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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<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_a7e4caf2-0441-40e5-97d2-5ae180273069"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader a7e4caf2-0441-40e5-97d2-5ae180273069</b></p><a name="a7e4caf2-0441-40e5-97d2-5ae180273069"> </a><a name="hca7e4caf2-0441-40e5-97d2-5ae180273069"> </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-priorauth-request">KSA Message Events priorauth-request</a>: Prior Authorization Request</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="https://nphies.sa/fhir/$process-message">https://nphies.sa/fhir/$process-message</a></td><td>Identifier: <code>http://nphies.sa/license/payer-license</code>/INS-FHIR</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://saudigeneralhospital.com.sa">http://saudigeneralhospital.com.sa</a></td></tr></table><p><b>focus</b>: <a href="Bundle-a84aabfa-1163-407d-aa38-f8119a0b7383.html#http-//saudigeneralhospital.com.sa/Claim/483069">Bundle: type = message; timestamp = 2021-08-30 09:20:15+0300</a></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_483069"> </a><p class="res-header-id"><b>Generated Narrative: Claim 483069</b></p><a name="483069"> </a><a name="hc483069"> </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-institutional-priorauth.html">Nphies Authorization Institutionalversion: null0.3.0)</a></p></div><p><b>Encounter</b>: <a href="Encounter-10124.html">Encounter: identifier = http://saudigeneralhospital.com.sa/identifiers/encounter#AB0001; status = planned; class = short stay (ActCode#SS); serviceType = Sub-Acute Care; period = 2023-12-04 10:25:00+0300 --> 2023-12-04 12:30:00+0300</a></p><p><b>Eligibility Offline Reference</b>: EligResp-31212432</p><p><b>Eligibility Offline Date</b>: 2023-12-04</p><p><b>identifier</b>: <code>http://saudigeneralhospital.com.sa/identifiers/authorization</code>/req_1124856069</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}">Institutional</span></p><p><b>subType</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-subtype ip}">InPatient</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href="Patient-173826788.html">Muhammad Khaled Abbas(official) Male, DoB: 2010-08-21 ( Permanent Resident Card Number: 2000000002)</a></p><p><b>created</b>: 2023-12-04 06:38:00+0300</p><p><b>insurer</b>: <a href="Organization-bff3aa1fbd3648619ac082357bf135db.html">Organization Saudi National Insurance</a></p><p><b>provider</b>: <a href="Organization-b1b3432921324f97af3be9fd0b1a14ae.html">Organization Saudi General Hospital</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>Payees</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/payeetype provider}">Provider</span></td></tr></table><h3>CareTeams</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><a href="Practitioner-1.html">Practitioner Dr. Ameera Hassan(official)</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/claimcareteamrole primary}">Primary provider</span></td><td><span title="Codes:{http://nphies.sa/terminology/CodeSystem/practice-codes 08.26}">General Medicine</span></td></tr></table><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category vital-sign-systolic}">Systolic</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 120 mm[Hg]<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category vital-sign-diastolic}">Diastolic</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 80 mm[Hg]<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category vital-sign-height}">Height</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 160 cm<span 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title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category temperature}">Temperature</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 37 Cel<span style="background: LightGoldenRodYellow"> (Details: UCUM codeCel = 'Cel')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 7</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category chief-complaint}">chief complaint</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 28845006}">Acute appendicitis with generalized peritonitis</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 8</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category oxygen-saturation}">Oxygen Saturation</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 100 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 9</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category respiratory-rate}">Respiratory Rate</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 70 /min<span style="background: LightGoldenRodYellow"> (Details: UCUM code/min = '/min')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 10</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category admission-weight}">Admission Weight</span></p><p><b>value</b>: 129 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM codekg = 'kg')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 11</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category estimated-Length-of-Stay}">Estimated Length Of Stay</span></p><p><b>value</b>: 1 d<span style="background: LightGoldenRodYellow"> (Details: UCUM coded = 'd')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 12</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category patient-history}">patient history</span></p><p><b>value</b>: No systemic disease</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 13</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category investigation-result}">Investigation Result</span></p><p><b>code</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/investigation-result INP}">Investigation(s) not performed</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 14</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category treatment-plan}">Treatment Plan</span></p><p><b>value</b>: Appendectomy</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 15</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category physical-examination}">Physical Examination</span></p><p><b>value</b>: Stable</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 16</p><p><b>category</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category history-of-present-illness}">history Of Present Illness</span></p><p><b>value</b>: No history</p></blockquote><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td><td><b>OnAdmission</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{http://hl7.org/fhir/sid/icd-10-am K35.2}">Acute appendicitis with generalized peritonitis</span></td><td><span title="Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-type principal}">Principal Diagnosis</span></td><td><span title="Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-on-admission n}">No</span></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Coverage-1334.html">Coverage: identifier = http://sni.com.sa/identifiers/memberid#0000000002; status = active; type = extended healthcare; relationship = Child; network = Golden C</a></td></tr></table><blockquote><p><b>item</b></p><p><b>Package Code</b>: false</p><p><b>Patient Share</b>: <span title="Saudi Riyal">SAR0.00</span> (SAR)</p><p><b>Payer Share</b>: <span title="Saudi Riyal">SAR400.00</span> (SAR)</p><p><b>Maternity</b>: false</p><p><b>Tax</b>: <span title="Saudi Riyal">SAR100.00</span> (SAR)</p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>diagnosisSequence</b>: 1</p><p><b>informationSequence</b>: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16</p><p><b>productOrService</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/procedures 30571-00-00}">Appendicectomy</span></p><p><b>serviced</b>: 2023-12-04</p><p><b>quantity</b>: 1</p><h3>UnitPrices</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>300</td><td>Saudi riyal</td></tr></table><h3>Nets</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>400</td><td>Saudi riyal</td></tr></table></blockquote><h3>Totals</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>400</td><td>Saudi riyal</td></tr></table></div>
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<supportingInfo>
<sequence value="12"/>
<category>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/claim-information-category"/>
<code value="patient-history"/>
</coding>
</category>
<valueString value="No systemic disease"/>
</supportingInfo>
<supportingInfo>
<sequence value="13"/>
<category>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/claim-information-category"/>
<code value="investigation-result"/>
</coding>
</category>
<code>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/investigation-result"/>
<code value="INP"/>
<display value="Investigation(s) not performed"/>
</coding>
</code>
</supportingInfo>
<supportingInfo>
<sequence value="14"/>
<category>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/claim-information-category"/>
<code value="treatment-plan"/>
</coding>
</category>
<valueString value="Appendectomy"/>
</supportingInfo>
<supportingInfo>
<sequence value="15"/>
<category>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/claim-information-category"/>
<code value="physical-examination"/>
</coding>
</category>
<valueString value="Stable"/>
</supportingInfo>
<supportingInfo>
<sequence value="16"/>
<category>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/claim-information-category"/>
<code value="history-of-present-illness"/>
</coding>
</category>
<valueString value="No history"/>
</supportingInfo>
<diagnosis>
<sequence value="1"/>
<diagnosisCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-am"/>
<code value="K35.2"/>
<display
value="Acute appendicitis with generalized peritonitis"/>
</coding>
</diagnosisCodeableConcept>
<type>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/diagnosis-type"/>
<code value="principal"/>
</coding>
</type>
<onAdmission>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/diagnosis-on-admission"/>
<code value="n"/>
<display value="No"/>
</coding>
</onAdmission>
</diagnosis>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/1334"/>
</coverage>
</insurance>
<item>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-package">
<valueBoolean value="false"/>
</extension>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patient-share">
<valueMoney>
<value value="0"/>
<currency value="SAR"/>
</valueMoney>
</extension>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-payer-share">
<valueMoney>
<value value="400"/>
<currency value="SAR"/>
</valueMoney>
</extension>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-maternity">
<valueBoolean value="false"/>
</extension>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-tax">
<valueMoney>
<value value="100"/>
<currency value="SAR"/>
</valueMoney>
</extension>
<sequence value="1"/>
<careTeamSequence value="1"/>
<diagnosisSequence value="1"/>
<informationSequence value="1"/>
<informationSequence value="2"/>
<informationSequence value="3"/>
<informationSequence value="4"/>
<informationSequence value="5"/>
<informationSequence value="6"/>
<informationSequence value="7"/>
<informationSequence value="8"/>
<informationSequence value="9"/>
<informationSequence value="10"/>
<informationSequence value="11"/>
<informationSequence value="12"/>
<informationSequence value="13"/>
<informationSequence value="14"/>
<informationSequence value="15"/>
<informationSequence value="16"/>
<productOrService>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/procedures"/>
<code value="30571-00-00"/>
<display value="Appendicectomy"/>
</coding>
</productOrService>
<servicedDate value="2023-12-04"/>
<quantity>
<value value="1"/>
</quantity>
<unitPrice>
<value value="300"/>
<currency value="SAR"/>
</unitPrice>
<net>
<value value="400"/>
<currency value="SAR"/>
</net>
</item>
<total>
<value value="400"/>
<currency value="SAR"/>
</total>
</Claim>
</resource>
</entry>
<entry>
<fullUrl value="http://saudigeneralhospital.com.sa/Coverage/1334"/>
<resource>
<Coverage>
<id value="1334"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_1334"> </a><p class="res-header-id"><b>Generated Narrative: Coverage 1334</b></p><a name="1334"> </a><a name="hc1334"> </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>/0000000002</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-173826788.html">Muhammad Khaled Abbas(official) Male, DoB: 2010-08-21 ( Permanent Resident Card Number: 2000000002)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship child}">Child</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>
</text>
<identifier>
<system value="http://sni.com.sa/identifiers/memberid"/>
<value value="0000000002"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/coverage-type"/>
<code value="EHCPOL"/>
<display value="extended healthcare"/>
</coding>
</type>
<policyHolder>🔗
<reference value="Organization/13"/>
</policyHolder>
<subscriber>🔗
<reference value="Patient/123454186"/>
</subscriber>
<beneficiary>🔗
<reference value="Patient/173826788"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="child"/>
<display value="Child"/>
</coding>
</relationship>
<payor>🔗
<reference value="Organization/bff3aa1fbd3648619ac082357bf135db"/>
</payor>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="plan"/>
</coding>
</type>
<value value="CB135"/>
<name value="Insurance Plan A"/>
</class>
<network value="Golden C"/>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl value="http://saudigeneralhospital.com.sa/Organization/13"/>
<resource>
<Organization>
<id value="13"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/policyholder-organization|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://nphies.sa/identifiers/organization"/>
<value value="5009"/>
</identifier>
<active value="true"/>
<name value="Policy Holder Organization"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://saudigeneralhospital.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae"/>
<resource>
<Organization>
<id value="b1b3432921324f97af3be9fd0b1a14ae"/>
<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_b1b3432921324f97af3be9fd0b1a14ae"> </a><p class="res-header-id"><b>Generated Narrative: Organization b1b3432921324f97af3be9fd0b1a14ae</b></p><a name="b1b3432921324f97af3be9fd0b1a14ae"> </a><a name="hcb1b3432921324f97af3be9fd0b1a14ae"> </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 1}">Hospital</span></p><p><b>identifier</b>: <code>http://nphies.sa/license/provider-license</code>/PR-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 General Hospital</p><p><b>address</b>: Salamah Street, Building 25, Suite 2, 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="1"/>
<display value="Hospital"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="http://nphies.sa/license/provider-license"/>
<value value="PR-FHIR"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/organization-type"/>
<code value="prov"/>
</coding>
</type>
<name value="Saudi General Hospital"/>
<address>
<use value="work"/>
<text
value="Salamah Street, Building 25, Suite 2, Riyadh Saudi Arabia"/>
<line value="Salamah Street, Building 25, Suite 2"/>
<line value="Al Malga District"/>
<city value="Riyadh"/>
<country value="Saudi Arabia"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://saudigeneralhospital.com.sa/Patient/173826788"/>
<resource>
<Patient>
<id value="173826788"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_173826788"> </a><p class="res-header-id"><b>Generated Narrative: Patient 173826788</b></p><a name="173826788"> </a><a name="hc173826788"> </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;">Muhammad Khaled Abbas(official) Male, DoB: 2010-08-21 ( Permanent Resident Card Number: 2000000002)</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 Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus U}">unmarried</span></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><a href="tel:+966517382691">+966517382691</a></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 student}">Student</span></td></tr></table></div>
</text>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-occupation">
<valueCodeableConcept>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/occupation"/>
<code value="student"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRC"/>
<display value="Permanent Resident Card Number"/>
</coding>
</type>
<system value="http://nphies.sa/identifier/iqama"/>
<value value="2000000002"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<text value="Muhammad Khaled Abbas"/>
<family value="Abbas"/>
<given value="Muhammad"/>
<given value="Khaled"/>
</name>
<telecom>
<system value="phone"/>
<value value="+966517382691"/>
</telecom>
<gender value="male">
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-ksa-administrative-gender">
<valueCodeableConcept>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/ksa-administrative-gender"/>
<code value="male"/>
</coding>
</valueCodeableConcept>
</extension>
</gender>
<birthDate value="2010-08-21"/>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="U"/>
</coding>
</maritalStatus>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://saudigeneralhospital.com.sa/Patient/123454186"/>
<resource>
<Patient>
<id value="123454186"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-occupation">
<valueCodeableConcept>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/occupation"/>
<code value="business"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-identifier-country">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="SAU"/>
<display value="Saudi Arabia"/>
</coding>
</valueCodeableConcept>
</extension>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PPN"/>
<display value="Passport Number"/>
</coding>
</type>
<system value="http://nphies.sa/identifier/passportnumber"/>
<value value="G12345678"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<text value="Ahmad Khaled Abbas"/>
<family value="Ahmad"/>
<given value="Khaled"/>
<given value="Abbas"/>
</name>
<telecom>
<system value="phone"/>
<value value="+966512345691"/>
</telecom>
<gender value="male">
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-ksa-administrative-gender">
<valueCodeableConcept>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/ksa-administrative-gender"/>
<code value="male"/>
</coding>
</valueCodeableConcept>
</extension>
</gender>
<birthDate value="1984-12-25"/>
<deceasedBoolean value="false"/>
<address>
<use value="home"/>
<text value="Salamah Street, Building 25, Suite 2, Saudi Arabia"/>
<line value="Salamah Street, Building 25, Suite 2"/>
<line value="Al Malga District"/>
<city value="Riyadh"/>
<country value="Saudi Arabia"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
</coding>
</maritalStatus>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://saudigeneralhospital.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db"/>
<resource>
<Organization>
<id value="bff3aa1fbd3648619ac082357bf135db"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/insurer-organization|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NII"/>
</coding>
</type>
<system value="http://nphies.sa/license/payer-license"/>
<value value="INS-FHIR"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/organization-type"/>
<code value="ins"/>
</coding>
</type>
<name value="Saudi National Insurance"/>
<address>
<use value="work"/>
<text value="Olaya Street, Building 70, Riyadh Saudi Arabia"/>
<line value="Olaya Street, Building 70"/>
<line value="Al Olaya District"/>
<city value="Riyadh"/>
<country value="Saudi Arabia"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://saudigeneralhospital.com.sa/Practitioner/1"/>
<resource>
<Practitioner>
<id value="1"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/practitioner|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 1</b></p><a name="1"> </a><a name="hc1"> </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-practitioner.html">Nphies Practitionerversion: null0.3.0)</a></p></div><p><b>identifier</b>: Provider number/N-P-00001</p><p><b>active</b>: true</p><p><b>name</b>: Dr. Ameera Hassan(Official)</p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
</coding>
</type>
<system value="http://nphies.sa/license/practitioner-license"/>
<value value="N-P-00001"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<text value="Dr. Ameera Hassan"/>
<family value="Hassan"/>
<given value="Ameera"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://saudigeneralhospital.com.sa/Encounter/10124"/>
<resource>
<Encounter>
<id value="10124"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/encounter-auth-SS|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_10124"> </a><p class="res-header-id"><b>Generated Narrative: Encounter 10124</b></p><a name="10124"> </a><a name="hc10124"> </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-encounter-auth-SS.html">Nphies Encounter SS (Auth)version: null0.3.0)</a></p></div><p><b>identifier</b>: <code>http://saudigeneralhospital.com.sa/identifiers/encounter</code>/AB0001</p><p><b>status</b>: Planned</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-SS">ActCode SS</a>: short stay</p><p><b>serviceType</b>: <span title="Codes:{http://nphies.sa/terminology/CodeSystem/service-type sub-acute-care}">Sub-Acute Care</span></p><p><b>subject</b>: <a href="Patient-123454186.html">Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)</a></p><p><b>period</b>: 2023-12-04 10:25:00+0300 --> 2023-12-04 12:30:00+0300</p><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>AdmitSource</b></td></tr><tr><td style="display: none">*</td><td/><td><span title="Codes:{http://nphies.sa/terminology/CodeSystem/admit-source WKIN}">Walk-in</span></td></tr></table><p><b>serviceProvider</b>: <a href="Organization-b1b3432921324f97af3be9fd0b1a14ae.html">Organization Saudi General Hospital</a></p></div>
</text>
<identifier>
<system
value="http://saudigeneralhospital.com.sa/identifiers/encounter"/>
<value value="AB0001"/>
</identifier>
<status value="planned"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="SS"/>
<display value="short stay"/>
</class>
<serviceType>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/service-type"/>
<code value="sub-acute-care"/>
<display value="Sub-Acute Care"/>
</coding>
</serviceType>
<subject>🔗
<reference value="Patient/123454186"/>
</subject>
<period>
<start value="2023-12-04T10:25:00+03:00"/>
<end value="2023-12-04T12:30:00+03:00"/>
</period>
<hospitalization>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-admissionSpecialty">
<valueCodeableConcept>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/practice-codes"/>
<code value="08.00"/>
<display value="Internal Medicine Specialty"/>
</coding>
</valueCodeableConcept>
</extension>
<admitSource>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/admit-source"/>
<code value="WKIN"/>
<display value="Walk-in"/>
</coding>
</admitSource>
</hospitalization>
<serviceProvider>🔗
<reference value="Organization/b1b3432921324f97af3be9fd0b1a14ae"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
</Bundle>