@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix sct: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "483070"] ; # fhir:meta [ fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/institutional-claim"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "

Generated Narrative: Claim 483070

Encounter: Bundle: type = message; timestamp = 2023-12-05 09:20:15+0300

Eligibility Offline Reference: EligResp-31212432

Eligibility Offline Date: 2023-12-05

Episode: http://saudigeneralhospital.com.sa/identifiers/episode/provider_EpisodeID_48903211

identifier: http://saudigeneralhospital.com.sa/identifiers/claim/req_3085

status: Active

type: Institutional

subType: InPatient

use: Claim

patient: Muhammad Khaled Abbas(official) Male, DoB: 2010-08-21 ( Permanent Resident Card Number: 2000000002)

created: 2023-12-05 12:30:15+0300

insurer: Organization Saudi National Insurance

provider: Organization Saudi General Hospital

priority: Normal

Payees

-Type
*Provider

CareTeams

-SequenceProviderRoleQualification
*1Practitioner Dr. Ameera Hassan(official)Primary providerGeneral Medicine

supportingInfo

sequence: 1

category: Systolic

timing: 2023-12-05 12:30:15+0300 --> 2023-12-05 12:30:15+0300

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

supportingInfo

sequence: 2

category: Diastolic

timing: 2023-12-05 12:30:15+0300 --> 2023-12-05 12:30:15+0300

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

supportingInfo

sequence: 3

category: Height

timing: 2023-12-05 12:30:15+0300 --> 2023-12-05 12:30:15+0300

value: 175 cm (Details: UCUM codecm = 'cm')

supportingInfo

sequence: 4

category: Weight

timing: 2023-12-05 12:30:15+0300 --> 2023-12-05 12:30:15+0300

value: 129 kg (Details: UCUM codekg = 'kg')

supportingInfo

sequence: 5

category: Pulse

timing: 2023-12-05 12:30:15+0300 --> 2023-12-05 12:30:15+0300

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

supportingInfo

sequence: 6

category: Temperature

timing: 2023-12-05 12:30:15+0300 --> 2023-12-05 12:30:15+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 12:30:15+0300 --> 2023-12-05 12:30:15+0300

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

supportingInfo

sequence: 9

category: Respiratory Rate

timing: 2023-12-05 12:30:15+0300 --> 2023-12-05 12:30:15+0300

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

supportingInfo

sequence: 10

category: Admission Weight

value: 129 kg (Details: UCUM codekg = 'kg')

supportingInfo

sequence: 11

category: patient history

value: No systemic disease

supportingInfo

sequence: 12

category: Investigation Result

code: Investigation(s) not performed

supportingInfo

sequence: 13

category: Treatment Plan

value: Surgery

supportingInfo

sequence: 14

category: Physical Examination

value: Stable

supportingInfo

sequence: 15

category: history Of Present Illness

value: No history

supportingInfo

sequence: 16

category: Onset

code: Chest pain on breathing

timing: 2023-12-05

supportingInfo

sequence: 17

category: Ventilation Hours

timing: 2023-12-05 12:30:15+0300 --> 2023-12-05 12:30:15+0300

value: 1.5 h (Details: UCUM codeh = 'h')

diagnosis

Condition Onset: Not reported

sequence: 1

diagnosis: Chronic atrial fibrillation

type: Principal Diagnosis

onAdmission: Yes

diagnosis

Condition Onset: Not reported

sequence: 2

diagnosis: Headache

type: Secondary Diagnosis

onAdmission: Yes

Insurances

-SequenceFocalCoverage
*1trueCoverage: identifier = http://sni.com.sa/identifiers/memberid#0000000002; status = active; type = extended healthcare; relationship = Child; network = Golden C

item

Package Code: false

Tax: SAR750.00 (SAR)

Patient Share: SAR0.00 (SAR)

Patient Invoice: http://saudigeneralhospital.com.sa/identifiers/patientInvoice/Invc-20220120/IP-1110987

Maternity: false

sequence: 1

careTeamSequence: 1

diagnosisSequence: 1

informationSequence: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17

productOrService: Catheter ablation of arrhythmia circuit or focus involving left atrial chamber

serviced: 2023-12-05

quantity: 1

UnitPrices

-ValueCurrency
*5000Saudi riyal

Nets

-ValueCurrency
*5750Saudi riyal

item

Package Code: false

Tax: SAR45.00 (SAR)

Patient Share: SAR0.00 (SAR)

Patient Invoice: http://saudigeneralhospital.com.sa/identifiers/patientInvoice/Invc-20220120/IP-1110987

Maternity: false

sequence: 2

careTeamSequence: 1

diagnosisSequence: 1

informationSequence: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17

productOrService: Management of continuous ventilatory support, <= 24 hours

serviced: 2023-12-04

quantity: 1

UnitPrices

-ValueCurrency
*300Saudi riyal

Nets

-ValueCurrency
*345Saudi riyal

Totals

-ValueCurrency
*6095Saudi riyal
"^^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:link ; fhir:reference [ fhir:v "http://saudigeneralhospital.com.sa/Encounter/10130" ] ] ] [ 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 "2023-12-05"^^xsd:date ] ] [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-episode"^^xsd:anyURI ] ; fhir:value [ a fhir:Identifier ; fhir:system [ fhir:v "http://saudigeneralhospital.com.sa/identifiers/episode"^^xsd:anyURI ] ; fhir:value [ fhir:v "provider_EpisodeID_48903211" ] ] ] ) ; # fhir:identifier ( [ fhir:system [ fhir:v "http://saudigeneralhospital.com.sa/identifiers/claim"^^xsd:anyURI ] ; fhir:value [ fhir:v "req_3085" ] ] ) ; # 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 "claim"] ; # fhir:patient [ fhir:link ; fhir:reference [ fhir:v "Patient/173826788" ] ] ; # fhir:created [ fhir:v "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime] ; # fhir:insurer [ fhir:link ; fhir:reference [ fhir:v "Organization/bff3aa1fbd3648619ac082357bf135db" ] ] ; # fhir:provider [ fhir:link ; 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:link ; 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 "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-05T12:30:15.23+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 "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-05T12:30:15.23+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 "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "175"^^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 "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-05T12:30:15.23+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 "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-05T12:30:15.23+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 "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-05T12:30:15.23+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:426749004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "426749004" ] ; fhir:display [ fhir:v "Chronic atrial fibrillation (disorder)" ] ] ) ] ] [ 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 "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-05T12:30:15.23+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 "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "18"^^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 "patient-history" ] ] ) ] ; fhir:value [ a fhir:string ; fhir:v "No systemic disease" ] ] [ 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 "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 "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 "treatment-plan" ] ] ) ] ; fhir:value [ a fhir:string ; fhir:v "Surgery" ] ] [ 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 "physical-examination" ] ] ) ] ; fhir:value [ a fhir:string ; fhir:v "Stable" ] ] [ 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 "history-of-present-illness" ] ] ) ] ; fhir:value [ a fhir:string ; fhir:v "No history" ] ] [ 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 "onset" ] ] ) ] ; fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-am"^^xsd:anyURI ] ; fhir:code [ fhir:v "R07.1" ] ] ) ; fhir:text [ fhir:v "Chest pain on breathing" ] ] ; fhir:timing [ a fhir:date ; fhir:v "2023-12-05"^^xsd:date ] ] [ fhir:sequence [ fhir:v "17"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/claim-information-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "ventilation-hours" ] ] ) ] ; fhir:timing [ a fhir:Period ; fhir:start [ fhir:v "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2023-12-05T12:30:15.23+03:00"^^xsd:dateTime ] ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v 1.5 ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "h" ] ] ] ) ; # fhir:diagnosis ( [ fhir:extension ( [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-condition-onset"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/condition-onset"^^xsd:anyURI ] ; fhir:code [ fhir:v "NR" ] ] ) ] ] ) ; 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 "I48.2" ] ; fhir:display [ fhir:v "Chronic atrial fibrillation" ] ] ) ] ; 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 "y" ] ] ) ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-condition-onset"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/condition-onset"^^xsd:anyURI ] ; fhir:code [ fhir:v "NR" ] ] ) ] ] ) ; fhir:sequence [ fhir:v "2"^^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 "R51" ] ; fhir:display [ fhir:v "Headache" ] ] ) ] ; fhir:type ( [ fhir:coding ( [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/diagnosis-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "secondary" ] ] ) ] ) ; fhir:onAdmission [ fhir:coding ( [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/diagnosis-on-admission"^^xsd:anyURI ] ; fhir:code [ fhir:v "y" ] ] ) ] ] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v true ] ; fhir:coverage [ fhir:link ; 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-tax"^^xsd:anyURI ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "750"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] [ 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-patientInvoice"^^xsd:anyURI ] ; fhir:value [ a fhir:Identifier ; fhir:system [ fhir:v "http://saudigeneralhospital.com.sa/identifiers/patientInvoice"^^xsd:anyURI ] ; fhir:value [ fhir:v "Invc-20220120/IP-1110987" ] ] ] [ 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: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:v "17"^^xsd:positiveInteger ] ) ; fhir:productOrService [ fhir:coding ( [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/procedures"^^xsd:anyURI ] ; fhir:code [ fhir:v "38287-02-00" ] ; fhir:display [ fhir:v "Catheter ablation of arrhythmia circuit or focus involving left atrial chamber" ] ] ) ] ; fhir:serviced [ a fhir:date ; fhir:v "2023-12-05"^^xsd:date ] ; fhir:quantity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:unitPrice [ fhir:value [ fhir:v "5000"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ; fhir:net [ fhir:value [ fhir:v "5750"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] [ 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-tax"^^xsd:anyURI ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "45"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] [ 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-patientInvoice"^^xsd:anyURI ] ; fhir:value [ a fhir:Identifier ; fhir:system [ fhir:v "http://saudigeneralhospital.com.sa/identifiers/patientInvoice"^^xsd:anyURI ] ; fhir:value [ fhir:v "Invc-20220120/IP-1110987" ] ] ] [ 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:sequence [ fhir:v "2"^^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:v "17"^^xsd:positiveInteger ] ) ; fhir:productOrService [ fhir:coding ( [ fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/procedures"^^xsd:anyURI ] ; fhir:code [ fhir:v "13882-00-00" ] ; fhir:display [ fhir:v "Management of continuous ventilatory support, <= 24 hours" ] ] ) ] ; 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 "345"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] ] ) ; # fhir:total [ fhir:value [ fhir:v "6095"^^xsd:decimal ] ; fhir:currency [ fhir:v "SAR" ] ] . # # -------------------------------------------------------------------------------------