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: Coverage Eligibility #1 Response - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "43c68545-8e37-4744-b8ea-9a1e3c1ada84"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/bundle|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/bundle|0.3.0>     ] )
  ] ; # 
  fhir:type [ fhir:v "message"] ; # 
  fhir:timestamp [ fhir:v "2023-12-19T08:20:29.929+00:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://sni.com.sa/MessageHeader/152a949f-4e1b-4db0-900e-85472517f007"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/MessageHeader/152a949f-4e1b-4db0-900e-85472517f007> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/CoverageEligibilityResponse/14916"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/CoverageEligibilityResponse/14916> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Patient/123454186"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Patient/123454186> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Coverage/1333"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Coverage/1333> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Organization/13"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Organization/13> )
  ] ) . # 

<http://sni.com.sa/MessageHeader/152a949f-4e1b-4db0-900e-85472517f007> a fhir:MessageHeader ;
  fhir:id [ fhir:v "152a949f-4e1b-4db0-900e-85472517f007"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/message-header|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/message-header|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_152a949f-4e1b-4db0-900e-85472517f007\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 152a949f-4e1b-4db0-900e-85472517f007</b></p><a name=\"152a949f-4e1b-4db0-900e-85472517f007\"> </a><a name=\"hc152a949f-4e1b-4db0-900e-85472517f007\"> </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-eligibility-response\">KSA Message Events eligibility-response</a>: Eligibility Response</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://10.73.91.79\">http://10.73.91.79</a></td><td>Identifier: <code>http://nphies.sa/license/provider-license</code>/PR-FHIR</td></tr></table><p><b>sender</b>: Identifier: <code>http://nphies.sa/license/payer-license</code>/INS-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://sni.com.sa\">http://sni.com.sa</a></td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>c19c71dc-cfad-4401-b5b0-c0f20e8f1491</td><td>OK</td></tr></table><p><b>focus</b>: <a href=\"Bundle-43c68545-8e37-4744-b8ea-9a1e3c1ada84.html#http-//sni.com.sa/CoverageEligibilityResponse/14916\">Bundle: type = message; timestamp = 2023-12-19 08:20:29+0000</a></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:event [
a fhir:Coding ;
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/ksa-message-events"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eligibility-response" ]
  ] ; # 
  fhir:destination ( [
fhir:endpoint [ fhir:v "http://10.73.91.79"^^xsd:anyURI ] ;
fhir:receiver [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "http://nphies.sa/license/provider-license"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PR-FHIR" ]       ]     ]
  ] ) ; # 
  fhir:sender [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "http://nphies.sa/license/payer-license"^^xsd:anyURI ] ;
fhir:value [ fhir:v "INS-FHIR" ]     ]
  ] ; # 
  fhir:source [
fhir:endpoint [ fhir:v "http://sni.com.sa"^^xsd:anyURI ]
  ] ; # 
  fhir:response [
fhir:identifier [ fhir:v "c19c71dc-cfad-4401-b5b0-c0f20e8f1491" ] ;
fhir:code [ fhir:v "ok" ]
  ] ; # 
  fhir:focus ( [
fhir:link <http://sni.com.sa/CoverageEligibilityResponse/14916> ;
fhir:reference [ fhir:v "http://sni.com.sa/CoverageEligibilityResponse/14916" ]
  ] ) . # 

<http://sni.com.sa/CoverageEligibilityResponse/14916> a fhir:CoverageEligibilityResponse ;
  fhir:id [ fhir:v "14916"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/eligibility-response|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/eligibility-response|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CoverageEligibilityResponse_14916\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityResponse 14916</b></p><a name=\"14916\"> </a><a name=\"hc14916\"> </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-eligibility-response.html\">Nphies CoverageEligibilityResponseversion: null0.3.0)</a></p></div><p><b>Site Eligibility</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/siteEligibility eligible}\">Eligible</span></p><p><b>identifier</b>: <code>http://sni.com.sa/identifiers/coverageeligibilityresponse</code>/Elig_10551202772262</p><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage Validation, Coverage benefits</p><p><b>patient</b>: <a href=\"Patient-123454186.html\">Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)</a></p><p><b>serviced</b>: 2023-07-15 --&gt; 2023-07-16</p><p><b>created</b>: 2023-12-19 08:20:29+0000</p><p><b>request</b>: Identifier: <code>http://saudigeneralhospital.com.sa/identifiers/coverageeligibilityrequest</code>/req_161959</p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Coverage is in-force</p><p><b>insurer</b>: <a href=\"Organization-bff3aa1fbd3648619ac082357bf135db.html\">Organization Saudi National Insurance</a></p><blockquote><p><b>insurance</b></p><p><b>Site Eligibility</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/siteEligibility eligible}\">Eligible</span></p><p><b>coverage</b>: <a href=\"Coverage-1333.html\">Coverage: identifier = http://sni.com.sa/identifiers/memberid#0000000001; status = active; type = extended healthcare; dependent = 01; relationship = Self; network = Golden C</a></p><p><b>inforce</b>: true</p><blockquote><p><b>item</b></p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/benefit-category 1}\">Medical Care</span></p><p><b>excluded</b>: false</p><p><b>name</b>: Health Benefit Plan Coverage</p><p><b>description</b>: Policy Maximum Annual Limit and Approval limit</p><p><b>network</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-network in}\">In Network</span></p><p><b>unit</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-unit individual}\">Individual</span></p><p><b>term</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-term annual}\">Annual</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Allowed[x]</b></td><td><b>Used[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/benefit-type benefit}\">Benefit</span></td><td><span title=\"Saudi Riyal\">SAR50,000.00</span> (SAR)</td><td><span title=\"Saudi Riyal\">SAR20,000.00</span> (SAR)</td></tr></table></blockquote></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-siteEligibility"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/siteEligibility"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eligible" ]       ] )     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://sni.com.sa/identifiers/coverageeligibilityresponse"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Elig_10551202772262" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:purpose ( [ fhir:v "validation"] [ fhir:v "benefits"] ) ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/123454186" ]
  ] ; # 
  fhir:serviced [
a fhir:Period ;
fhir:start [ fhir:v "2023-07-15"^^xsd:date ] ;
fhir:end [ fhir:v "2023-07-16"^^xsd:date ]
  ] ; # 
  fhir:created [ fhir:v "2023-12-19T08:20:29.933+00:00"^^xsd:dateTime] ; # 
  fhir:request [
fhir:identifier [
fhir:system [ fhir:v "http://saudigeneralhospital.com.sa/identifiers/coverageeligibilityrequest"^^xsd:anyURI ] ;
fhir:value [ fhir:v "req_161959" ]     ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "Coverage is in-force"] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "Organization/bff3aa1fbd3648619ac082357bf135db" ]
  ] ; # 
  fhir:insurance ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-siteEligibility"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/siteEligibility"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eligible" ]         ] )       ]     ] ) ;
fhir:coverage [
fhir:reference [ fhir:v "Coverage/1333" ]     ] ;
fhir:inforce [ fhir:v true ] ;
    ( fhir:item [
fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/benefit-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]         ] )       ] ;
fhir:excluded [ fhir:v false ] ;
fhir:name [ fhir:v "Health Benefit Plan Coverage" ] ;
fhir:description [ fhir:v "Policy Maximum Annual Limit and Approval limit" ] ;
fhir:network [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-network"^^xsd:anyURI ] ;
fhir:code [ fhir:v "in" ]         ] )       ] ;
fhir:unit [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-unit"^^xsd:anyURI ] ;
fhir:code [ fhir:v "individual" ]         ] )       ] ;
fhir:term [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-term"^^xsd:anyURI ] ;
fhir:code [ fhir:v "annual" ]         ] )       ] ;
      ( fhir:benefit [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/benefit-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "benefit" ]           ] )         ] ;
fhir:allowed [
a fhir:Money ;
fhir:value [ fhir:v "50000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "SAR" ]         ] ;
fhir:used [
a fhir:Money ;
fhir:value [ fhir:v "20000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "SAR" ]         ]       ] )     ] )
  ] ) . # 

<http://sni.com.sa/Patient/123454186> a fhir:Patient ;
  fhir:id [ fhir:v "123454186"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_123454186\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 123454186</b></p><a name=\"123454186\"> </a><a name=\"hc123454186\"> </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-patient.html\">Nphies Patientversion: null0.3.0)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td>false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+966512345691\">+966512345691</a></li><li>Salamah Street, Building 25, Suite 2, Saudi Arabia(home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient occupation as per the nphies adopted list of occupations.\"><a href=\"StructureDefinition-extension-occupation.html\">Patient Occupation</a></td><td colspan=\"3\"><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/occupation business}\">Business</span></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-occupation"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/occupation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "business" ]       ] )     ]
  ] ) ; # 
  fhir:identifier ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-identifier-country"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SAU" ] ;
fhir:display [ fhir:v "Saudi Arabia" ]         ] )       ]     ] ) ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PPN" ] ;
fhir:display [ fhir:v "Passport Number" ]       ] )     ] ;
fhir:system [ fhir:v "http://nphies.sa/identifier/passportnumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "G12345678" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name ( [
fhir:use [ fhir:v "official" ] ;
fhir:text [ fhir:v "Ahmad Khaled Abbas" ] ;
fhir:family [ fhir:v "Ahmad" ] ;
    ( fhir:given [ fhir:v "Khaled" ] [ fhir:v "Abbas" ] )
  ] ) ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+966512345691" ]
  ] ) ; # 
  fhir:gender [
fhir:v "male" ;
    ( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-ksa-administrative-gender"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/ksa-administrative-gender"^^xsd:anyURI ] ;
fhir:code [ fhir:v "male" ]         ] )       ]     ] )
  ] ; # 
  fhir:birthDate [ fhir:v "1984-12-25"^^xsd:date] ; # 
  fhir:deceased [
a fhir:boolean ;
fhir:v false
  ] ; # 
  fhir:address ( [
fhir:use [ fhir:v "home" ] ;
fhir:text [ fhir:v "Salamah Street, Building 25, Suite 2, Saudi Arabia" ] ;
    ( fhir:line [ fhir:v "Salamah Street, Building 25, Suite 2" ] [ fhir:v "Al Malga District" ] ) ;
fhir:city [ fhir:v "Riyadh" ] ;
fhir:country [ fhir:v "Saudi Arabia" ]
  ] ) ; # 
  fhir:maritalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "M" ]     ] )
  ] . # 

<http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db> a fhir:Organization ;
  fhir:id [ fhir:v "bff3aa1fbd3648619ac082357bf135db"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/insurer-organization|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/insurer-organization|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_bff3aa1fbd3648619ac082357bf135db\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization bff3aa1fbd3648619ac082357bf135db</b></p><a name=\"bff3aa1fbd3648619ac082357bf135db\"> </a><a name=\"hcbff3aa1fbd3648619ac082357bf135db\"> </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-insurer-organization.html\">Nphies Insurer Organizationversion: null0.3.0)</a></p></div><p><b>identifier</b>: National Insurance Organization Identifier/INS-FHIR (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/organization-type ins}\">Insurance Company</span></p><p><b>name</b>: Saudi National Insurance</p><p><b>address</b>: Olaya Street, Building 70, Riyadh Saudi Arabia(work)</p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NII" ]       ] )     ] ;
fhir:system [ fhir:v "http://nphies.sa/license/payer-license"^^xsd:anyURI ] ;
fhir:value [ fhir:v "INS-FHIR" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/organization-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ins" ]     ] )
  ] ) ; # 
  fhir:name [ fhir:v "Saudi National Insurance"] ; # 
  fhir:address ( [
fhir:use [ fhir:v "work" ] ;
fhir:text [ fhir:v "Olaya Street, Building 70, Riyadh Saudi Arabia" ] ;
    ( fhir:line [ fhir:v "Olaya Street, Building 70" ] [ fhir:v "Al Olaya District" ] ) ;
fhir:city [ fhir:v "Riyadh" ] ;
fhir:country [ fhir:v "Saudi Arabia" ]
  ] ) . # 

<http://sni.com.sa/Coverage/1333> a fhir:Coverage ;
  fhir:id [ fhir:v "1333"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_1333\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 1333</b></p><a name=\"1333\"> </a><a name=\"hc1333\"> </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-coverage.html\">Nphies Coverageversion: null0.3.0)</a></p></div><p><b>identifier</b>: <code>http://sni.com.sa/identifiers/memberid</code>/0000000001</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/coverage-type EHCPOL}\">extended healthcare</span></p><p><b>policyHolder</b>: <a href=\"Organization-13.html\">Organization Policy Holder Organization</a></p><p><b>subscriber</b>: <a href=\"Patient-123454186.html\">Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)</a></p><p><b>beneficiary</b>: <a href=\"Patient-123454186.html\">Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)</a></p><p><b>dependent</b>: 01</p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"Organization-bff3aa1fbd3648619ac082357bf135db.html\">Organization Saudi National Insurance</a></p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></td><td>CB135</td><td>Insurance Plan A</td></tr></table><p><b>network</b>: Golden C</p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://sni.com.sa/identifiers/memberid"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0000000001" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/coverage-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "EHCPOL" ] ;
fhir:display [ fhir:v "extended healthcare" ]     ] )
  ] ; # 
  fhir:policyHolder [
fhir:reference [ fhir:v "Organization/13" ]
  ] ; # 
  fhir:subscriber [
fhir:reference [ fhir:v "Patient/123454186" ]
  ] ; # 
  fhir:beneficiary [
fhir:reference [ fhir:v "Patient/123454186" ]
  ] ; # 
  fhir:dependent [ fhir:v "01"] ; # 
  fhir:relationship [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "self" ] ;
fhir:display [ fhir:v "Self" ]     ] )
  ] ; # 
  fhir:payor ( [
fhir:reference [ fhir:v "Organization/bff3aa1fbd3648619ac082357bf135db" ]
  ] ) ; # 
  fhir:class ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "plan" ]       ] )     ] ;
fhir:value [ fhir:v "CB135" ] ;
fhir:name [ fhir:v "Insurance Plan A" ]
  ] ) ; # 
  fhir:network [ fhir:v "Golden C"] . # 

<http://sni.com.sa/Organization/13> a fhir:Organization ;
  fhir:id [ fhir:v "13"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/policyholder-organization|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/policyholder-organization|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_13\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 13</b></p><a name=\"13\"> </a><a name=\"hc13\"> </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-policyholder-organization.html\">Nphies Policy Holder Organizationversion: null0.3.0)</a></p></div><p><b>identifier</b>: <code>http://nphies.sa/identifiers/organization</code>/5009</p><p><b>active</b>: true</p><p><b>name</b>: Policy Holder Organization</p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://nphies.sa/identifiers/organization"^^xsd:anyURI ] ;
fhir:value [ fhir:v "5009" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name [ fhir:v "Policy Holder Organization"] . #