Healthcare Financial Services IG Edition 1
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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: Claim Institutional Request #1 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "a84aabfa-1163-407d-aa38-f8119a0b8888",
  "meta" : {
    "profile" : [
      🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/bundle|0.3.0"
    ]
  },
  "type" : "message",
  "timestamp" : "2023-12-05T09:20:15.23+03:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:a7e4caf2-0441-40e5-97d2-5ae1802730af",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "a7e4caf2-0441-40e5-97d2-5ae1802730af",
        "meta" : {
          "profile" : [
            🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/message-header|0.3.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_a7e4caf2-0441-40e5-97d2-5ae1802730af\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader a7e4caf2-0441-40e5-97d2-5ae1802730af</b></p><a name=\"a7e4caf2-0441-40e5-97d2-5ae1802730af\"> </a><a name=\"hca7e4caf2-0441-40e5-97d2-5ae1802730af\"> </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-claim-request\">KSA Message Events claim-request</a>: Claim 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-f8119a0b8888.html#http-//saudigeneralhospital.com.sa/Claim/483070\">Bundle: type = message; timestamp = 2023-12-05 09:20:15+0300</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://nphies.sa/terminology/CodeSystem/ksa-message-events",
          "code" : "claim-request"
        },
        "destination" : [
          {
            "endpoint" : "https://nphies.sa/fhir/$process-message",
            "receiver" : {
              "type" : "Organization",
              "identifier" : {
                "system" : "http://nphies.sa/license/payer-license",
                "value" : "INS-FHIR"
              }
            }
          }
        ],
        "sender" : {
          "type" : "Organization",
          "identifier" : {
            "system" : "http://nphies.sa/license/provider-license",
            "value" : "PR-FHIR"
          }
        },
        "source" : {
          "endpoint" : "http://saudigeneralhospital.com.sa"
        },
        "focus" : [
          {
            "reference" : "http://saudigeneralhospital.com.sa/Claim/483070"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://saudigeneralhospital.com.sa/Claim/483070",
      "resource" : {
        "resourceType" : "Claim",
        "id" : "483070",
        "meta" : {
          "profile" : [
            🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/institutional-claim|0.3.0"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_483070\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim 483070</b></p><a name=\"483070\"> </a><a name=\"hc483070\"> </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-claim.html\">Nphies Claim Institutionalversion: null0.3.0)</a></p></div><p><b>Encounter</b>: <a href=\"Bundle-a84aabfa-1163-407d-aa38-f8119a0b8888.html#http-//saudigeneralhospital.com.sa/Encounter/10130\">Bundle: type = message; timestamp = 2023-12-05 09:20:15+0300</a></p><p><b>Eligibility Offline Reference</b>: EligResp-31212432</p><p><b>Eligibility Offline Date</b>: 2023-12-05</p><p><b>Episode</b>: <code>http://saudigeneralhospital.com.sa/identifiers/episode</code>/provider_EpisodeID_48903211</p><p><b>identifier</b>: <code>http://saudigeneralhospital.com.sa/identifiers/claim</code>/req_3085</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>: Claim</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>: 2023-12-05 12:30:15+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>: 2023-12-05 12:30:15+0300 --&gt; 2023-12-05 12:30:15+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>: 2023-12-05 12:30:15+0300 --&gt; 2023-12-05 12:30:15+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>: 2023-12-05 12:30:15+0300 --&gt; 2023-12-05 12:30:15+0300</p><p><b>value</b>: 175 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 4</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category vital-sign-weight}\">Weight</span></p><p><b>timing</b>: 2023-12-05 12:30:15+0300 --&gt; 2023-12-05 12:30:15+0300</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>: 5</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category pulse}\">Pulse</span></p><p><b>timing</b>: 2023-12-05 12:30:15+0300 --&gt; 2023-12-05 12:30:15+0300</p><p><b>value</b>: 100 /min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/min = '/min')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 6</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category temperature}\">Temperature</span></p><p><b>timing</b>: 2023-12-05 12:30:15+0300 --&gt; 2023-12-05 12:30:15+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 426749004}\">Chronic atrial fibrillation (disorder)</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>: 2023-12-05 12:30:15+0300 --&gt; 2023-12-05 12:30:15+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>: 2023-12-05 12:30:15+0300 --&gt; 2023-12-05 12:30:15+0300</p><p><b>value</b>: 18 /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 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>: 12</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>: 13</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>: Surgery</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 physical-examination}\">Physical Examination</span></p><p><b>value</b>: Stable</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 history-of-present-illness}\">history Of Present Illness</span></p><p><b>value</b>: No history</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 onset}\">Onset</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-am R07.1}\">Chest pain on breathing</span></p><p><b>timing</b>: 2023-12-05</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 17</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category ventilation-hours}\">Ventilation Hours</span></p><p><b>timing</b>: 2023-12-05 12:30:15+0300 --&gt; 2023-12-05 12:30:15+0300</p><p><b>value</b>: 1.5 h<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh = 'h')</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>Condition Onset</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/condition-onset NR}\">Not reported</span></p><p><b>sequence</b>: 1</p><p><b>diagnosis</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-am I48.2}\">Chronic atrial fibrillation</span></p><p><b>type</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-type principal}\">Principal Diagnosis</span></p><p><b>onAdmission</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-on-admission y}\">Yes</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>Condition Onset</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/condition-onset NR}\">Not reported</span></p><p><b>sequence</b>: 2</p><p><b>diagnosis</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-am R51}\">Headache</span></p><p><b>type</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-type secondary}\">Secondary Diagnosis</span></p><p><b>onAdmission</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-on-admission y}\">Yes</span></p></blockquote><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>Tax</b>: <span title=\"Saudi Riyal\">SAR750.00</span> (SAR)</p><p><b>Patient Share</b>: <span title=\"Saudi Riyal\">SAR0.00</span> (SAR)</p><p><b>Patient Invoice</b>: <code>http://saudigeneralhospital.com.sa/identifiers/patientInvoice</code>/Invc-20220120/IP-1110987</p><p><b>Maternity</b>: false</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, 17</p><p><b>productOrService</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/procedures 38287-02-00}\">Catheter ablation of arrhythmia circuit or focus involving left atrial chamber</span></p><p><b>serviced</b>: 2023-12-05</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>5000</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>5750</td><td>Saudi riyal</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>Package Code</b>: false</p><p><b>Tax</b>: <span title=\"Saudi Riyal\">SAR45.00</span> (SAR)</p><p><b>Patient Share</b>: <span title=\"Saudi Riyal\">SAR0.00</span> (SAR)</p><p><b>Patient Invoice</b>: <code>http://saudigeneralhospital.com.sa/identifiers/patientInvoice</code>/Invc-20220120/IP-1110987</p><p><b>Maternity</b>: false</p><p><b>sequence</b>: 2</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, 17</p><p><b>productOrService</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/procedures 13882-00-00}\">Management of continuous ventilatory support, &lt;= 24 hours</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>345</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>6095</td><td>Saudi riyal</td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-encounter",
            "valueReference" : {
              "reference" : "http://saudigeneralhospital.com.sa/Encounter/10130"
            }
          },
          {
            "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-offline-reference",
            "valueString" : "EligResp-31212432"
          },
          {
            "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-offline-date",
            "valueDateTime" : "2023-12-05"
          },
          {
            "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-episode",
            "valueIdentifier" : {
              "system" : "http://saudigeneralhospital.com.sa/identifiers/episode",
              "value" : "provider_EpisodeID_48903211"
            }
          }
        ],
        "identifier" : [
          {
            "system" : "http://saudigeneralhospital.com.sa/identifiers/claim",
            "value" : "req_3085"
          }
        ],
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
              "code" : "institutional"
            }
          ]
        },
        "subType" : {
          "coding" : [
            {
              "system" : "http://nphies.sa/terminology/CodeSystem/claim-subtype",
              "code" : "ip"
            }
          ]
        },
        "use" : "claim",
        "patient" : {
          🔗 "reference" : "Patient/173826788"
        },
        "created" : "2023-12-05T12:30:15.23+03:00",
        "insurer" : {
          🔗 "reference" : "Organization/bff3aa1fbd3648619ac082357bf135db"
        },
        "provider" : {
          🔗 "reference" : "Organization/b1b3432921324f97af3be9fd0b1a14ae"
        },
        "priority" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
              "code" : "normal"
            }
          ]
        },
        "payee" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/payeetype",
                "code" : "provider"
              }
            ]
          }
        },
        "careTeam" : [
          {
            "sequence" : 1,
            "provider" : {
              🔗 "reference" : "Practitioner/1"
            },
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
                  "code" : "primary"
                }
              ]
            },
            "qualification" : {
              "coding" : [
                {
                  "system" : "http://nphies.sa/terminology/CodeSystem/practice-codes",
                  "code" : "08.26"
                }
              ]
            }
          }
        ],
        "supportingInfo" : [
          {
            "sequence" : 1,
            "category" : {
              "coding" : [
                {
                  "system" : "http://nphies.sa/terminology/CodeSystem/claim-information-category",
                  "code" : "vital-sign-systolic"
                }
              ]
            },
            "timingPeriod" : {
              "start" : "2023-12-05T12:30:15.23+03:00",
              "end" : "2023-12-05T12:30:15.23+03:00"
            },
            "valueQuantity" : {
              "value" : 120,
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          },
          {
            "sequence" : 2,
            "category" : {
              "coding" : [
                {
                  "system" : "http://nphies.sa/terminology/CodeSystem/claim-information-category",
                  "code" : "vital-sign-diastolic"
                }
              ]
            },
            "timingPeriod" : {
              "start" : "2023-12-05T12:30:15.23+03:00",
              "end" : "2023-12-05T12:30:15.23+03:00"
            },
            "valueQuantity" : {
              "value" : 80,
              "system" : "http://unitsofmeasure.org",
              "code" : "mm[Hg]"
            }
          },
          {
            "sequence" : 3,
            "category" : {
              "coding" : [
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              {
                "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patient-share",
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              {
                "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patientInvoice",
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              {
                "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-maternity",
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            "sequence" : 1,
            "careTeamSequence" : [
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              2,
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              9,
              10,
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              15,
              16,
              17
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            "productOrService" : {
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            "unitPrice" : {
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            "net" : {
              "value" : 5750,
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          {
            "extension" : [
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                "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-package",
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              {
                "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-tax",
                "valueMoney" : {
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              },
              {
                "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patient-share",
                "valueMoney" : {
                  "value" : 0,
                  "currency" : "SAR"
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              {
                "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patientInvoice",
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              {
                "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-maternity",
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              2,
              3,
              4,
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              6,
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              8,
              9,
              10,
              11,
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              13,
              14,
              15,
              16,
              17
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            "productOrService" : {
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        "policyHolder" : {
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        "identifier" : [
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        "name" : "Saudi General Hospital",
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            "city" : "Riyadh",
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        "text" : {
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          "div" : "<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>"
        },
        "extension" : [
          {
            "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-occupation",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://nphies.sa/terminology/CodeSystem/occupation",
                  "code" : "student"
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        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRC",
                  "display" : "Permanent Resident Card Number"
                }
              ]
            },
            "system" : "http://nphies.sa/identifier/iqama",
            "value" : "2000000002"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "text" : "Muhammad Khaled Abbas",
            "family" : "Abbas",
            "given" : [
              "Muhammad",
              "Khaled"
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        "telecom" : [
          {
            "system" : "phone",
            "value" : "+966517382691"
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        "gender" : "male",
        "_gender" : {
          "extension" : [
            {
              "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-ksa-administrative-gender",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://nphies.sa/terminology/CodeSystem/ksa-administrative-gender",
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        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "U"
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    {
      "fullUrl" : "http://saudigeneralhospital.com.sa/Patient/123454186",
      "resource" : {
        "resourceType" : "Patient",
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        "meta" : {
          "profile" : [
            🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient|0.3.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "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>"
        },
        "extension" : [
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            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://nphies.sa/terminology/CodeSystem/occupation",
                  "code" : "business"
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        ],
        "identifier" : [
          {
            "extension" : [
              {
                "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-identifier-country",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "urn:iso:std:iso:3166",
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              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PPN",
                  "display" : "Passport Number"
                }
              ]
            },
            "system" : "http://nphies.sa/identifier/passportnumber",
            "value" : "G12345678"
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        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "text" : "Ahmad Khaled Abbas",
            "family" : "Ahmad",
            "given" : [
              "Khaled",
              "Abbas"
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          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+966512345691"
          }
        ],
        "gender" : "male",
        "_gender" : {
          "extension" : [
            {
              "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-ksa-administrative-gender",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://nphies.sa/terminology/CodeSystem/ksa-administrative-gender",
                    "code" : "male"
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          ]
        },
        "birthDate" : "1984-12-25",
        "deceasedBoolean" : false,
        "address" : [
          {
            "use" : "home",
            "text" : "Salamah Street, Building 25, Suite 2, Saudi Arabia",
            "line" : [
              "Salamah Street, Building 25, Suite 2",
              "Al Malga District"
            ],
            "city" : "Riyadh",
            "country" : "Saudi Arabia"
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "M"
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          ]
        }
      }
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    {
      "fullUrl" : "http://saudigeneralhospital.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db",
      "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"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://saudigeneralhospital.com.sa/Practitioner/1",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "1",
        "meta" : {
          "profile" : [
            🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/practitioner|0.3.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN"
                }
              ]
            },
            "system" : "http://nphies.sa/license/practitioner-license",
            "value" : "N-P-00001"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "text" : "Dr. Ameera Hassan",
            "family" : "Hassan",
            "given" : [
              "Ameera"
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          }
        ]
      }
    },
    {
      "fullUrl" : "http://saudigeneralhospital.com.sa/Encounter/10130",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "10130",
        "meta" : {
          "profile" : [
            🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/encounter-claim-IMP|0.3.0"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_10130\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 10130</b></p><a name=\"10130\"> </a><a name=\"hc10130\"> </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-claim-IMP.html\">Nphies Encounter IMP (Claim)version: null0.3.0)</a></p></div><p><b>Cause Of Death</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/cause-of-death A49.3}\">Mycoplasma infection, unspecified</span></p><p><b>identifier</b>: <code>http://saudigeneralhospital.com.sa/identifiers/encounter</code>/AB00030</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode IMP</a>: inpatient encounter</p><p><b>serviceType</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/service-type acute-care}\">Acute Care</span></p><p><b>subject</b>: <a href=\"Patient-173826788.html\">Muhammad Khaled Abbas(official) Male, DoB: 2010-08-21 ( Permanent Resident Card Number: 2000000002)</a></p><p><b>period</b>: 2023-12-04 06:38:00+0300 --&gt; 2023-12-06 11:38:00+0300</p><blockquote><p><b>hospitalization</b></p><p><b>Admission Specialty</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/practice-codes 08.02}\">Cardiology</span></p><p><b>Discharge Specialty</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/practice-codes 08.02}\">Cardiology</span></p><p><b>Intended Length Of Stay</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/intended-length-of-stay IO}\">Intended overnight</span></p><p><b>admitSource</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/admit-source EPH}\">Emergency Admission by referral from private hospital</span></p><p><b>dischargeDisposition</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/discharge-disposition died}\">Died</span></p></blockquote><p><b>serviceProvider</b>: <a href=\"Organization-b1b3432921324f97af3be9fd0b1a14ae.html\">Organization Saudi General Hospital</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-causeOfDeath",
            "valueCodeableConcept" : {
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                  "system" : "http://nphies.sa/terminology/CodeSystem/cause-of-death",
                  "code" : "A49.3",
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        ],
        "identifier" : [
          {
            "system" : "http://saudigeneralhospital.com.sa/identifiers/encounter",
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        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
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        "serviceType" : {
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          🔗 "reference" : "Patient/173826788"
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        "period" : {
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          "end" : "2023-12-06T11:38:00+03:00"
        },
        "hospitalization" : {
          "extension" : [
            {
              "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-admissionSpecialty",
              "valueCodeableConcept" : {
                "coding" : [
                  {
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                ]
              }
            },
            {
              "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-dischargeSpecialty",
              "valueCodeableConcept" : {
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                    "code" : "08.02",
                    "display" : "Cardiology"
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              }
            },
            {
              "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-intendedLengthOfStay",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://nphies.sa/terminology/CodeSystem/intended-length-of-stay",
                    "code" : "IO",
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          ],
          "admitSource" : {
            "coding" : [
              {
                "system" : "http://nphies.sa/terminology/CodeSystem/admit-source",
                "code" : "EPH",
                "display" : "Emergency Admission by referral from private hospital"
              }
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          },
          "dischargeDisposition" : {
            "coding" : [
              {
                "system" : "http://nphies.sa/terminology/CodeSystem/discharge-disposition",
                "code" : "died",
                "display" : "Died"
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          }
        },
        "serviceProvider" : {
          🔗 "reference" : "Organization/b1b3432921324f97af3be9fd0b1a14ae"
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}