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
Bundle ClaimSubmission-Response of type transaction
Entry 1 - fullUrl = urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef
Resource Patient:
Last updated: 2025-10-25 14:30:00+0100
Profile: NG Patient
Amaka Nwosu Female, DoB: 1992-07-15 ( mobile: 08045678901)
Active: true Contact Detail 22 River Road Port Harcourt RI
Request:
POST Patient
Entry 2 - fullUrl = urn:uuid:ccc33344-e5f6-4789-a123-456789abcdef
Resource Organization:
Profile: NG Provider Organization
NG Owner of Facility: Public Health Institution Location
identifier:
https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry/HCF-RS-5678active: true
type: Healthcare Provider
name: Rivers State Teaching Hospital
Contacts
Telecom Address ph: 084-234-5678 100 Hospital Boulevard Port Harcourt RI
Request:
POST Organization
Entry 3 - fullUrl = urn:uuid:ddd44455-e5f6-4789-a123-456789abcdef
Resource Organization:
Profile: NG Insurer Organization
identifier:
https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry/HMO-MC-9988active: true
type: Insurance Company
name: MediCare Plus HMO
Contacts
Telecom Address ph: 0700-MEDICARE 15 Insurance Plaza Port Harcourt RI
Request:
POST Organization
Entry 4 - fullUrl = urn:uuid:eee55566-e5f6-4789-a123-456789abcdef
Resource Coverage:
Profile: NG Claim Coverage
status: Active
type: extended healthcare
beneficiary: Amaka Nwosu Female, DoB: 1992-07-15 ( mobile: 08045678901)
period: 2025-01-01 --> 2025-12-31
Request:
POST Coverage
Entry 5 - fullUrl = urn:uuid:aaa77788-e5f6-4789-a123-456789abcdef
Resource ClaimResponse:
Profile: NG ClaimResponse
status: Active
type: Institutional
use: Claim
patient: Amaka Nwosu Female, DoB: 1992-07-15 ( mobile: 08045678901)
created: 2025-10-26 09:15:00+0100
insurer: Organization MediCare Plus HMO
outcome: partial
disposition: Claim partially approved. Patient responsible for co-pay and non-covered items.
item
itemSequence: 1
adjudication
category: Eligible Amount
Amounts
Value Currency 5000 NGN adjudication
category: Benefit Amount
Amounts
Value Currency 4500 NGN adjudication
category: CoPay
Amounts
Value Currency 500 NGN item
itemSequence: 2
adjudication
category: Eligible Amount
Amounts
Value Currency 3000 NGN adjudication
category: Benefit Amount
Amounts
Value Currency 3000 NGN item
itemSequence: 3
adjudication
category: Eligible Amount
Amounts
Value Currency 15000 NGN adjudication
category: Benefit Amount
Amounts
Value Currency 1500 NGN adjudication
category: CoPay
Amounts
Value Currency 0 NGN item
itemSequence: 4
adjudication
category: Eligible Amount
Amounts
Value Currency 2000 NGN adjudication
category: Benefit Amount
Amounts
Value Currency 2000 NGN adjudication
category: CoPay
Amounts
Value Currency 0 NGN total
category: Submitted Amount
Amounts
Value Currency 25000 NGN total
category: Benefit Amount
Amounts
Value Currency 23000 NGN total
category: CoPay
Amounts
Value Currency 2000 NGN payment
type: Complete
date: 2025-10-30
Amounts
Value Currency 25000 NGN
Request:
POST ClaimResponse
Entry 6 - fullUrl = urn:uuid:bbb88899-e5f6-4789-a123-456789abcdef
Resource ExplanationOfBenefit:
Profile: NG ExplanationOfBenefit
status: Active
type: Institutional
use: Claim
patient: Amaka Nwosu Female, DoB: 1992-07-15 ( mobile: 08045678901)
created: 2025-10-26 09:15:00+0100
insurer: Organization MediCare Plus HMO
provider: Organization Rivers State Teaching Hospital
outcome: partial
Insurances
Focal Coverage true Coverage: status = active; type = extended healthcare; period = 2025-01-01 --> 2025-12-31 item
sequence: 1
productOrService: Exam, emergency
serviced: 2025-10-22
adjudication
category: Eligible Amount
Amounts
Value Currency 15000 NGN adjudication
category: Benefit Amount
Amounts
Value Currency 13000 NGN item
sequence: 2
productOrService: Exam, recall
serviced: 2025-10-22 --> 2025-10-25
adjudication
category: Benefit Amount
Amounts
Value Currency 6000 NGN item
sequence: 3
productOrService: Exam, comp, primary
serviced: 2025-10-22
adjudication
category: Benefit Amount
Amounts
Value Currency 1500 NGN item
sequence: 4
productOrService: Exam, comp, mixed
serviced: 2025-10-22
adjudication
category: Benefit Amount
Amounts
Value Currency 1500 NGN total
category: Submitted Amount
Amounts
Value Currency 2500 NGN total
category: Benefit Amount
Amounts
Value Currency 22000 NGN payment
type: Complete
date: 2025-10-30
Amounts
Value Currency 2200 NGN
Request:
POST ExplanationOfBenefit