Generated Narrative: Claim 173386

Encounter: Encounter: extension = Urgent,2023-12-05 11:38:32+0300,Initial client service event,Ground EMS Ambulance,2023-12-05 11:38:32+0300,Died in ED,Mycoplasma infection, unspecified; identifier = http://saudiprofessional.com.sa/identifiers/encounter#AB0011; status = finished; class = emergency (ActCode#EMER); serviceType = Sub-Acute Care; priority = emergency; period = 2023-12-05 08:38:00+0300 --> 2023-12-06 11:38:00+0300

Authorization Offline Date: 2023-12-05 11:05:48+0300

Episode: http://saudiprofessionalclinic.com.sa/identifiers/episode/provider_EpisodeID_2314596

identifier: http://saudiprofessionalclinic.com.sa/identifiers/claim/req_17307786

status: Active

type: Professional

subType: Emergency

use: Claim

patient: Maria Khaled Rizwan(official) Female, DoB: 1990-12-25 ( Permanent Resident Card Number: 2000000010)

created: 2023-12-05 12:21:15+0300

insurer: Organization Saudi National Insurance

provider: Organization Saudi Professional Clinic

priority: Normal

Payees

CareTeams

supportingInfo

sequence: 1

category: Systolic

timing: 2023-12-05 12:21:15+0300 --> 2023-12-05 12:21:15+0300

value: 120 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

supportingInfo

sequence: 2

category: Diastolic

timing: 2023-12-05 12:21:15+0300 --> 2023-12-05 12:21:15+0300

value: 80 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

supportingInfo

sequence: 3

category: Height

timing: 2023-12-05 12:21:15+0300 --> 2023-12-05 12:21:15+0300

value: 133 cm (Details: UCUM codecm = 'cm')

supportingInfo

sequence: 4

category: Weight

timing: 2023-12-05 12:21:15+0300 --> 2023-12-05 12:21:15+0300

value: 50 kg (Details: UCUM codekg = 'kg')

supportingInfo

sequence: 5

category: Pulse

timing: 2023-12-05 12:21:15+0300 --> 2023-12-05 12:21:15+0300

value: 100 /min (Details: UCUM code/min = '/min')

supportingInfo

sequence: 6

category: Temperature

timing: 2023-12-05 12:21:15+0300 --> 2023-12-05 12:21:15+0300

value: 37 Cel (Details: UCUM codeCel = 'Cel')

supportingInfo

sequence: 7

category: chief complaint

code: Chronic atrial fibrillation (disorder)

supportingInfo

sequence: 8

category: Oxygen Saturation

timing: 2023-12-05 12:21:15+0300 --> 2023-12-05 12:21:15+0300

value: 100 % (Details: UCUM code% = '%')

supportingInfo

sequence: 9

category: Respiratory Rate

timing: 2023-12-05 12:21:15+0300 --> 2023-12-05 12:21:15+0300

value: 18 /min (Details: UCUM code/min = '/min')

supportingInfo

sequence: 10

category: patient history

value: No systemic disease

supportingInfo

sequence: 11

category: Investigation Result

code: Investigation(s) not performed

supportingInfo

sequence: 12

category: Treatment Plan

value: Analgesic Drugs

supportingInfo

sequence: 13

category: Physical Examination

value: Stable

supportingInfo

sequence: 14

category: history Of Present Illness

value: No history

Diagnoses

Insurances

item

Patient Share: SAR20.00 (SAR)

Package Code: false

Tax: SAR75.00 (SAR)

Patient Invoice: http://saudiprofessionalclinic.com.sa/identifiers/patientInvoice/Invc-20220120/OP-883923

Maternity: false

sequence: 1

careTeamSequence: 1

diagnosisSequence: 1

productOrService: Office Assessment for diagnosis treatment and counselling of a new or established patient by Specialist

serviced: 2023-12-05

quantity: 1

UnitPrices

-	Value	Currency
*	500	Saudi riyal

Nets

-	Value	Currency
*	575	Saudi riyal

Totals