Message: Polling Response #1 - TTL Representation - Healthcare Financial Services IG Edition 1 v0.3.0

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: Polling Response #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 "c2c63768-a65b-4784-ab91-6c09012c3ab1"] ; # 
  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 "2023-12-04T13:39:58.099+00:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:bc0e9c0f-3033-44ae-b492-0e7b328d1ab1"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:bc0e9c0f-3033-44ae-b492-0e7b328d1ab1> )
  ] [
fhir:fullUrl [ fhir:v "http://nphies.sa/Task/560811"^^xsd:anyURI ] ;
    ( fhir:resource <http://nphies.sa/Task/560811> )
  ] [
fhir:fullUrl [ fhir:v "http://nphies.sa/Organization/NPHIES"^^xsd:anyURI ] ;
    ( fhir:resource <http://nphies.sa/Organization/NPHIES> )
  ] [
fhir:fullUrl [ fhir:v "http://nphies.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae"^^xsd:anyURI ] ;
    ( fhir:resource <http://nphies.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae> )
  ] [
fhir:fullUrl [ fhir:v "http://nphies.sa/Bundle/c2c63768-a65b-4784-ab91-6c09012c3cbc"^^xsd:anyURI ] ;
    ( fhir:resource <http://nphies.sa/Bundle/c2c63768-a65b-4784-ab91-6c09012c3cbc> )
  ] ) . # 

<urn:uuid:bc0e9c0f-3033-44ae-b492-0e7b328d1ab1> a fhir:MessageHeader ;
  fhir:id [ fhir:v "bc0e9c0f-3033-44ae-b492-0e7b328d1ab1"] ; # 
  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_bc0e9c0f-3033-44ae-b492-0e7b328d1ab1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader bc0e9c0f-3033-44ae-b492-0e7b328d1ab1</b></p><a name=\"bc0e9c0f-3033-44ae-b492-0e7b328d1ab1\"> </a><a name=\"hcbc0e9c0f-3033-44ae-b492-0e7b328d1ab1\"> </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-poll-response\">KSA Message Events poll-response</a>: Poll Response</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://saudigeneralhospital.com.sa\">http://saudigeneralhospital.com.sa</a></td><td>Identifier: <code>http://nphies.sa/license/provider-license</code>/PR-FHIR</td></tr></table><p><b>sender</b>: Identifier: <code>http://nphies.sa/license/nphies</code>/NPHIES</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://nphies.sa\">http://nphies.sa</a></td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>a7e4caf2-0441-40e5-97d2-5ae180273069</td><td>OK</td></tr></table><p><b>focus</b>: <a href=\"Bundle-c2c63768-a65b-4784-ab91-6c09012c3ab1.html#http-//nphies.sa/Task/560811\">Bundle: type = message; timestamp = 2023-12-04 13:39:58+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 "poll-response" ]
  ] ; # 
  fhir:destination ( [
fhir:endpoint [ fhir:v "http://saudigeneralhospital.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 "PR-FHIR" ]       ]     ]
  ] ) ; # 
  fhir:sender [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "http://nphies.sa/license/nphies"^^xsd:anyURI ] ;
fhir:value [ fhir:v "NPHIES" ]     ]
  ] ; # 
  fhir:source [
fhir:endpoint [ fhir:v "http://nphies.sa"^^xsd:anyURI ]
  ] ; # 
  fhir:response [
fhir:identifier [ fhir:v "a7e4caf2-0441-40e5-97d2-5ae180273069" ] ;
fhir:code [ fhir:v "ok" ]
  ] ; # 
  fhir:focus ( [
fhir:link <http://nphies.sa/Task/560811> ;
fhir:reference [ fhir:v "http://nphies.sa/Task/560811" ]
  ] ) . # 

<http://nphies.sa/Task/560811> a fhir:Task ;
  fhir:id [ fhir:v "560811"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/poll-response|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/poll-response|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_560811\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task 560811</b></p><a name=\"560811\"> </a><a name=\"hc560811\"> </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-poll-response.html\">Nphies Poll Responseversion: null0.3.0)</a></p></div><p><b>identifier</b>: <code>http://nphies.sa/identifiers/poll-response</code>/rsp_560081</p><p><b>status</b>: Completed</p><p><b>intent</b>: order</p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/task-code poll}\">Poll the focal resource</span></p><p><b>authoredOn</b>: 2023-12-04 06:59:00+0300</p><p><b>lastModified</b>: 2023-12-04 06:59:00+0300</p><p><b>requester</b>: <a href=\"Organization-b1b3432921324f97af3be9fd0b1a14ae.html\">Organization Saudi General Hospital</a></p><p><b>owner</b>: <a href=\"Organization-NPHIES.html\">Organization National Program for Health Information Exchange Services</a></p><h3>Outputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/task-output-type response}\">Response</span></td><td><a href=\"Bundle-c2c63768-a65b-4784-ab91-6c09012c3ab1.html#http-//nphies.sa/Bundle/c2c63768-a65b-4784-ab91-6c09012c3cbc\">Bundle: type = message; timestamp = 2023-12-04 13:39:58+0000</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://nphies.sa/identifiers/poll-response"^^xsd:anyURI ] ;
fhir:value [ fhir:v "rsp_560081" ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:priority [ fhir:v "routine"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/task-code"^^xsd:anyURI ] ;
fhir:code [ fhir:v "poll" ]     ] )
  ] ; # 
  fhir:authoredOn [ fhir:v "2023-12-04T06:59:00+03:00"^^xsd:dateTime] ; # 
  fhir:lastModified [ fhir:v "2023-12-04T06:59:00+03:00"^^xsd:dateTime] ; # 
  fhir:requester [
fhir:reference [ fhir:v "Organization/b1b3432921324f97af3be9fd0b1a14ae" ]
  ] ; # 
  fhir:owner [
fhir:reference [ fhir:v "Organization/NPHIES" ]
  ] ; # 
  fhir:output ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/task-output-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "response" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:link <http://nphies.sa/Bundle/c2c63768-a65b-4784-ab91-6c09012c3cbc> ;
fhir:reference [ fhir:v "http://nphies.sa/Bundle/c2c63768-a65b-4784-ab91-6c09012c3cbc" ]     ]
  ] ) . # 

<http://nphies.sa/Organization/NPHIES> a fhir:Organization ;
  fhir:id [ fhir:v "NPHIES"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/organization|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/organization|0.3.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_NPHIES\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization NPHIES</b></p><a name=\"NPHIES\"> </a><a name=\"hcNPHIES\"> </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-organization.html\">Nphies Organizationversion: null0.3.0)</a></p></div><p><b>identifier</b>: <code>http://nphies.sa/license/nphies</code>/NPHIES (use: official, )</p><p><b>active</b>: true</p><p><b>name</b>: National Program for Health Information Exchange Services</p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://nphies.sa/license/nphies"^^xsd:anyURI ] ;
fhir:value [ fhir:v "NPHIES" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name [ fhir:v "National Program for Health Information Exchange Services"] . # 

<http://nphies.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae> a fhir:Organization ;
  fhir:id [ fhir:v "b1b3432921324f97af3be9fd0b1a14ae"] ; # 
  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_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>"^^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 "1" ] ;
fhir:display [ fhir:v "Hospital" ]       ] )     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://nphies.sa/license/provider-license"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PR-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 General Hospital"] ; # 
  fhir:address ( [
fhir:use [ fhir:v "work" ] ;
fhir:text [ fhir:v "Salamah Street, Building 25, Suite 2, Riyadh Saudi Arabia" ] ;
    ( fhir:line [ fhir:v "Salamah Street, Building 25, Suite 2" ] [ fhir:v "Al Malga District" ] ) ;
fhir:city [ fhir:v "Riyadh" ] ;
fhir:country [ fhir:v "Saudi Arabia" ]
  ] ) . # 

<http://nphies.sa/Bundle/c2c63768-a65b-4784-ab91-6c09012c3cbc> a fhir:Bundle ;
  fhir:id [ fhir:v "c2c63768-a65b-4784-ab91-6c09012c3cbc"] ; # 
  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 "2023-12-04T13:39:58.099+00:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:bc0e9c0f-3033-44ae-b492-0e7b328d1c54"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:bc0e9c0f-3033-44ae-b492-0e7b328d1c54> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/ClaimResponse/483079"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/ClaimResponse/483079> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Coverage/1334"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Coverage/1334> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Organization/13"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Organization/13> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Patient/173826788"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Patient/173826788> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Patient/123454186"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Patient/123454186> )
  ] [
fhir:fullUrl [ fhir:v "http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db"^^xsd:anyURI ] ;
    ( fhir:resource <http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db> )
  ] ) . # 

<urn:uuid:bc0e9c0f-3033-44ae-b492-0e7b328d1c54> a fhir:MessageHeader ;
  fhir:id [ fhir:v "bc0e9c0f-3033-44ae-b492-0e7b328d1c54"] ; # 
  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:event [
a fhir:Coding ;
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/ksa-message-events"^^xsd:anyURI ] ;
fhir:code [ fhir:v "priorauth-response" ]
  ] ; # 
  fhir:destination ( [
fhir:endpoint [ fhir:v "http://saudigeneralhospital.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 "PR-FHIR" ]       ]     ]
  ] ) ; # 
  fhir:sender [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "http://nphies.sa/license/payer-license"^^xsd:anyURI ] ;
fhir:value [ fhir:v "INS-FHIR" ]     ]
  ] ; # 
  fhir:source [
fhir:endpoint [ fhir:v "http://sni.com.sa"^^xsd:anyURI ]
  ] ; # 
  fhir:response [
fhir:identifier [ fhir:v "a7e4caf2-0441-40e5-97d2-5ae1802730af" ] ;
fhir:code [ fhir:v "ok" ]
  ] ; # 
  fhir:focus ( [
fhir:link <http://sni.com.sa/ClaimResponse/483079> ;
fhir:reference [ fhir:v "http://sni.com.sa/ClaimResponse/483079" ]
  ] ) . # 

<http://sni.com.sa/ClaimResponse/483079> a fhir:ClaimResponse ;
  fhir:id [ fhir:v "483079"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/prior-auth-response|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/prior-auth-response|0.3.0>     ] )
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-outcome"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/adjudication-outcome"^^xsd:anyURI ] ;
fhir:code [ fhir:v "approved" ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-reissue"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/reissue-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "adjudication" ]       ] )     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://sni.com.sa/identifiers/claimresponse"^^xsd:anyURI ] ;
fhir:value [ fhir:v "res_004512" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "institutional" ]     ] )
  ] ; # 
  fhir:subType [
    ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-subtype"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ip" ]     ] )
  ] ; # 
  fhir:use [ fhir:v "preauthorization"] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/173826788" ]
  ] ; # 
  fhir:created [ fhir:v "2023-12-05"^^xsd:date] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "Organization/bff3aa1fbd3648619ac082357bf135db" ]
  ] ; # 
  fhir:requestor [
fhir:reference [ fhir:v "Organization/b1b3432921324f97af3be9fd0b1a14ae" ]
  ] ; # 
  fhir:request [
fhir:type [ fhir:v "Claim"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "http://saudigeneralhospital.com.sa/identifiers/authorization"^^xsd:anyURI ] ;
fhir:value [ fhir:v "req_1124856069" ]     ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:preAuthRef [ fhir:v "Auth_455433"] ; # 
  fhir:preAuthPeriod [
fhir:start [ fhir:v "2023-12-04"^^xsd:date ] ;
fhir:end [ fhir:v "2023-12-20"^^xsd:date ]
  ] ; # 
  fhir:item ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-outcome"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/adjudication-outcome"^^xsd:anyURI ] ;
fhir:code [ fhir:v "approved" ]         ] )       ]     ] ) ;
fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    ( fhir:adjudication [
fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eligible" ]         ] )       ] ;
fhir:amount [
fhir:value [ fhir:v "300"^^xsd:decimal ] ;
fhir:currency [ fhir:v "SAR" ]       ]     ] [
fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "copay" ]         ] )       ] ;
fhir:amount [
fhir:value [ fhir:v "0"^^xsd:decimal ] ;
fhir:currency [ fhir:v "SAR" ]       ]     ] [
fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "benefit" ]         ] )       ] ;
fhir:amount [
fhir:value [ fhir:v "300"^^xsd:decimal ] ;
fhir:currency [ fhir:v "SAR" ]       ]     ] [
fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/ksa-adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "approved-quantity" ]         ] )       ] ;
fhir:value [ fhir:v "1"^^xsd:decimal ]     ] )
  ] ) ; # 
  fhir:total ( [
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eligible" ]       ] )     ] ;
fhir:amount [
fhir:value [ fhir:v "300"^^xsd:decimal ] ;
fhir:currency [ fhir:v "SAR" ]     ]
  ] [
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "benefit" ]       ] )     ] ;
fhir:amount [
fhir:value [ fhir:v "300"^^xsd:decimal ] ;
fhir:currency [ fhir:v "SAR" ]     ]
  ] [
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "copay" ]       ] )     ] ;
fhir:amount [
fhir:value [ fhir:v "0"^^xsd:decimal ] ;
fhir:currency [ fhir:v "SAR" ]     ]
  ] ) ; # 
  fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v true ] ;
fhir:coverage [
fhir:reference [ fhir:v "Coverage/1334" ]     ]
  ] ) . # 

<http://sni.com.sa/Coverage/1334> a fhir:Coverage ;
  fhir:id [ fhir:v "1334"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage|0.3.0>     ] )
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://sni.com.sa/identifiers/memberid"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0000000002" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/coverage-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "EHCPOL" ] ;
fhir:display [ fhir:v "extended healthcare" ]     ] )
  ] ; # 
  fhir:policyHolder [
fhir:reference [ fhir:v "Organization/13" ]
  ] ; # 
  fhir:subscriber [
fhir:reference [ fhir:v "Patient/123454186" ]
  ] ; # 
  fhir:beneficiary [
fhir:reference [ fhir:v "Patient/173826788" ]
  ] ; # 
  fhir:relationship [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "child" ] ;
fhir:display [ fhir:v "Child" ]     ] )
  ] ; # 
  fhir:payor ( [
fhir:reference [ fhir:v "Organization/bff3aa1fbd3648619ac082357bf135db" ]
  ] ) ; # 
  fhir:class ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "plan" ]       ] )     ] ;
fhir:value [ fhir:v "CB135" ] ;
fhir:name [ fhir:v "Insurance Plan A" ]
  ] ) ; # 
  fhir:network [ fhir:v "Golden C"] . # 

<http://sni.com.sa/Organization/13> a fhir:Organization ;
  fhir:id [ fhir:v "13"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/policyholder-organization|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/policyholder-organization|0.3.0>     ] )
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://nphies.sa/identifiers/organization"^^xsd:anyURI ] ;
fhir:value [ fhir:v "5009" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name [ fhir:v "Policy Holder Organization"] . # 

<http://sni.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae> a fhir:Organization ;
  fhir:id [ fhir:v "b1b3432921324f97af3be9fd0b1a14ae"] ; # 
  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: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 "1" ] ;
fhir:display [ fhir:v "Hospital" ]       ] )     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://nphies.sa/license/provider-license"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PR-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 General Hospital"] ; # 
  fhir:address ( [
fhir:use [ fhir:v "work" ] ;
fhir:text [ fhir:v "Salamah Street, Building 25, Suite 2, Riyadh Saudi Arabia" ] ;
    ( fhir:line [ fhir:v "Salamah Street, Building 25, Suite 2" ] [ fhir:v "Al Malga District" ] ) ;
fhir:city [ fhir:v "Riyadh" ] ;
fhir:country [ fhir:v "Saudi Arabia" ]
  ] ) . # 

<http://sni.com.sa/Patient/173826788> a fhir:Patient ;
  fhir:id [ fhir:v "173826788"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient|0.3.0>     ] )
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-occupation"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/occupation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "student" ]       ] )     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PRC" ] ;
fhir:display [ fhir:v "Permanent Resident Card Number" ]       ] )     ] ;
fhir:system [ fhir:v "http://nphies.sa/identifier/iqama"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2000000002" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name ( [
fhir:use [ fhir:v "official" ] ;
fhir:text [ fhir:v "Muhammad Khaled Abbas" ] ;
fhir:family [ fhir:v "Abbas" ] ;
    ( fhir:given [ fhir:v "Muhammad" ] [ fhir:v "Khaled" ] )
  ] ) ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+966517382691" ]
  ] ) ; # 
  fhir:gender [
fhir:v "male" ;
    ( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-ksa-administrative-gender"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/ksa-administrative-gender"^^xsd:anyURI ] ;
fhir:code [ fhir:v "male" ]         ] )       ]     ] )
  ] ; # 
  fhir:birthDate [ fhir:v "2010-08-21"^^xsd:date] ; # 
  fhir:maritalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U" ]     ] )
  ] . # 

<http://sni.com.sa/Patient/123454186> a fhir:Patient ;
  fhir:id [ fhir:v "123454186"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient|0.3.0>     ] )
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-occupation"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/occupation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "business" ]       ] )     ]
  ] ) ; # 
  fhir:identifier ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-identifier-country"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SAU" ] ;
fhir:display [ fhir:v "Saudi Arabia" ]         ] )       ]     ] ) ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PPN" ] ;
fhir:display [ fhir:v "Passport Number" ]       ] )     ] ;
fhir:system [ fhir:v "http://nphies.sa/identifier/passportnumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "G12345678" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name ( [
fhir:use [ fhir:v "official" ] ;
fhir:text [ fhir:v "Ahmad Khaled Abbas" ] ;
fhir:family [ fhir:v "Ahmad" ] ;
    ( fhir:given [ fhir:v "Khaled" ] [ fhir:v "Abbas" ] )
  ] ) ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+966512345691" ]
  ] ) ; # 
  fhir:gender [
fhir:v "male" ;
    ( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-ksa-administrative-gender"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/ksa-administrative-gender"^^xsd:anyURI ] ;
fhir:code [ fhir:v "male" ]         ] )       ]     ] )
  ] ; # 
  fhir:birthDate [ fhir:v "1984-12-25"^^xsd:date] ; # 
  fhir:deceased [
a fhir:boolean ;
fhir:v false
  ] ; # 
  fhir:address ( [
fhir:use [ fhir:v "home" ] ;
fhir:text [ fhir:v "Salamah Street, Building 25, Suite 2, Saudi Arabia" ] ;
    ( fhir:line [ fhir:v "Salamah Street, Building 25, Suite 2" ] [ fhir:v "Al Malga District" ] ) ;
fhir:city [ fhir:v "Riyadh" ] ;
fhir:country [ fhir:v "Saudi Arabia" ]
  ] ) ; # 
  fhir:maritalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "M" ]     ] )
  ] . # 

<http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db> a fhir:Organization ;
  fhir:id [ fhir:v "bff3aa1fbd3648619ac082357bf135db"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/insurer-organization|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/insurer-organization|0.3.0>     ] )
  ] ; # 
  fhir: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" ]
  ] ) . #