Healthcare Financial Services IG Edition 1
0.3.0 - ci-build
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
Example Claim: Authorization Pharmacy Request #1
Generated Narrative: Claim 483074
Profile: Nphies Authorization Pharmacy
identifier: http://saudicentralpharmacy.sa.com/identifiers/authorization/req_011253071
status: Active
type: Pharmacy
subType: OutPatient
use: Preauthorization
patient: Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)
created: 2023-12-03 09:20:15+0300
insurer: Organization Saudi National Insurance
provider: Organization Saudi Pharmacy
priority: Normal
Payees
| Type |
| Provider |
diagnosis
sequence: 1
diagnosis: Headache
type: Principal Diagnosis
diagnosis
sequence: 2
diagnosis: Drug-induced headache, not elsewhere classified
type: Secondary Diagnosis
Insurances
item
Package Code: false
Patient Share: SAR0.00 (SAR)
Prescribed Medication: 06285096001627
Pharmacist Selection Reason: patient request
Pharmacist Substitute: SFDA Irreplaceable drugs
Maternity: false
sequence: 1
diagnosisSequence: 1
informationSequence: 1
productOrService: VOLTAREN 50 MG TAB
serviced: 2023-12-03
quantity: 1
UnitPrices
Value Currency 60 Saudi riyal Nets
Value Currency 60 Saudi riyal
Totals
| Value | Currency |
| 60 | Saudi riyal |