Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot Saudi Arabia flag

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

: Coverage Eligibility Response #2 - XML Representation

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<CoverageEligibilityResponse xmlns="http://hl7.org/fhir">
  <id value="1491678"/>
  <meta>
    <profile
             value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/eligibility-response|0.3.0"/>
    <tag>
      <display value="NPHIES generated"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/>
    <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 --&gt; 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>
  </text>
  <identifier>
    <system value="http://nphies.sa/identifiers/coverageeligibilityresponse"/>
    <value value="728"/>
  </identifier>
  <status value="active"/>
  <purpose value="validation"/>
  <purpose value="benefits"/>
  <patient>
    <reference value="http://saudigeneralhospital.com.sa/Patient/123454186"/>
  </patient>
  <servicedPeriod>
    <start value="2023-07-15"/>
    <end value="2023-07-16"/>
  </servicedPeriod>
  <created value="2023-12-19T08:20:29.933+00:00"/>
  <requestor>
    <reference
               value="http://saudigeneralhospital.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae"/>
  </requestor>
  <request>
    <identifier>
      <system
              value="http://saudigeneralhospital.com.sa/identifiers/coverageeligibilityrequest"/>
      <value value="req_161959"/>
    </identifier>
  </request>
  <outcome value="error"/>
  <insurer>
    <reference
               value="http://saudigeneralhospital.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db"/>
  </insurer>
  <insurance>
    <coverage>
      <reference value="http://saudigeneralhospital.com.sa/Coverage/1333"/>
    </coverage>
    <inforce value="true"/>
  </insurance>
  <error>
    <extension
               url="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-error-expression">
      <valueString value="Bundle.entry[1]"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://nphies.sa/terminology/CodeSystem/adjudication-error"/>
        <code value="12"/>
        <display
                 value="Missing element: [entry.CoverageEligibilityRequest] within the message"/>
      </coding>
    </code>
  </error>
</CoverageEligibilityResponse>