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:CoverageEligibilityResponse ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "1491678"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/eligibility-response|0.3.0"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/eligibility-response|0.3.0> ] ) ;
( fhir:tag [
fhir:display [ fhir:v "NPHIES generated" ] ] )
] ; #
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: CoverageEligibilityResponse 1491678</b></p><a name=\"1491678\"> </a><a name=\"hc1491678\"> </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-eligibility-response.html\">Nphies CoverageEligibilityResponseversion: null0.3.0)</a></p><p style=\"margin-bottom: 0px\">Tag: NPHIES generated (Details: [not stated] code null = 'NPHIES generated')</p></div><p><b>identifier</b>: <code>http://nphies.sa/identifiers/coverageeligibilityresponse</code>/728</p><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage Validation, Coverage benefits</p><p><b>patient</b>: <a href=\"Bundle-4350490e-98f0-4c23-9e7d-4cd2c7011959.html#http-//saudigeneralhospital.com.sa/Patient/123454186\">Bundle: type = message; timestamp = 2023-07-15 14:56:49+0300</a></p><p><b>serviced</b>: 2023-07-15 --> 2023-07-16</p><p><b>created</b>: 2023-12-19 08:20:29+0000</p><p><b>requestor</b>: <a href=\"Bundle-4350490e-98f0-4c23-9e7d-4cd2c7011959.html#http-//saudigeneralhospital.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae\">Bundle: type = message; timestamp = 2023-07-15 14:56:49+0300</a></p><p><b>request</b>: Identifier: <code>http://saudigeneralhospital.com.sa/identifiers/coverageeligibilityrequest</code>/req_161959</p><p><b>outcome</b>: Error</p><p><b>insurer</b>: <a href=\"Bundle-4350490e-98f0-4c23-9e7d-4cd2c7011959.html#http-//saudigeneralhospital.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db\">Bundle: type = message; timestamp = 2023-07-15 14:56:49+0300</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Coverage</b></td><td><b>Inforce</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-4350490e-98f0-4c23-9e7d-4cd2c7011959.html#http-//saudigeneralhospital.com.sa/Coverage/1333\">Bundle: type = message; timestamp = 2023-07-15 14:56:49+0300</a></td><td>true</td></tr></table><h3>Errors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td/><td><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/adjudication-error 12}\">Missing element: [entry.CoverageEligibilityRequest] within the message</span></td></tr></table></div>"^^rdf:XMLLiteral
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://nphies.sa/identifiers/coverageeligibilityresponse"^^xsd:anyURI ] ;
fhir:value [ fhir:v "728" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:purpose ( [ fhir:v "validation"] [ fhir:v "benefits"] ) ; #
fhir:patient [
fhir:link <http://saudigeneralhospital.com.sa/Patient/123454186> ;
fhir:reference [ fhir:v "http://saudigeneralhospital.com.sa/Patient/123454186" ]
] ; #
fhir:serviced [
a fhir:Period ;
fhir:start [ fhir:v "2023-07-15"^^xsd:date ] ;
fhir:end [ fhir:v "2023-07-16"^^xsd:date ]
] ; #
fhir:created [ fhir:v "2023-12-19T08:20:29.933+00:00"^^xsd:dateTime] ; #
fhir:requestor [
fhir:link <http://saudigeneralhospital.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae> ;
fhir:reference [ fhir:v "http://saudigeneralhospital.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae" ]
] ; #
fhir:request [
fhir:identifier [
fhir:system [ fhir:v "http://saudigeneralhospital.com.sa/identifiers/coverageeligibilityrequest"^^xsd:anyURI ] ;
fhir:value [ fhir:v "req_161959" ] ]
] ; #
fhir:outcome [ fhir:v "error"] ; #
fhir:insurer [
fhir:link <http://saudigeneralhospital.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db> ;
fhir:reference [ fhir:v "http://saudigeneralhospital.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db" ]
] ; #
fhir:insurance ( [
fhir:coverage [
fhir:link <http://saudigeneralhospital.com.sa/Coverage/1333> ;
fhir:reference [ fhir:v "http://saudigeneralhospital.com.sa/Coverage/1333" ] ] ;
fhir:inforce [ fhir:v true ]
] ) ; #
fhir:error ( [
( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-error-expression"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Bundle.entry[1]" ] ] ) ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/adjudication-error"^^xsd:anyURI ] ;
fhir:code [ fhir:v "12" ] ;
fhir:display [ fhir:v "Missing element: [entry.CoverageEligibilityRequest] within the message" ] ] ) ]
] ) . #
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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