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
@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 "dccc9ae9-e640-4fe1-b3fd-5af3c1c12210"] ; # 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:c7150958-640a-456b-8252-265675d12300"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:c7150958-640a-456b-8252-265675d12300> ) ] [ fhir:fullUrl [ fhir:v "http://sni.com.sa/ClaimResponse/142298"^^xsd:anyURI ] ; ( fhir:resource <http://sni.com.sa/ClaimResponse/142298> ) ] [ fhir:fullUrl [ fhir:v "http://sni.com.sa/Coverage/1333"^^xsd:anyURI ] ; ( fhir:resource <http://sni.com.sa/Coverage/1333> ) ] [ 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/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:c7150958-640a-456b-8252-265675d12300> a fhir:MessageHeader ; fhir:id [ fhir:v "c7150958-640a-456b-8252-265675d12300"] ; # 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_c7150958-640a-456b-8252-265675d12300\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader c7150958-640a-456b-8252-265675d12300</b></p><a name=\"c7150958-640a-456b-8252-265675d12300\"> </a><a name=\"hcc7150958-640a-456b-8252-265675d12300\"> </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-advanced-authorization\">KSA Message Events advanced-authorization</a>: Advanced Authorization</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/payer-license</code>/INS-FHIR</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://sni.com.sa\">http://sni.com.sa</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-dccc9ae9-e640-4fe1-b3fd-5af3c1c12210.html#http-//sni.com.sa/ClaimResponse/142298\">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 "advanced-authorization" ] ] ; # 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:focus ( [ fhir:link <http://sni.com.sa/ClaimResponse/142298> ; fhir:reference [ fhir:v "http://sni.com.sa/ClaimResponse/142298" ] ] ) . # <http://sni.com.sa/ClaimResponse/142298> a fhir:ClaimResponse ; fhir:id [ fhir:v "142298"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/advanced-authorization|0.3.0"^^xsd:anyURI ; fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/advanced-authorization|0.3.0> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ClaimResponse_142298\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse 142298</b></p><a name=\"142298\"> </a><a name=\"hc142298\"> </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-advanced-authorization.html\">Nphies Advanced Authorizationversion: null0.3.0)</a></p></div><p><b>Adjudication Outcome</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/adjudication-outcome approved}\">Approved</span></p><p><b>Advanced Auth Reason</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/advancedAuth-reason referral}\">Referral</span></p><p><b>Newborn</b>: false</p><p><b>Service Provider Extension</b>: <a href=\"Bundle-16b80922-b538-4ab3-0176-a80b33242163.html#http-//sni.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae\">Bundle: type = message; timestamp = 2024-12-02 19:36:29+0000</a></p><p><b>Referring Provider Extension</b>: Dr. Test Doctor outside npies (wave3)</p><blockquote><p><b>Supporting Info Extension</b></p><ul><li>http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-supportingInfo-sequence: 1</li><li>http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-supportingInfo-category: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category info}\">Information</span></li><li>http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-supportingInfo-valueString: Advanced authorization for providing mentioned services to the patient</li></ul></blockquote><blockquote><p><b>Diagnosis Extension</b></p><ul><li>http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-sequence: 1</li><li>http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-diagnosisCodeableConcept: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-am K01.1}\">K01.1</span></li><li>http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-type: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-type principal}\">Principal Diagnosis</span></li></ul></blockquote><blockquote><p><b>Diagnosis Extension</b></p><ul><li>http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-sequence: 2</li><li>http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-diagnosisCodeableConcept: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-am V49.4}\">V49.4</span></li><li>http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-type: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-type secondary}\">Secondary Diagnosis</span></li></ul></blockquote><p><b>identifier</b>: <code>http://sni.com.sa/identifiers/advanced-priorauth</code>/AdvAuth-300982300</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type oral}\">Oral</span></p><p><b>subType</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-subtype op}\">OutPatient</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Bundle-16b80922-b538-4ab3-0176-a80b33242163.html#http-//sni.com.sa/Patient/123454186\">Bundle: type = message; timestamp = 2024-12-02 19:36:29+0000</a></p><p><b>created</b>: 2022-07-18</p><p><b>insurer</b>: <a href=\"Bundle-16b80922-b538-4ab3-0176-a80b33242163.html#http-//sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db\">Bundle: type = message; timestamp = 2024-12-02 19:36:29+0000</a></p><p><b>outcome</b>: Processing Complete</p><p><b>preAuthRef</b>: AdAuth-150123-1530</p><p><b>preAuthPeriod</b>: 2022-09-15 18:10:44+0000 --> 2022-10-15 18:10:44+0000</p><blockquote><p><b>addItem</b></p><p><b>Maternity</b>: false</p><p><b>Adjudication Outcome</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/adjudication-outcome approved}\">Approved</span></p><p><b>Sequence Extension</b>: 1</p><p><b>Information Sequence Extension</b>: 1</p><p><b>Package Code</b>: false</p><p><b>productOrService</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/oral-health-op 658}\">The extraoral repair of a crown, bridge or splint.</span></p><p><b>quantity</b>: 1</p><p><b>bodySite</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/fdi-oral-region 25}\">UPPER LEFT; PERMANENT TEETH # 5</span></p><p><b>subSite</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/fdi-tooth-surface V}\">Ventral</span></p><p><b>noteNumber</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>100</td><td>Saudi riyal</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">CoPay</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>0</td><td>Saudi riyal</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/ksa-adjudication approved-quantity}\">Approved Quantity</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>Saudi riyal</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication tax}\">Tax</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>15</td><td>Saudi riyal</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>100</td><td>Saudi riyal</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>100</td><td>Saudi riyal</td></tr></table></blockquote><h3>ProcessNotes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Number</b></td><td><b>Type</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>Display</td><td>Process Note Text to give more general information or direction</td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>false</td><td><a href=\"Bundle-43c68545-8e37-4744-b8ea-9a1e3c1ada84.html#http-//sni.com.sa/Coverage/1333\">Bundle: type = message; timestamp = 2023-12-19 08:20:29+0000</a></td></tr></table></div>"^^rdf:XMLLiteral ] ; # 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-advancedAuth-reason"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/advancedAuth-reason"^^xsd:anyURI ] ; fhir:code [ fhir:v "referral" ] ] ) ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-newborn"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v false ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-serviceProvider"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:link <http://sni.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae> ; fhir:reference [ fhir:v "http://sni.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae" ] ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-referringProvider"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:display [ fhir:v "Dr. Test Doctor outside npies (wave3)" ] ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-supportingInfo-sequence"^^xsd:anyURI ] ; fhir:value [ a fhir:positiveInt ; fhir:v "1"^^xsd:positiveInteger ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-supportingInfo-category"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "info" ] ] ) ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-supportingInfo-valueString"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "Advanced authorization for providing mentioned services to the patient" ] ] ) ; fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-supportingInfo"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-sequence"^^xsd:anyURI ] ; fhir:value [ a fhir:positiveInt ; fhir:v "1"^^xsd:positiveInteger ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-diagnosisCodeableConcept"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-am"^^xsd:anyURI ] ; fhir:code [ fhir:v "K01.1" ] ] ) ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/diagnosis-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "principal" ] ] ) ] ] ) ; fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-sequence"^^xsd:anyURI ] ; fhir:value [ a fhir:positiveInt ; fhir:v "2"^^xsd:positiveInteger ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-diagnosisCodeableConcept"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-am"^^xsd:anyURI ] ; fhir:code [ fhir:v "V49.4" ] ] ) ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis-type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/diagnosis-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "secondary" ] ] ) ] ] ) ; fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-diagnosis"^^xsd:anyURI ] ] ) ; # fhir:identifier ( [ fhir:system [ fhir:v "http://sni.com.sa/identifiers/advanced-priorauth"^^xsd:anyURI ] ; fhir:value [ fhir:v "AdvAuth-300982300" ] ] ) ; # 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 "oral" ] ] ) ] ; # fhir:subType [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-subtype"^^xsd:anyURI ] ; fhir:code [ fhir:v "op" ] ] ) ] ; # fhir:use [ fhir:v "preauthorization"] ; # fhir:patient [ fhir:link <http://sni.com.sa/Patient/123454186> ; fhir:reference [ fhir:v "http://sni.com.sa/Patient/123454186" ] ] ; # fhir:created [ fhir:v "2022-07-18"^^xsd:date] ; # fhir:insurer [ fhir:link <http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db> ; fhir:reference [ fhir:v "http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db" ] ] ; # fhir:outcome [ fhir:v "complete"] ; # fhir:preAuthRef [ fhir:v "AdAuth-150123-1530"] ; # fhir:preAuthPeriod [ fhir:start [ fhir:v "2022-09-15T18:10:44.732+00:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2022-10-15T18:10:44.732+00:00"^^xsd:dateTime ] ] ; # fhir:addItem ( [ ( fhir:extension [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-maternity"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v false ] ] [ 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-sequence"^^xsd:anyURI ] ; fhir:value [ a fhir:positiveInt ; fhir:v "1"^^xsd:positiveInteger ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-informationSequence"^^xsd:anyURI ] ; fhir:value [ a fhir:positiveInt ; fhir:v "1"^^xsd:positiveInteger ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-package"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v false ] ] ) ; fhir:productOrService [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/oral-health-op"^^xsd:anyURI ] ; fhir:code [ fhir:v "658" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:bodySite [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/fdi-oral-region"^^xsd:anyURI ] ; fhir:code [ fhir:v "25" ] ] ) ] ; ( fhir:subSite [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/fdi-tooth-surface"^^xsd:anyURI ] ; fhir:code [ fhir:v "V" ] ] ) ] ) ; ( fhir:noteNumber [ 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 "100"^^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://nphies.sa/terminology/CodeSystem/ksa-adjudication"^^xsd:anyURI ] ; fhir:code [ fhir:v "approved-quantity" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "1"^^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 "tax" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "15"^^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 "100"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] ) ] ) ; # fhir:total ( [ 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 "100"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] ) ; # fhir:processNote ( [ fhir:number [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:type [ fhir:v "display" ] ; fhir:text [ fhir:v "Process Note Text to give more general information or direction" ] ] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v false ] ; fhir:coverage [ fhir:link <http://sni.com.sa/Coverage/1333> ; fhir:reference [ fhir:v "http://sni.com.sa/Coverage/1333" ] ] ] ) . # <http://sni.com.sa/Coverage/1333> a fhir:Coverage ; fhir:id [ fhir:v "1333"] ; # 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:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_1333\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 1333</b></p><a name=\"1333\"> </a><a name=\"hc1333\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-coverage.html\">Nphies Coverageversion: null0.3.0)</a></p></div><p><b>identifier</b>: <code>http://sni.com.sa/identifiers/memberid</code>/0000000001</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/coverage-type EHCPOL}\">extended healthcare</span></p><p><b>policyHolder</b>: <a href=\"Organization-13.html\">Organization Policy Holder Organization</a></p><p><b>subscriber</b>: <a href=\"Patient-123454186.html\">Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)</a></p><p><b>beneficiary</b>: <a href=\"Patient-123454186.html\">Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)</a></p><p><b>dependent</b>: 01</p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"Organization-bff3aa1fbd3648619ac082357bf135db.html\">Organization Saudi National Insurance</a></p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></td><td>CB135</td><td>Insurance Plan A</td></tr></table><p><b>network</b>: Golden C</p></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:system [ fhir:v "http://sni.com.sa/identifiers/memberid"^^xsd:anyURI ] ; fhir:value [ fhir:v "0000000001" ] ] ) ; # 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/123454186" ] ] ; # fhir:dependent [ fhir:v "01"] ; # fhir:relationship [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ; fhir:code [ fhir:v "self" ] ; fhir:display [ fhir:v "Self" ] ] ) ] ; # 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:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_13\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 13</b></p><a name=\"13\"> </a><a name=\"hc13\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-policyholder-organization.html\">Nphies Policy Holder Organizationversion: null0.3.0)</a></p></div><p><b>identifier</b>: <code>http://nphies.sa/identifiers/organization</code>/5009</p><p><b>active</b>: true</p><p><b>name</b>: Policy Holder Organization</p></div>"^^rdf:XMLLiteral ] ; # 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: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://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:text [ fhir:status [ fhir:v "generated" ] ; fhir: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>"^^rdf:XMLLiteral ] ; # 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:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_bff3aa1fbd3648619ac082357bf135db\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization bff3aa1fbd3648619ac082357bf135db</b></p><a name=\"bff3aa1fbd3648619ac082357bf135db\"> </a><a name=\"hcbff3aa1fbd3648619ac082357bf135db\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-insurer-organization.html\">Nphies Insurer Organizationversion: null0.3.0)</a></p></div><p><b>identifier</b>: National Insurance Organization Identifier/INS-FHIR (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/organization-type ins}\">Insurance Company</span></p><p><b>name</b>: Saudi National Insurance</p><p><b>address</b>: Olaya Street, Building 70, Riyadh Saudi Arabia(work)</p></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "NII" ] ] ) ] ; fhir:system [ fhir:v "http://nphies.sa/license/payer-license"^^xsd:anyURI ] ; fhir:value [ fhir:v "INS-FHIR" ] ] ) ; # fhir:active [ fhir:v true] ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/organization-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "ins" ] ] ) ] ) ; # fhir:name [ fhir:v "Saudi National Insurance"] ; # fhir:address ( [ fhir:use [ fhir:v "work" ] ; fhir:text [ fhir:v "Olaya Street, Building 70, Riyadh Saudi Arabia" ] ; ( fhir:line [ fhir:v "Olaya Street, Building 70" ] [ fhir:v "Al Olaya District" ] ) ; fhir:city [ fhir:v "Riyadh" ] ; fhir:country [ fhir:v "Saudi Arabia" ] ] ) . #
IG © 2024+ HL7 Saudi Arabia. Package nphies-fs#0.3.0 based on FHIR 4.0.1. Generated 2025-07-30
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