Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
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
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🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/bundle|0.3.0"
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"timestamp" : "2023-12-02T19:36:29.683Z",
"entry" : [
{
"fullUrl" : "urn:uuid:000739e8-c8d0-44f8-b0e0-f89310ea1998",
"resource" : {
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"id" : "000739e8-c8d0-44f8-b0e0-f89310ea1998",
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🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/message-header|0.3.0"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_000739e8-c8d0-44f8-b0e0-f89310ea1998\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 000739e8-c8d0-44f8-b0e0-f89310ea1998</b></p><a name=\"000739e8-c8d0-44f8-b0e0-f89310ea1998\"> </a><a name=\"hc000739e8-c8d0-44f8-b0e0-f89310ea1998\"> </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-reconciliation\">KSA Message Events payment-reconciliation</a>: Payment Reconciliation</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://saudidentalclinic.com.sa\">http://saudidentalclinic.com.sa</a></td><td>Identifier: <code>http://nphies.sa/license/provider-license</code>/DC-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><p><b>focus</b>: <a href=\"Bundle-96b80922-b538-4ab3-0176-a80b51242161.html#http-//sni.com.sa/PaymentReconciliation/90581\">Bundle: type = message; timestamp = 2023-12-02 19:36:29+0000</a></p></div>"
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"receiver" : {
"type" : "Organization",
"identifier" : {
"system" : "http://nphies.sa/license/provider-license",
"value" : "DC-FHIR"
}
}
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],
"sender" : {
"type" : "Organization",
"identifier" : {
"system" : "http://nphies.sa/license/payer-license",
"value" : "INS-FHIR"
}
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"source" : {
"endpoint" : "http://sni.com.sa"
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"focus" : [
{
"reference" : "http://sni.com.sa/PaymentReconciliation/90581"
}
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}
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{
"fullUrl" : "http://sni.com.sa/PaymentReconciliation/90581",
"resource" : {
"resourceType" : "PaymentReconciliation",
"id" : "90581",
"meta" : {
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🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/payment-reconciliation|0.3.0"
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PaymentReconciliation_90581\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PaymentReconciliation 90581</b></p><a name=\"90581\"> </a><a name=\"hc90581\"> </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-reconciliation.html\">Nphies Payment Reconciliationversion: null0.3.0)</a></p></div><p><b>identifier</b>: <code>http://sni.com.sa/identifiers/paymentreconciliation</code>/90581</p><p><b>status</b>: Active</p><p><b>period</b>: 2023-12-01 --> 2023-12-06</p><p><b>created</b>: 2023-12-06</p><p><b>paymentIssuer</b>: <a href=\"Bundle-16b80922-b538-4ab3-0176-a80b33242163.html#http-//sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db\">Bundle: type = message; timestamp = 2024-12-02 19:36:29+0000</a></p><p><b>requestor</b>: <a href=\"Bundle-96b80922-b538-4ab3-0176-a80b51242161.html#http-//sni.com.sa/Organization/215\">Bundle: type = message; timestamp = 2023-12-02 19:36:29+0000</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Payment made for the month of December, 2023</p><p><b>paymentDate</b>: 2023-12-06</p><h3>PaymentAmounts</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>paymentIdentifier</b>: EFT/URN-987590432322</p><blockquote><p><b>detail</b></p><p><b>Component - Payment</b>: <span title=\"Saudi Riyal\">SAR241.50</span> (SAR)</p><p><b>Component - Early Fee</b>: <span title=\"Saudi Riyal\">SAR0.00</span> (SAR)</p><p><b>Component - nphies Fee</b>: <span title=\"Saudi Riyal\">SAR-1.95</span> (SAR)</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payment-type payment}\">Payment</span></p><p><b>request</b>: Identifier: <code>http://saudidentalclinic.com.sa/identifiers/claim</code>/req_29309905401</p><p><b>submitter</b>: <a href=\"Bundle-96b80922-b538-4ab3-0176-a80b51242161.html#http-//sni.com.sa/Organization/215\">Bundle: type = message; timestamp = 2023-12-02 19:36:29+0000</a></p><p><b>response</b>: Identifier: <code>http://sni.com.sa/identifiers/claimresponse</code>/res_10411448401</p><p><b>date</b>: 2023-12-06</p><p><b>payee</b>: <a href=\"Bundle-96b80922-b538-4ab3-0176-a80b51242161.html#http-//sni.com.sa/Organization/215\">Bundle: type = message; timestamp = 2023-12-02 19:36:29+0000</a></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></blockquote></div>"
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"status" : "active",
"period" : {
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"end" : "2023-12-06"
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"created" : "2023-12-06",
"paymentIssuer" : {
"reference" : "http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db"
},
"requestor" : {
"reference" : "http://sni.com.sa/Organization/215"
},
"outcome" : "complete",
"disposition" : "Payment made for the month of December, 2023",
"paymentDate" : "2023-12-06",
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"currency" : "SAR"
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"paymentIdentifier" : {
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"code" : "eft"
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},
"system" : "http://saudinationalbank.com.sa/identifiers/payment-45908",
"value" : "URN-987590432322"
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"detail" : [
{
"extension" : [
{
"url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-component-payment",
"valueMoney" : {
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"currency" : "SAR"
}
},
{
"url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-component-early-fee",
"valueMoney" : {
"value" : 0,
"currency" : "SAR"
}
},
{
"url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-component-nphies-fee",
"valueMoney" : {
"value" : -1.95,
"currency" : "SAR"
}
}
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"type" : {
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"request" : {
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}
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"submitter" : {
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"date" : "2023-12-06",
"payee" : {
"reference" : "http://sni.com.sa/Organization/215"
},
"amount" : {
"value" : 239.55,
"currency" : "SAR"
}
}
]
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{
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"id" : "215",
"meta" : {
"profile" : [
🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/provider-organization|0.3.0"
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"text" : {
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"div" : "<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>"
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"identifier" : [
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"value" : "DC-FHIR"
}
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"active" : true,
"type" : [
{
"coding" : [
{
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"code" : "prov"
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],
"name" : "Saudi Dental Clinic",
"address" : [
{
"use" : "work",
"text" : "Hajar Valley, Building 104, Riyadh Saudi Arabia",
"line" : [
"Hajar Valley, Building 104",
"Al Malga District"
],
"city" : "Riyadh",
"country" : "Saudi Arabia"
}
]
}
},
{
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"resource" : {
"resourceType" : "Organization",
"id" : "bff3aa1fbd3648619ac082357bf135db",
"meta" : {
"profile" : [
🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/insurer-organization|0.3.0"
]
},
"text" : {
"status" : "generated",
"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\u00a0(use:\u00a0official,\u00a0)</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>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NII"
}
]
},
"system" : "http://nphies.sa/license/payer-license",
"value" : "INS-FHIR"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://nphies.sa/terminology/CodeSystem/organization-type",
"code" : "ins"
}
]
}
],
"name" : "Saudi National Insurance",
"address" : [
{
"use" : "work",
"text" : "Olaya Street, Building 70, Riyadh Saudi Arabia",
"line" : [
"Olaya Street, Building 70",
"Al Olaya District"
],
"city" : "Riyadh",
"country" : "Saudi Arabia"
}
]
}
}
]
}