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:PaymentReconciliation ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "90581"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/payment-reconciliation"^^xsd:anyURI ;
fhir:link <http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/payment-reconciliation> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PaymentReconciliation 90581</b></p><a name=\"90581\"> </a><a name=\"hc90581\"> </a><a name=\"90581-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-payment-reconciliation.html\">Nphies Payment Reconciliation</a></p></div><p><b>identifier</b>: <code>http://sni.com.sa/identifiers/paymentreconciliation</code>/90581</p><p><b>status</b>: Active</p><p><b>period</b>: 2023-12-01 --> 2023-12-06</p><p><b>created</b>: 2023-12-06</p><p><b>paymentIssuer</b>: <a href=\"Bundle-43c68545-8e37-4744-b8ea-9a1e3c1ada84.html#http-//sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db\">Bundle: type = message; timestamp = 2023-12-19 08:20:29+0000</a></p><p><b>requestor</b>: <a href=\"Bundle-96b80922-b538-4ab3-0176-a80b51242161.html#http-//sni.com.sa/Organization/215\">Bundle: type = message; timestamp = 2023-12-02 19:36:29+0000</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Payment made for the month of December, 2023</p><p><b>paymentDate</b>: 2023-12-06</p><h3>PaymentAmounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>239.55</td><td>Saudi riyal</td></tr></table><p><b>paymentIdentifier</b>: EFT/URN-987590432322</p><blockquote><p><b>detail</b></p><p><b>Component - Payment</b>: <span title=\"Saudi Riyal\">SAR241.50</span> (SAR)</p><p><b>Component - Early Fee</b>: <span title=\"Saudi Riyal\">SAR0.00</span> (SAR)</p><p><b>Component - Payment</b>: <span title=\"Saudi Riyal\">SAR-1.95</span> (SAR)</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payment-type payment}\">Payment</span></p><p><b>request</b>: Identifier: <code>http://saudidentalclinic.com.sa/identifiers/claim</code>/req_29309905401</p><p><b>submitter</b>: <a href=\"Bundle-96b80922-b538-4ab3-0176-a80b51242161.html#http-//sni.com.sa/Organization/215\">Bundle: type = message; timestamp = 2023-12-02 19:36:29+0000</a></p><p><b>response</b>: Identifier: <code>http://sni.com.sa/identifiers/claimresponse</code>/res_10411448401</p><p><b>date</b>: 2023-12-06</p><p><b>payee</b>: <a href=\"Bundle-96b80922-b538-4ab3-0176-a80b51242161.html#http-//sni.com.sa/Organization/215\">Bundle: type = message; timestamp = 2023-12-02 19:36:29+0000</a></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>239.55</td><td>Saudi riyal</td></tr></table></blockquote></div>"^^rdf:XMLLiteral
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://sni.com.sa/identifiers/paymentreconciliation"^^xsd:anyURI ] ;
fhir:value [ fhir:v "90581" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:period [
fhir:start [ fhir:v "2023-12-01"^^xsd:date ] ;
fhir:end [ fhir:v "2023-12-06"^^xsd:date ]
] ; #
fhir:created [ fhir:v "2023-12-06"^^xsd:date] ; #
fhir:paymentIssuer [
fhir:link <http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db> ;
fhir:reference [ fhir:v "http://sni.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db" ]
] ; #
fhir:requestor [
fhir:link <http://sni.com.sa/Organization/215> ;
fhir:reference [ fhir:v "http://sni.com.sa/Organization/215" ]
] ; #
fhir:outcome [ fhir:v "complete"] ; #
fhir:disposition [ fhir:v "Payment made for the month of December, 2023"] ; #
fhir:paymentDate [ fhir:v "2023-12-06"^^xsd:date] ; #
fhir:paymentAmount [
fhir:value [ fhir:v 239.55 ] ;
fhir:currency [ fhir:v "SAR" ]
] ; #
fhir:paymentIdentifier [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://nphies.sa/terminology/CodeSystem/payment-method"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eft" ] ] ) ] ;
fhir:system [ fhir:v "http://saudinationalbank.com.sa/identifiers/payment-45908"^^xsd:anyURI ] ;
fhir:value [ fhir:v "URN-987590432322" ]
] ; #
fhir:detail ( [
( fhir:extension [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-component-payment"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v 241.5 ] ;
fhir:currency [ fhir:v "SAR" ] ] ] [
fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-component-early-fee"^^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-component-nphies-fee"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v -1.95 ] ;
fhir:currency [ fhir:v "SAR" ] ] ] ) ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "payment" ] ] ) ] ;
fhir:request [
fhir:identifier [
fhir:system [ fhir:v "http://saudidentalclinic.com.sa/identifiers/claim"^^xsd:anyURI ] ;
fhir:value [ fhir:v "req_29309905401" ] ] ] ;
fhir:submitter [
fhir:link <http://sni.com.sa/Organization/215> ;
fhir:reference [ fhir:v "http://sni.com.sa/Organization/215" ] ] ;
fhir:response [
fhir:identifier [
fhir:system [ fhir:v "http://sni.com.sa/identifiers/claimresponse"^^xsd:anyURI ] ;
fhir:value [ fhir:v "res_10411448401" ] ] ] ;
fhir:date [ fhir:v "2023-12-06"^^xsd:date ] ;
fhir:payee [
fhir:link <http://sni.com.sa/Organization/215> ;
fhir:reference [ fhir:v "http://sni.com.sa/Organization/215" ] ] ;
fhir:amount [
fhir:value [ fhir:v 239.55 ] ;
fhir:currency [ fhir:v "SAR" ] ]
] ) . #
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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