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 sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "483069"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/institutional-priorauth|0.3.0"^^xsd:anyURI ; fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/institutional-priorauth|0.3.0> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim 483069</b></p><a name=\"483069\"> </a><a name=\"hc483069\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-institutional-priorauth.html\">Nphies Authorization Institutionalversion: null0.3.0)</a></p></div><p><b>Encounter</b>: <a href=\"Encounter-10124.html\">Encounter: identifier = http://saudigeneralhospital.com.sa/identifiers/encounter#AB0001; status = planned; class = short stay (ActCode#SS); serviceType = Sub-Acute Care; period = 2023-12-04 10:25:00+0300 --> 2023-12-04 12:30:00+0300</a></p><p><b>Eligibility Offline Reference</b>: EligResp-31212432</p><p><b>Eligibility Offline Date</b>: 2023-12-04</p><p><b>identifier</b>: <code>http://saudigeneralhospital.com.sa/identifiers/authorization</code>/req_1124856069</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span></p><p><b>subType</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-subtype ip}\">InPatient</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Patient-173826788.html\">Muhammad Khaled Abbas(official) Male, DoB: 2010-08-21 ( Permanent Resident Card Number: 2000000002)</a></p><p><b>created</b>: 2023-12-04 06:38:00+0300</p><p><b>insurer</b>: <a href=\"Organization-bff3aa1fbd3648619ac082357bf135db.html\">Organization Saudi National Insurance</a></p><p><b>provider</b>: <a href=\"Organization-b1b3432921324f97af3be9fd0b1a14ae.html\">Organization Saudi General Hospital</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Payees</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payeetype provider}\">Provider</span></td></tr></table><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Practitioner-1.html\">Practitioner Dr. Ameera Hassan(official)</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claimcareteamrole primary}\">Primary provider</span></td><td><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/practice-codes 08.26}\">General Medicine</span></td></tr></table><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category vital-sign-systolic}\">Systolic</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 120 mm[Hg]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category vital-sign-diastolic}\">Diastolic</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 80 mm[Hg]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category vital-sign-height}\">Height</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 160 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecm = 'cm')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 4</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category vital-sign-weight}\">Weight</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 129 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 5</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category pulse}\">Pulse</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 100 /min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code/min = '/min')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 6</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category temperature}\">Temperature</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 37 Cel<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeCel = 'Cel')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 7</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category chief-complaint}\">chief complaint</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 28845006}\">Acute appendicitis with generalized peritonitis</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 8</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category oxygen-saturation}\">Oxygen Saturation</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 100 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 9</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category respiratory-rate}\">Respiratory Rate</span></p><p><b>timing</b>: 2023-12-04 10:00:00+0300 --> 2023-12-04 11:00:00+0300</p><p><b>value</b>: 70 /min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code/min = '/min')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 10</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category admission-weight}\">Admission Weight</span></p><p><b>value</b>: 129 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 11</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category estimated-Length-of-Stay}\">Estimated Length Of Stay</span></p><p><b>value</b>: 1 d<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM coded = 'd')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 12</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category patient-history}\">patient history</span></p><p><b>value</b>: No systemic disease</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 13</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category investigation-result}\">Investigation Result</span></p><p><b>code</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/investigation-result INP}\">Investigation(s) not performed</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 14</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category treatment-plan}\">Treatment Plan</span></p><p><b>value</b>: Appendectomy</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 15</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category physical-examination}\">Physical Examination</span></p><p><b>value</b>: Stable</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 16</p><p><b>category</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/claim-information-category history-of-present-illness}\">history Of Present Illness</span></p><p><b>value</b>: No history</p></blockquote><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td><td><b>OnAdmission</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-am K35.2}\">Acute appendicitis with generalized peritonitis</span></td><td><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-type principal}\">Principal Diagnosis</span></td><td><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/diagnosis-on-admission n}\">No</span></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>true</td><td><a href=\"Coverage-1334.html\">Coverage: identifier = http://sni.com.sa/identifiers/memberid#0000000002; status = active; type = extended healthcare; relationship = Child; network = Golden C</a></td></tr></table><blockquote><p><b>item</b></p><p><b>Package Code</b>: false</p><p><b>Patient Share</b>: <span title=\"Saudi Riyal\">SAR0.00</span> (SAR)</p><p><b>Payer Share</b>: <span title=\"Saudi Riyal\">SAR400.00</span> (SAR)</p><p><b>Maternity</b>: false</p><p><b>Tax</b>: <span title=\"Saudi Riyal\">SAR100.00</span> (SAR)</p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>diagnosisSequence</b>: 1</p><p><b>informationSequence</b>: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16</p><p><b>productOrService</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/procedures 30571-00-00}\">Appendicectomy</span></p><p><b>serviced</b>: 2023-12-04</p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>300</td><td>Saudi riyal</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>400</td><td>Saudi riyal</td></tr></table></blockquote><h3>Totals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>400</td><td>Saudi riyal</td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-encounter"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Encounter/10124" ] ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-offline-reference"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "EligResp-31212432" ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-offline-date"^^xsd:anyURI ] ; fhir:value [ a fhir:dateTime ; fhir:v "2023-12-04"^^xsd:date ] ] ) ; # fhir:identifier ( [ fhir:system [ fhir:v "http://saudigeneralhospital.com.sa/identifiers/authorization"^^xsd:anyURI ] ; fhir:value [ fhir:v "req_1124856069" ] ] ) ; # 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 "2023-12-04T06:38:00+03:00"^^xsd:dateTime] ; # fhir:insurer [ fhir:reference [ fhir:v "Organization/bff3aa1fbd3648619ac082357bf135db" ] ] ; # fhir:provider [ fhir:reference [ fhir:v "Organization/b1b3432921324f97af3be9fd0b1a14ae" ] ] ; # fhir:priority [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ; fhir:code [ fhir:v "normal" ] ] ) ] ; # fhir:payee [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payeetype"^^xsd:anyURI ] ; fhir:code [ fhir:v "provider" ] ] ) ] ] ; # fhir:careTeam ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:provider [ fhir:reference [ fhir:v "Practitioner/1" ] ] ; fhir:role [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claimcareteamrole"^^xsd:anyURI ] ; fhir:code [ fhir:v "primary" ] ] ) ] ; fhir:qualification [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/practice-codes"^^xsd:anyURI ] ; fhir:code [ fhir:v "08.26" ] ] ) ] ] ) ; # fhir:supportingInfo ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "vital-sign-systolic" ] ] ) ] ; fhir:timing [ a fhir:Period ; fhir:start [ fhir:v "2023-12-04T10:00:00+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-04T11:00:00+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "120"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mm[Hg]" ] ] ] [ fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "vital-sign-diastolic" ] ] ) ] ; fhir:timing [ a fhir:Period ; fhir:start [ fhir:v "2023-12-04T10:00:00+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-04T11:00:00+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "80"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mm[Hg]" ] ] ] [ fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "vital-sign-height" ] ] ) ] ; fhir:timing [ a fhir:Period ; fhir:start [ fhir:v "2023-12-04T10:00:00+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-04T11:00:00+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "160"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "cm" ] ] ] [ fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "vital-sign-weight" ] ] ) ] ; fhir:timing [ a fhir:Period ; fhir:start [ fhir:v "2023-12-04T10:00:00+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-04T11:00:00+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "129"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "kg" ] ] ] [ fhir:sequence [ fhir:v "5"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "pulse" ] ] ) ] ; fhir:timing [ a fhir:Period ; fhir:start [ fhir:v "2023-12-04T10:00:00+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-04T11:00:00+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "100"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "/min" ] ] ] [ fhir:sequence [ fhir:v "6"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "temperature" ] ] ) ] ; fhir:timing [ a fhir:Period ; fhir:start [ fhir:v "2023-12-04T10:00:00+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-04T11:00:00+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "37"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "Cel" ] ] ] [ fhir:sequence [ fhir:v "7"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "chief-complaint" ] ] ) ] ; fhir:code [ ( fhir:coding [ a sct:28845006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "28845006" ] ; fhir:display [ fhir:v "Acute appendicitis with generalized peritonitis" ] ] ) ] ] [ fhir:sequence [ fhir:v "8"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "oxygen-saturation" ] ] ) ] ; fhir:timing [ a fhir:Period ; fhir:start [ fhir:v "2023-12-04T10:00:00+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-04T11:00:00+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "100"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "%" ] ] ] [ fhir:sequence [ fhir:v "9"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "respiratory-rate" ] ] ) ] ; fhir:timing [ a fhir:Period ; fhir:start [ fhir:v "2023-12-04T10:00:00+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-04T11:00:00+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "70"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "/min" ] ] ] [ fhir:sequence [ fhir:v "10"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "admission-weight" ] ] ) ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "129"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "kg" ] ] ] [ fhir:sequence [ fhir:v "11"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "estimated-Length-of-Stay" ] ] ) ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "d" ] ] ] [ fhir:sequence [ fhir:v "12"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "patient-history" ] ] ) ] ; fhir:value [ a fhir:string ; fhir:v "No systemic disease" ] ] [ fhir:sequence [ fhir:v "13"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "investigation-result" ] ] ) ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/investigation-result"^^xsd:anyURI ] ; fhir:code [ fhir:v "INP" ] ; fhir:display [ fhir:v "Investigation(s) not performed" ] ] ) ] ] [ fhir:sequence [ fhir:v "14"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "treatment-plan" ] ] ) ] ; fhir:value [ a fhir:string ; fhir:v "Appendectomy" ] ] [ fhir:sequence [ fhir:v "15"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "physical-examination" ] ] ) ] ; fhir:value [ a fhir:string ; fhir:v "Stable" ] ] [ fhir:sequence [ fhir:v "16"^^xsd:positiveInteger ] ; fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "history-of-present-illness" ] ] ) ] ; fhir:value [ a fhir:string ; fhir:v "No history" ] ] ) ; # fhir:diagnosis ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-am"^^xsd:anyURI ] ; fhir:code [ fhir:v "K35.2" ] ; fhir:display [ fhir:v "Acute appendicitis with generalized peritonitis" ] ] ) ] ; ( fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/diagnosis-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "principal" ] ] ) ] ) ; fhir:onAdmission [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/diagnosis-on-admission"^^xsd:anyURI ] ; fhir:code [ fhir:v "n" ] ; fhir:display [ fhir:v "No" ] ] ) ] ] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v true ] ; fhir:coverage [ fhir:reference [ fhir:v "Coverage/1334" ] ] ] ) ; # fhir:item ( [ ( fhir:extension [ 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:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patient-share"^^xsd:anyURI ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "0"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-payer-share"^^xsd:anyURI ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "400"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] [ 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-tax"^^xsd:anyURI ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "100"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] ) ; fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; ( fhir:careTeamSequence [ fhir:v "1"^^xsd:positiveInteger ] ) ; ( fhir:diagnosisSequence [ fhir:v "1"^^xsd:positiveInteger ] ) ; ( fhir:informationSequence [ fhir:v "1"^^xsd:positiveInteger ] [ fhir:v "2"^^xsd:positiveInteger ] [ fhir:v "3"^^xsd:positiveInteger ] [ fhir:v "4"^^xsd:positiveInteger ] [ fhir:v "5"^^xsd:positiveInteger ] [ fhir:v "6"^^xsd:positiveInteger ] [ fhir:v "7"^^xsd:positiveInteger ] [ fhir:v "8"^^xsd:positiveInteger ] [ fhir:v "9"^^xsd:positiveInteger ] [ fhir:v "10"^^xsd:positiveInteger ] [ fhir:v "11"^^xsd:positiveInteger ] [ fhir:v "12"^^xsd:positiveInteger ] [ fhir:v "13"^^xsd:positiveInteger ] [ fhir:v "14"^^xsd:positiveInteger ] [ fhir:v "15"^^xsd:positiveInteger ] [ fhir:v "16"^^xsd:positiveInteger ] ) ; fhir:productOrService [ ( fhir:coding [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/procedures"^^xsd:anyURI ] ; fhir:code [ fhir:v "30571-00-00" ] ; fhir:display [ fhir:v "Appendicectomy" ] ] ) ] ; fhir:serviced [ a fhir:date ; fhir:v "2023-12-04"^^xsd:date ] ; fhir:quantity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:unitPrice [ fhir:value [ fhir:v "300"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ; fhir:net [ fhir:value [ fhir:v "400"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] ) ; # fhir:total [ fhir:value [ fhir:v "400"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] . #
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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