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 Reconciliation #1 - 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 "96b80922-b538-4ab3-0176-a80b51242161"] ; # 
  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 "2023-12-02T19:36:29.683Z"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:000739e8-c8d0-44f8-b0e0-f89310ea1998"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:000739e8-c8d0-44f8-b0e0-f89310ea1998> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/PaymentReconciliation/90581"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/PaymentReconciliation/90581> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Organization/215"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Organization/215> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db> )
  ] ) . # 

<urn:uuid:000739e8-c8d0-44f8-b0e0-f89310ea1998> a fhir:MessageHeader ;
  fhir:id [ fhir:v "000739e8-c8d0-44f8-b0e0-f89310ea1998"] ; # 
  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_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>"^^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 "payment-reconciliation" ]
  ] ; # 
  fhir:destination ( [
fhir:endpoint [ fhir:v "http://saudidentalclinic.com.sa"^^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 "DC-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:focus ( [
fhir:link <http://sni.com.sa/PaymentReconciliation/90581> ;
fhir:reference [ fhir:v "http://sni.com.sa/PaymentReconciliation/90581" ]
  ] ) . # 

<http://sni.com.sa/PaymentReconciliation/90581> a fhir:PaymentReconciliation ;
  fhir:id [ fhir:v "90581"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/payment-reconciliation|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/payment-reconciliation|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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 --&gt; 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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://sni.com.sa/identifiers/paymentreconciliation"^^xsd:anyURI ] ;
fhir:value [ fhir:v "90581" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:period [
fhir:start [ fhir:v "2023-12-01"^^xsd:date ] ;
fhir:end [ fhir:v "2023-12-06"^^xsd:date ]
  ] ; # 
  fhir:created [ fhir:v "2023-12-06"^^xsd:date] ; # 
  fhir:paymentIssuer [
fhir:link <http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db> ;
fhir:reference [ fhir:v "http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db" ]
  ] ; # 
  fhir:requestor [
fhir:link <http://sni.com.sa/Organization/215> ;
fhir:reference [ fhir:v "http://sni.com.sa/Organization/215" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "Payment made for the month of December, 2023"] ; # 
  fhir:paymentDate [ fhir:v "2023-12-06"^^xsd:date] ; # 
  fhir:paymentAmount [
fhir:value [ fhir:v 239.55 ] ;
fhir:currency [ fhir:v "SAR" ]
  ] ; # 
  fhir:paymentIdentifier [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/payment-method"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eft" ]       ] )     ] ;
fhir:system [ fhir:v "http://saudinationalbank.com.sa/identifiers/payment-45908"^^xsd:anyURI ] ;
fhir:value [ fhir:v "URN-987590432322" ]
  ] ; # 
  fhir:detail ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-component-payment"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v 241.5 ] ;
fhir:currency [ fhir:v "SAR" ]       ]     ] [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-component-early-fee"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "0"^^xsd:decimal ] ;
fhir:currency [ fhir:v "SAR" ]       ]     ] [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-component-nphies-fee"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v -1.95 ] ;
fhir:currency [ fhir:v "SAR" ]       ]     ] ) ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "payment" ]       ] )     ] ;
fhir:request [
fhir:identifier [
fhir:system [ fhir:v "http://saudidentalclinic.com.sa/identifiers/claim"^^xsd:anyURI ] ;
fhir:value [ fhir:v "req_29309905401" ]       ]     ] ;
fhir:submitter [
fhir:link <http://sni.com.sa/Organization/215> ;
fhir:reference [ fhir:v "http://sni.com.sa/Organization/215" ]     ] ;
fhir:response [
fhir:identifier [
fhir:system [ fhir:v "http://sni.com.sa/identifiers/claimresponse"^^xsd:anyURI ] ;
fhir:value [ fhir:v "res_10411448401" ]       ]     ] ;
fhir:date [ fhir:v "2023-12-06"^^xsd:date ] ;
fhir:payee [
fhir:link <http://sni.com.sa/Organization/215> ;
fhir:reference [ fhir:v "http://sni.com.sa/Organization/215" ]     ] ;
fhir:amount [
fhir:value [ fhir:v 239.55 ] ;
fhir:currency [ fhir:v "SAR" ]     ]
  ] ) . # 

<http://sni.com.sa/Organization/215> a fhir:Organization ;
  fhir:id [ fhir:v "215"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/provider-organization|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/provider-organization|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-provider-type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/provider-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "5" ] ;
fhir:display [ fhir:v "Clinic" ]       ] )     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://nphies.sa/license/provider-license"^^xsd:anyURI ] ;
fhir:value [ fhir:v "DC-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 "prov" ]     ] )
  ] ) ; # 
  fhir:name [ fhir:v "Saudi Dental Clinic"] ; # 
  fhir:address ( [
fhir:use [ fhir:v "work" ] ;
fhir:text [ fhir:v "Hajar Valley, Building 104, Riyadh Saudi Arabia" ] ;
    ( fhir:line [ fhir:v "Hajar Valley, Building 104" ] [ fhir:v "Al Malga District" ] ) ;
fhir:city [ fhir:v "Riyadh" ] ;
fhir:country [ fhir:v "Saudi Arabia" ]
  ] ) . # 

<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" ]
  ] ) . #