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
<Bundle xmlns="http://hl7.org/fhir">
<id value="c2c63768-a65b-4784-ab91-6c09012c3ab1"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/bundle|0.3.0"/>
</meta>
<type value="message"/>
<timestamp value="2023-12-04T13:39:58.099+00:00"/>
<entry>
<fullUrl value="urn:uuid:bc0e9c0f-3033-44ae-b492-0e7b328d1ab1"/>
<resource>
<MessageHeader>
<id value="bc0e9c0f-3033-44ae-b492-0e7b328d1ab1"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/message-header|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<eventCoding>
<system
value="http://nphies.sa/terminology/CodeSystem/ksa-message-events"/>
<code value="poll-response"/>
</eventCoding>
<destination>
<endpoint value="http://saudigeneralhospital.com.sa"/>
<receiver>
<type value="Organization"/>
<identifier>
<system value="http://nphies.sa/license/provider-license"/>
<value value="PR-FHIR"/>
</identifier>
</receiver>
</destination>
<sender>
<type value="Organization"/>
<identifier>
<system value="http://nphies.sa/license/nphies"/>
<value value="NPHIES"/>
</identifier>
</sender>
<source>
<endpoint value="http://nphies.sa"/>
</source>
<response>
<identifier value="a7e4caf2-0441-40e5-97d2-5ae180273069"/>
<code value="ok"/>
</response>
<focus>
<reference value="http://nphies.sa/Task/560811"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="http://nphies.sa/Task/560811"/>
<resource>
<Task>
<id value="560811"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/poll-response|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://nphies.sa/identifiers/poll-response"/>
<value value="rsp_560081"/>
</identifier>
<status value="completed"/>
<intent value="order"/>
<priority value="routine"/>
<code>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/task-code"/>
<code value="poll"/>
</coding>
</code>
<authoredOn value="2023-12-04T06:59:00+03:00"/>
<lastModified value="2023-12-04T06:59:00+03:00"/>
<requester>🔗
<reference value="Organization/b1b3432921324f97af3be9fd0b1a14ae"/>
</requester>
<owner>🔗
<reference value="Organization/NPHIES"/>
</owner>
<output>
<type>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/task-output-type"/>
<code value="response"/>
</coding>
</type>
<valueReference>
<reference
value="http://nphies.sa/Bundle/c2c63768-a65b-4784-ab91-6c09012c3cbc"/>
</valueReference>
</output>
</Task>
</resource>
</entry>
<entry>
<fullUrl value="http://nphies.sa/Organization/NPHIES"/>
<resource>
<Organization>
<id value="NPHIES"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/organization|0.3.0"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<system value="http://nphies.sa/license/nphies"/>
<value value="NPHIES"/>
</identifier>
<active value="true"/>
<name
value="National Program for Health Information Exchange Services"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://nphies.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://nphies.sa/Bundle/c2c63768-a65b-4784-ab91-6c09012c3cbc"/>
<resource>
<Bundle>
<id value="c2c63768-a65b-4784-ab91-6c09012c3cbc"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/bundle|0.3.0"/>
</meta>
<type value="message"/>
<timestamp value="2023-12-04T13:39:58.099+00:00"/>
<entry>
<fullUrl value="urn:uuid:bc0e9c0f-3033-44ae-b492-0e7b328d1c54"/>
<resource>
<MessageHeader>
<id value="bc0e9c0f-3033-44ae-b492-0e7b328d1c54"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/message-header|0.3.0"/>
</meta>
<eventCoding>
<system
value="http://nphies.sa/terminology/CodeSystem/ksa-message-events"/>
<code value="priorauth-response"/>
</eventCoding>
<destination>
<endpoint value="http://saudigeneralhospital.com.sa"/>
<receiver>
<type value="Organization"/>
<identifier>
<system
value="http://nphies.sa/license/provider-license"/>
<value value="PR-FHIR"/>
</identifier>
</receiver>
</destination>
<sender>
<type value="Organization"/>
<identifier>
<system value="http://nphies.sa/license/payer-license"/>
<value value="INS-FHIR"/>
</identifier>
</sender>
<source>
<endpoint value="http://sni.com.sa"/>
</source>
<response>
<identifier value="a7e4caf2-0441-40e5-97d2-5ae1802730af"/>
<code value="ok"/>
</response>
<focus>
<reference value="http://sni.com.sa/ClaimResponse/483079"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="http://sni.com.sa/ClaimResponse/483079"/>
<resource>
<ClaimResponse>
<id value="483079"/>
<meta>
<profile
value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/prior-auth-response|0.3.0"/>
</meta>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-outcome">
<valueCodeableConcept>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/adjudication-outcome"/>
<code value="approved"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-reissue">
<valueCodeableConcept>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/reissue-reason"/>
<code value="adjudication"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="http://sni.com.sa/identifiers/claimresponse"/>
<value value="res_004512"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="institutional"/>
</coding>
</type>
<subType>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/claim-subtype"/>
<code value="ip"/>
</coding>
</subType>
<use value="preauthorization"/>
<patient>🔗
<reference value="Patient/173826788"/>
</patient>
<created value="2023-12-05"/>
<insurer>🔗
<reference
value="Organization/bff3aa1fbd3648619ac082357bf135db"/>
</insurer>
<requestor>🔗
<reference
value="Organization/b1b3432921324f97af3be9fd0b1a14ae"/>
</requestor>
<request>
<type value="Claim"/>
<identifier>
<system
value="http://saudigeneralhospital.com.sa/identifiers/authorization"/>
<value value="req_1124856069"/>
</identifier>
</request>
<outcome value="complete"/>
<preAuthRef value="Auth_455433"/>
<preAuthPeriod>
<start value="2023-12-04"/>
<end value="2023-12-20"/>
</preAuthPeriod>
<item>
<extension
url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-adjudication-outcome">
<valueCodeableConcept>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/adjudication-outcome"/>
<code value="approved"/>
</coding>
</valueCodeableConcept>
</extension>
<itemSequence value="1"/>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
</coding>
</category>
<amount>
<value value="300"/>
<currency value="SAR"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="copay"/>
</coding>
</category>
<amount>
<value value="0"/>
<currency value="SAR"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
</coding>
</category>
<amount>
<value value="300"/>
<currency value="SAR"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://nphies.sa/terminology/CodeSystem/ksa-adjudication"/>
<code value="approved-quantity"/>
</coding>
</category>
<value value="1"/>
</adjudication>
</item>
<total>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
</coding>
</category>
<amount>
<value value="300"/>
<currency value="SAR"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="benefit"/>
</coding>
</category>
<amount>
<value value="300"/>
<currency value="SAR"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="copay"/>
</coding>
</category>
<amount>
<value value="0"/>
<currency value="SAR"/>
</amount>
</total>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/1334"/>
</coverage>
</insurance>
</ClaimResponse>
</resource>
</entry>
<entry>
<fullUrl value="http://sni.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>
<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://sni.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>
<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://sni.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>
<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://sni.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>
<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://sni.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>
<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://sni.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>
<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>
</Bundle>
</resource>
</entry>
</Bundle>