DHIN 2025Connectathon FHIR IG
0.2.0 - ci-build
DHIN 2025Connectathon FHIR IG
0.2.0 - ci-build
DHIN 2025Connectathon FHIR IG, published by DHIN. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Nigeria-FHIR-Community/2025Connectathon/ and changes regularly. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/Bundle/ClaimSubmission-Request> a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "ClaimSubmission-Request"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim-submission-bundle" ;
fhir:index 0 ;
fhir:link <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim-submission-bundle>
]
] ;
fhir:Bundle.type [ fhir:value "transaction"] ;
fhir:Bundle.entry [
fhir:index 0 ;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef" ] ;
fhir:Bundle.entry.resource <urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef> ;
fhir:Bundle.entry.request [
fhir:Bundle.entry.request.method [ fhir:value "POST" ] ;
fhir:Bundle.entry.request.url [ fhir:value "Patient" ]
]
], [
fhir:index 1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:ccc33344-e5f6-4789-a123-456789abcdef" ] ;
fhir:Bundle.entry.resource <urn:uuid:ccc33344-e5f6-4789-a123-456789abcdef> ;
fhir:Bundle.entry.request [
fhir:Bundle.entry.request.method [ fhir:value "POST" ] ;
fhir:Bundle.entry.request.url [ fhir:value "Organization" ]
]
], [
fhir:index 2 ;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:ddd44455-e5f6-4789-a123-456789abcdef" ] ;
fhir:Bundle.entry.resource <urn:uuid:ddd44455-e5f6-4789-a123-456789abcdef> ;
fhir:Bundle.entry.request [
fhir:Bundle.entry.request.method [ fhir:value "POST" ] ;
fhir:Bundle.entry.request.url [ fhir:value "Organization" ]
]
], [
fhir:index 3 ;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:eee55566-e5f6-4789-a123-456789abcdef" ] ;
fhir:Bundle.entry.resource <urn:uuid:eee55566-e5f6-4789-a123-456789abcdef> ;
fhir:Bundle.entry.request [
fhir:Bundle.entry.request.method [ fhir:value "POST" ] ;
fhir:Bundle.entry.request.url [ fhir:value "Coverage" ]
]
], [
fhir:index 4 ;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:fff66677-e5f6-4789-a123-456789abcdef" ] ;
fhir:Bundle.entry.resource <urn:uuid:fff66677-e5f6-4789-a123-456789abcdef> ;
fhir:Bundle.entry.request [
fhir:Bundle.entry.request.method [ fhir:value "POST" ] ;
fhir:Bundle.entry.request.url [ fhir:value "Claim" ]
]
] .
<urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef> a fhir:Patient ;
fhir:Resource.id [ fhir:value "NgPatient-Claim-001"] ;
fhir:Resource.meta [
fhir:Meta.lastUpdated [ fhir:value "2025-10-25T14:30:00+01:00"^^xsd:dateTime ] ;
fhir:Meta.profile [
fhir:value "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-patient" ;
fhir:index 0 ;
fhir:link <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-patient>
]
] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_NgPatient-Claim-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient NgPatient-Claim-001</b></p><a name=\"NgPatient-Claim-001\"> </a><a name=\"hcNgPatient-Claim-001\"> </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\">Last updated: 2025-10-25 14:30:00+0100</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ng-patient.html\">NG Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Amaka Nwosu Female, DoB: 1992-07-15 ( mobile: 08045678901)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">22 River Road Port Harcourt RI </td></tr></table></div>"
] ;
fhir:Patient.identifier [
fhir:index 0 ;
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs" ] ;
fhir:Coding.code [ fhir:value "MOBILE" ] ;
fhir:Coding.display [ fhir:value "mobile" ]
]
] ;
fhir:Identifier.system [ fhir:value "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs" ] ;
fhir:Identifier.value [ fhir:value "08045678901" ]
] ;
fhir:Patient.active [ fhir:value "true"^^xsd:boolean] ;
fhir:Patient.name [
fhir:index 0 ;
fhir:HumanName.family [ fhir:value "Nwosu" ] ;
fhir:HumanName.given [
fhir:value "Amaka" ;
fhir:index 0
]
] ;
fhir:Patient.gender [ fhir:value "female"] ;
fhir:Patient.birthDate [ fhir:value "1992-07-15"^^xsd:date] ;
fhir:Patient.address [
fhir:index 0 ;
fhir:Address.line [
fhir:value "22 River Road" ;
fhir:index 0
] ;
fhir:Address.city [ fhir:value "Port Harcourt" ] ;
fhir:Address.district [ fhir:value "ri-oyigbo" ] ;
fhir:Address.state [ fhir:value "RI" ]
] .
<urn:uuid:ccc33344-e5f6-4789-a123-456789abcdef> a fhir:Organization ;
fhir:Resource.id [ fhir:value "NgOrganization-Provider-Claim-001"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-provider-organization" ;
fhir:index 0 ;
fhir:link <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-provider-organization>
]
] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_NgOrganization-Provider-Claim-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization NgOrganization-Provider-Claim-001</b></p><a name=\"NgOrganization-Provider-Claim-001\"> </a><a name=\"hcNgOrganization-Provider-Claim-001\"> </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-ng-provider-organization.html\">NG Provider Organization</a></p></div><p><b>NG Owner of Facility</b>: <span title=\"Codes:{https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-location-owner-cs public}\">Public Health Institution Location</span></p><p><b>identifier</b>: <code>https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry</code>/HCF-RS-5678</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Rivers State Teaching Hospital</p><p><b>telecom</b>: ph: 084-234-5678</p><p><b>address</b>: 100 Hospital Boulevard Port Harcourt RI </p></div>"
] ;
fhir:DomainResource.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "https://sandbox.dhin-hie.org/ig/StructureDefinition/organization-owner" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-location-owner-cs" ] ;
fhir:Coding.code [ fhir:value "public" ]
]
]
] ;
fhir:Organization.identifier [
fhir:index 0 ;
fhir:Identifier.system [ fhir:value "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry" ] ;
fhir:Identifier.value [ fhir:value "HCF-RS-5678" ]
] ;
fhir:Organization.active [ fhir:value "true"^^xsd:boolean] ;
fhir:Organization.type [
fhir:index 0 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ] ;
fhir:Coding.code [ fhir:value "prov" ] ;
fhir:Coding.display [ fhir:value "Healthcare Provider" ]
]
] ;
fhir:Organization.name [ fhir:value "Rivers State Teaching Hospital"] ;
fhir:Organization.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "phone" ] ;
fhir:ContactPoint.value [ fhir:value "084-234-5678" ]
] ;
fhir:Organization.address [
fhir:index 0 ;
fhir:Address.line [
fhir:value "100 Hospital Boulevard" ;
fhir:index 0
] ;
fhir:Address.city [ fhir:value "Port Harcourt" ] ;
fhir:Address.district [ fhir:value "ri-oyigbo" ] ;
fhir:Address.state [ fhir:value "RI" ]
] .
<urn:uuid:ddd44455-e5f6-4789-a123-456789abcdef> a fhir:Organization ;
fhir:Resource.id [ fhir:value "NgOrganization-Insurer-Claim-001"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-insurer-organization" ;
fhir:index 0 ;
fhir:link <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-insurer-organization>
]
] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_NgOrganization-Insurer-Claim-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization NgOrganization-Insurer-Claim-001</b></p><a name=\"NgOrganization-Insurer-Claim-001\"> </a><a name=\"hcNgOrganization-Insurer-Claim-001\"> </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-ng-insurer-organization.html\">NG Insurer Organization</a></p></div><p><b>identifier</b>: <code>https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry</code>/HMO-MC-9988</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}\">Insurance Company</span></p><p><b>name</b>: MediCare Plus HMO</p><p><b>telecom</b>: ph: 0700-MEDICARE</p><p><b>address</b>: 15 Insurance Plaza Port Harcourt RI </p></div>"
] ;
fhir:Organization.identifier [
fhir:index 0 ;
fhir:Identifier.system [ fhir:value "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry" ] ;
fhir:Identifier.value [ fhir:value "HMO-MC-9988" ]
] ;
fhir:Organization.active [ fhir:value "true"^^xsd:boolean] ;
fhir:Organization.type [
fhir:index 0 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ] ;
fhir:Coding.code [ fhir:value "ins" ] ;
fhir:Coding.display [ fhir:value "Insurance Company" ]
]
] ;
fhir:Organization.name [ fhir:value "MediCare Plus HMO"] ;
fhir:Organization.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "phone" ] ;
fhir:ContactPoint.value [ fhir:value "0700-MEDICARE" ]
] ;
fhir:Organization.address [
fhir:index 0 ;
fhir:Address.line [
fhir:value "15 Insurance Plaza" ;
fhir:index 0
] ;
fhir:Address.city [ fhir:value "Port Harcourt" ] ;
fhir:Address.district [ fhir:value "ri-oyigbo" ] ;
fhir:Address.state [ fhir:value "RI" ]
] .
<urn:uuid:eee55566-e5f6-4789-a123-456789abcdef> a fhir:Coverage ;
fhir:Resource.id [ fhir:value "NgCoverage-Claim-001"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage" ;
fhir:index 0 ;
fhir:link <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage>
]
] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_NgCoverage-Claim-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage NgCoverage-Claim-001</b></p><a name=\"NgCoverage-Claim-001\"> </a><a name=\"hcNgCoverage-Claim-001\"> </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-ng-coverage.html\">NG Claim Coverage</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}\">extended healthcare</span></p><p><b>beneficiary</b>: <a href=\"Bundle-ClaimSubmission-Request.html#urn-uuid-aaabbbc2-e5f6-4789-a123-456789abcdef\">Amaka Nwosu Female, DoB: 1992-07-15 ( mobile: 08045678901)</a></p><p><b>period</b>: 2025-01-01 --> 2025-12-31</p><p><b>payor</b>: <a href=\"Bundle-ClaimSubmission-Request.html#urn-uuid-ddd44455-e5f6-4789-a123-456789abcdef\">Organization MediCare Plus HMO</a></p></div>"
] ;
fhir:Coverage.status [ fhir:value "active"] ;
fhir:Coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
fhir:Coding.code [ fhir:value "EHCPOL" ] ;
fhir:Coding.display [ fhir:value "extended healthcare" ]
]
] ;
fhir:Coverage.beneficiary [
fhir:Reference.reference [ fhir:value "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef" ]
] ;
fhir:Coverage.period [
fhir:Period.start [ fhir:value "2025-01-01"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2025-12-31"^^xsd:date ]
] ;
fhir:Coverage.payor [
fhir:index 0 ;
fhir:Reference.reference [ fhir:value "urn:uuid:ddd44455-e5f6-4789-a123-456789abcdef" ]
] .
<urn:uuid:fff66677-e5f6-4789-a123-456789abcdef> a fhir:Claim ;
fhir:Resource.id [ fhir:value "NgClaim-Claim-001"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim" ;
fhir:index 0 ;
fhir:link <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim>
]
] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_NgClaim-Claim-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim NgClaim-Claim-001</b></p><a name=\"NgClaim-Claim-001\"> </a><a name=\"hcNgClaim-Claim-001\"> </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-ng-claim.html\">NG Claim</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Bundle-ClaimSubmission-Request.html#urn-uuid-aaabbbc2-e5f6-4789-a123-456789abcdef\">Amaka Nwosu Female, DoB: 1992-07-15 ( mobile: 08045678901)</a></p><p><b>created</b>: 2025-10-25 14:35:00+0100</p><p><b>provider</b>: <a href=\"Bundle-ClaimSubmission-Request.html#urn-uuid-ccc33344-e5f6-4789-a123-456789abcdef\">Organization Rivers State Teaching Hospital</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Bundle-ClaimSubmission-Request.html#urn-uuid-eee55566-e5f6-4789-a123-456789abcdef\">Coverage: status = active; type = extended healthcare; period = 2025-01-01 --> 2025-12-31</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-USCLS 1205}\">Appendectomy</span></p><p><b>serviced</b>: 2025-10-22</p><p><b>quantity</b>: 1</p><h3>UnitPrices</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>150000</td><td>Nigerian naira</td></tr></table><h3>Nets</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>150000</td><td>Nigerian naira</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>productOrService</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-USCLS 1201}\">Exam, recall</span></p><p><b>serviced</b>: 2025-10-22 --> 2025-10-25</p><p><b>quantity</b>: 3</p><h3>UnitPrices</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>20000</td><td>Nigerian naira</td></tr></table><h3>Nets</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>60000</td><td>Nigerian naira</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>productOrService</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-USCLS 1101}\">Laboratory Tests</span></p><p><b>serviced</b>: 2025-10-22</p><p><b>quantity</b>: 1</p><h3>UnitPrices</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>15000</td><td>Nigerian naira</td></tr></table><h3>Nets</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>15000</td><td>Nigerian naira</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 4</p><p><b>productOrService</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-USCLS 1102}\">Medications</span></p><p><b>serviced</b>: 2025-10-22</p><p><b>quantity</b>: 1</p><h3>UnitPrices</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>25000</td><td>Nigerian naira</td></tr></table><h3>Nets</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>25000</td><td>Nigerian naira</td></tr></table></blockquote><h3>Totals</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>250000</td><td>Nigerian naira</td></tr></table></div>"
] ;
fhir:Claim.status [ fhir:value "active"] ;
fhir:Claim.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
fhir:Coding.code [ fhir:value "institutional" ] ;
fhir:Coding.display [ fhir:value "Institutional" ]
]
] ;
fhir:Claim.use [ fhir:value "claim"] ;
fhir:Claim.patient [
fhir:Reference.reference [ fhir:value "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef" ]
] ;
fhir:Claim.created [ fhir:value "2025-10-25T14:35:00+01:00"^^xsd:dateTime] ;
fhir:Claim.provider [
fhir:Reference.reference [ fhir:value "urn:uuid:ccc33344-e5f6-4789-a123-456789abcdef" ]
] ;
fhir:Claim.priority [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ] ;
fhir:Coding.code [ fhir:value "normal" ]
]
] ;
fhir:Claim.insurance [
fhir:index 0 ;
fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
fhir:Claim.insurance.coverage [
fhir:Reference.reference [ fhir:value "urn:uuid:eee55566-e5f6-4789-a123-456789abcdef" ]
]
] ;
fhir:Claim.item [
fhir:index 0 ;
fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
fhir:Claim.item.productOrService [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-USCLS" ] ;
fhir:Coding.code [ fhir:value "1205" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Appendectomy" ]
] ;
fhir:Claim.item.servicedDate [ fhir:value "2025-10-22"^^xsd:date ] ;
fhir:Claim.item.quantity [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]
] ;
fhir:Claim.item.unitPrice [
fhir:Money.value [ fhir:value "150000"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "NGN" ]
] ;
fhir:Claim.item.net [
fhir:Money.value [ fhir:value "150000"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "NGN" ]
]
], [
fhir:index 1 ;
fhir:Claim.item.sequence [ fhir:value "2"^^xsd:positiveInteger ] ;
fhir:Claim.item.productOrService [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-USCLS" ] ;
fhir:Coding.code [ fhir:value "1201" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Exam, recall" ]
] ;
fhir:Claim.item.servicedPeriod [
fhir:Period.start [ fhir:value "2025-10-22"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2025-10-25"^^xsd:date ]
] ;
fhir:Claim.item.quantity [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ]
] ;
fhir:Claim.item.unitPrice [
fhir:Money.value [ fhir:value "20000"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "NGN" ]
] ;
fhir:Claim.item.net [
fhir:Money.value [ fhir:value "60000"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "NGN" ]
]
], [
fhir:index 2 ;
fhir:Claim.item.sequence [ fhir:value "3"^^xsd:positiveInteger ] ;
fhir:Claim.item.productOrService [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-USCLS" ] ;
fhir:Coding.code [ fhir:value "1101" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Laboratory Tests" ]
] ;
fhir:Claim.item.servicedDate [ fhir:value "2025-10-22"^^xsd:date ] ;
fhir:Claim.item.quantity [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]
] ;
fhir:Claim.item.unitPrice [
fhir:Money.value [ fhir:value "15000"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "NGN" ]
] ;
fhir:Claim.item.net [
fhir:Money.value [ fhir:value "15000"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "NGN" ]
]
], [
fhir:index 3 ;
fhir:Claim.item.sequence [ fhir:value "4"^^xsd:positiveInteger ] ;
fhir:Claim.item.productOrService [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-USCLS" ] ;
fhir:Coding.code [ fhir:value "1102" ]
] ;
fhir:CodeableConcept.text [ fhir:value "Medications" ]
] ;
fhir:Claim.item.servicedDate [ fhir:value "2025-10-22"^^xsd:date ] ;
fhir:Claim.item.quantity [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]
] ;
fhir:Claim.item.unitPrice [
fhir:Money.value [ fhir:value "25000"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "NGN" ]
] ;
fhir:Claim.item.net [
fhir:Money.value [ fhir:value "25000"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "NGN" ]
]
] ;
fhir:Claim.total [
fhir:Money.value [ fhir:value "250000"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "NGN" ]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Bundle/ClaimSubmission-Request.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Bundle/ClaimSubmission-Request.ttl> .
IG © 2025+ DHIN. Package org.dhin-hie.sandbox#0.2.0 based on FHIR 4.0.1. Generated 2026-09-17
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