مرجع ملف FHIR R4¶

{
  "resourceType": "Patient",
  "identifier": [{
    "system": "http://nphies.sa/identifier/iqama",
    "value": "1234567890"
  }],
  "name": [{
    "family": "الأحمد",
    "given": ["محمد"]
  }],
  "gender": "male",
  "birthDate": "1985-03-15"
}

{
  "resourceType": "Coverage",
  "identifier": [{
    "system": "http://payer.com/policy",
    "value": "POL-12345"
  }],
  "status": "active",
  "beneficiary": {
    "reference": "Patient/123"
  },
  "payor": [{
    "reference": "Organization/bupa"
  }],
  "class": [{
    "type": {
      "coding": [{
        "code": "group"
      }]
    },
    "value": "GROUP-A"
  }]
}

{
  "resourceType": "Claim",
  "identifier": [{
    "system": "http://provider.com/claim",
    "value": "CLM-2024-001"
  }],
  "status": "active",
  "type": {
    "coding": [{
      "system": "http://terminology.hl7.org/CodeSystem/claim-type",
      "code": "institutional"
    }]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/123"
  },
  "created": "2024-01-15",
  "provider": {
    "reference": "Organization/hospital"
  },
  "priority": {
    "coding": [{
      "code": "normal"
    }]
  },
  "insurance": [{
    "sequence": 1,
    "focal": true,
    "coverage": {
      "reference": "Coverage/456"
    }
  }],
  "diagnosis": [...],
  "procedure": [...],
  "item": [...]
}

{
  "resourceType": "ClaimResponse",
  "identifier": [{
    "value": "RSP-2024-001"
  }],
  "status": "active",
  "type": {
    "coding": [{
      "code": "institutional"
    }]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/123"
  },
  "created": "2024-01-16",
  "insurer": {
    "reference": "Organization/payer"
  },
  "outcome": "complete",
  "adjudication": [...],
  "item": [...]
}

{
  "resourceType": "Encounter",
  "identifier": [{
    "value": "ENC-2024-001"
  }],
  "status": "finished",
  "class": {
    "code": "IMP",
    "display": "inpatient"
  },
  "type": [{
    "coding": [{
      "code": "185349003",
      "display": "Encounter for check up"
    }]
  }],
  "subject": {
    "reference": "Patient/123"
  },
  "period": {
    "start": "2024-01-10",
    "end": "2024-01-15"
  },
  "diagnosis": [...]
}

{
  "resourceType": "Observation",
  "status": "final",
  "category": [{
    "coding": [{
      "system": "http://terminology.hl7.org/CodeSystem/observation-category",
      "code": "laboratory"
    }]
  }],
  "code": {
    "coding": [{
      "system": "http://loinc.org",
      "code": "2339-0",
      "display": "Glucose"
    }]
  },
  "subject": {
    "reference": "Patient/123"
  },
  "valueQuantity": {
    "value": 95,
    "unit": "mg/dL"
  }
}

{
  "resourceType": "Procedure",
  "status": "completed",
  "code": {
    "coding": [{
      "system": "http://www.ama-assn.org/go/cpt",
      "code": "27447",
      "display": "Total knee replacement"
    }]
  },
  "subject": {
    "reference": "Patient/123"
  },
  "performedDateTime": "2024-01-12"
}

{
  "coding": [{
    "system": "http://hl7.org/fhir/sid/icd-10-am",
    "code": "J06.9",
    "display": "Acute upper respiratory infection"
  }]
}

{
  "resourceType": "Bundle",
  "type": "collection",
  "entry": [
    {
      "resource": {
        "resourceType": "Claim",
        ...
      }
    },
    {
      "resource": {
        "resourceType": "Patient",
        ...
      }
    },
    {
      "resource": {
        "resourceType": "Coverage",
        ...
      }
    },
    {
      "resource": {
        "resourceType": "Encounter",
        ...
      }
    }
  ]
}