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:Coverage ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "HealthCardExample"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage HealthCardExample</b></p><a name=\"HealthCardExample\"> </a><a name=\"hcHealthCardExample\"> </a><a name=\"HealthCardExample-en-US\"> </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 Coverage</a></p></div><p><b>identifier</b>: <code>http://healthinsurer.com/member</code>/12405431</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-ElalConstruction.html\">Organization Elal Construction Saudi Arabia Ltd.</a></p><p><b>subscriber</b>: <a href=\"Patient-AhmedPatient.html\">Ahmed Patient Male, DoB: 1984-10-15 ( Permanent Resident Card Number: 2000000999)</a></p><p><b>beneficiary</b>: <a href=\"Patient-AhmedPatient.html\">Ahmed Patient Male, DoB: 1984-10-15 ( Permanent Resident Card Number: 2000000999)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2020-03-16 --> 2021-03-16</p><p><b>payor</b>: <a href=\"Organization-HealthInsuranceInc.html\">Organization Health Insurance Inc.</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></p><p><b>value</b>: ELAL CONSTRUCTION</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></p><p><b>value</b>: 17452394</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class class}\">Class</span></p><p><b>value</b>: A</p></blockquote><p><b>network</b>: 7</p><h3>CostToBeneficiaries</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/coverage-copay-type copaypct}\">Copay Percentage</span></td><td>0.2</td></tr></table></div>"^^rdf:XMLLiteral
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://healthinsurer.com/member"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12405431" ]
] ) ; #
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:policyHolder [
fhir:reference [ fhir:v "Organization/ElalConstruction" ]
] ; #
fhir:subscriber [
fhir:reference [ fhir:v "Patient/AhmedPatient" ]
] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/AhmedPatient" ]
] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "self" ] ] )
] ; #
fhir:period [
fhir:start [ fhir:v "2020-03-16"^^xsd:date ] ;
fhir:end [ fhir:v "2021-03-16"^^xsd:date ]
] ; #
fhir:payor ( [
fhir:reference [ fhir:v "Organization/HealthInsuranceInc" ]
] ) ; #
fhir:class ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "group" ] ] ) ] ;
fhir:value [ fhir:v "ELAL CONSTRUCTION" ]
] [
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 "17452394" ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "class" ] ] ) ] ;
fhir:value [ fhir:v "A" ]
] ) ; #
fhir:network [ fhir:v "7"] ; #
fhir:costToBeneficiary ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/coverage-copay-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "copaypct" ] ] ) ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v 0.2 ] ]
] ) . #
IG © 2024+ HL7 Saudi Arabia. Package nphies-fs#0.3.0 based on FHIR 4.0.1. Generated 2025-06-23
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