
name: Saudi General Hospital
type: Hospitals; General Acute Care Hospital
managingOrganization: Organization Saudi General Hospital