DHIN 2025Connectathon FHIR IG
0.2.0 - ci-build Nigeria flag

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

: Eligibility Check - Response (Collection) - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="NgEligibilityCheck-Response"/>
  <meta>
    <profile
             value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-eligibility-check-bundle"/>
  </meta>
  <type value="collection"/>
  <entry>
    <fullUrl value="urn:uuid:aaabbbcc-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <Patient>
        <id value="NgPatient-Elig-001"/>
        <meta>
          <lastUpdated value="2024-10-15T09:00:00+01:00"/>
          <profile
                   value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_NgPatient-Elig-001"> </a><p class="res-header-id"><b>Generated Narrative: Patient NgPatient-Elig-001</b></p><a name="NgPatient-Elig-001"> </a><a name="hcNgPatient-Elig-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: 2024-10-15 09:00:00+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;">Chika Okafor  Male, DoB: 1990-04-21 ( mobile: 08031112233)</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="Other Id (see the one above)">Other Id:</td><td colspan="3">nin/23456565514</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">21 Industrial Area Port Harcourt RI </td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs"/>
              <code value="MOBILE"/>
              <display value="mobile"/>
            </coding>
          </type>
          <system
                  value="https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs"/>
          <value value="08031112233"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system
                      value="https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs"/>
              <code value="NIN"/>
            </coding>
          </type>
          <system
                  value="https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs"/>
          <value value="23456565514"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Okafor"/>
          <given value="Chika"/>
        </name>
        <gender value="male"/>
        <birthDate value="1990-04-21"/>
        <address>
          <line value="21 Industrial Area"/>
          <city value="Port Harcourt"/>
          <district value="ri-emohua"/>
          <state value="RI"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:bbbcccdd-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <Practitioner>
        <id value="NgPractitioner-Elig-001"/>
        <meta>
          <profile
                   value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_NgPractitioner-Elig-001"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner NgPractitioner-Elig-001</b></p><a name="NgPractitioner-Elig-001"> </a><a name="hcNgPractitioner-Elig-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-practitioner.html">NG Practitioner</a></p></div><p><b>identifier</b>: <code>https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-mdcn</code>/MDCN-45231</p><p><b>active</b>: true</p><p><b>name</b>: Elidayo Aderemi </p><p><b>telecom</b>: ph: 08090001111</p><p><b>birthDate</b>: 1985-03-05</p></div>
        </text>
        <identifier>
          <system
                  value="https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-mdcn"/>
          <value value="MDCN-45231"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Aderemi"/>
          <given value="Elidayo"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="08090001111"/>
        </telecom>
        <birthDate value="1985-03-05"/>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <Organization>
        <id value="NgOrganization-Hospital-001"/>
        <meta>
          <profile
                   value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-provider-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_NgOrganization-Hospital-001"> </a><p class="res-header-id"><b>Generated Narrative: Organization NgOrganization-Hospital-001</b></p><a name="NgOrganization-Hospital-001"> </a><a name="hcNgOrganization-Hospital-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>identifier</b>: <code>https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry</code>/CLM-2025-0001</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>: City General Hospital</p><p><b>telecom</b>: ph: 01-445-7788</p><p><b>address</b>: 25 Hospital Way Port Harcourt RI </p></div>
        </text>
        <identifier>
          <system
                  value="https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry"/>
          <value value="CLM-2025-0001"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="City General Hospital"/>
        <telecom>
          <system value="phone"/>
          <value value="01-445-7788"/>
        </telecom>
        <address>
          <line value="25 Hospital Way"/>
          <city value="Port Harcourt"/>
          <district value="ri-emohua"/>
          <state value="RI"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:cccddde1-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <Organization>
        <id value="NgOrganization-Insurer-001"/>
        <meta>
          <profile
                   value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-insurer-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_NgOrganization-Insurer-001"> </a><p class="res-header-id"><b>Generated Narrative: Organization NgOrganization-Insurer-001</b></p><a name="NgOrganization-Insurer-001"> </a><a name="hcNgOrganization-Insurer-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>/CLM-2025-0001</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>: XYZ HMO</p><p><b>telecom</b>: ph: 01-445-7799</p><p><b>address</b>: 25 Hospital Way Port Harcourt RI </p></div>
        </text>
        <identifier>
          <system
                  value="https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry"/>
          <value value="CLM-2025-0001"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="ins"/>
            <display value="Insurance Company"/>
          </coding>
        </type>
        <name value="XYZ HMO"/>
        <telecom>
          <system value="phone"/>
          <value value="01-445-7799"/>
        </telecom>
        <address>
          <line value="25 Hospital Way"/>
          <city value="Port Harcourt"/>
          <district value="ri-emohua"/>
          <state value="RI"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:fffaaabb-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <Coverage>
        <id value="NgCoverage-Elig-001"/>
        <meta>
          <profile
                   value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_NgCoverage-Elig-001"> </a><p class="res-header-id"><b>Generated Narrative: Coverage NgCoverage-Elig-001</b></p><a name="NgCoverage-Elig-001"> </a><a name="hcNgCoverage-Elig-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-NgEligibilityCheck-Request.html#urn-uuid-aaabbbcc-e5f6-4789-a123-456789abcdef">Chika Okafor  Male, DoB: 1990-04-21 ( mobile: 08031112233)</a></p><p><b>period</b>: 2025-01-01 --&gt; 2025-12-31</p><p><b>payor</b>: <a href="Bundle-NgEligibilityCheck-Request.html#urn-uuid-cccddde1-e5f6-4789-a123-456789abcdef">Organization XYZ HMO</a></p></div>
        </text>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="EHCPOL"/>
            <display value="extended healthcare"/>
          </coding>
        </type>
        <beneficiary>
          <reference value="urn:uuid:aaabbbcc-e5f6-4789-a123-456789abcdef"/>
        </beneficiary>
        <period>
          <start value="2025-01-01"/>
          <end value="2025-12-31"/>
        </period>
        <payor>
          <reference value="urn:uuid:cccddde1-e5f6-4789-a123-456789abcdef"/>
        </payor>
      </Coverage>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:dddeeeff-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <CoverageEligibilityRequest>
        <id value="CER-Request-001"/>
        <meta>
          <profile
                   value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage-eligibility-request"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CoverageEligibilityRequest_CER-Request-001"> </a><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityRequest CER-Request-001</b></p><a name="CER-Request-001"> </a><a name="hcCER-Request-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-eligibility-request.html">NG Claim Coverage Eligibility Request</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</p><p><b>patient</b>: <a href="Bundle-NgEligibilityCheck-Request.html#urn-uuid-aaabbbcc-e5f6-4789-a123-456789abcdef">Chika Okafor  Male, DoB: 1990-04-21 ( mobile: 08031112233)</a></p><p><b>created</b>: 2025-10-15 09:05:00+0100</p><p><b>provider</b>: <a href="Bundle-NgEligibilityCheck-Request.html#urn-uuid-cccdddee-e5f6-4789-a123-456789abcdef">Organization City General Hospital</a></p><p><b>insurer</b>: <a href="Bundle-NgEligibilityCheck-Request.html#urn-uuid-cccddde1-e5f6-4789-a123-456789abcdef">Organization XYZ HMO</a></p><p><b>facility</b>: <a href="Location-NgLocation-001.html">Location Asokoro OPD</a></p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Category</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/ex-benefitcategory 1}">Medical Care</span></td></tr></table></div>
        </text>
        <status value="active"/>
        <purpose value="benefits"/>
        <patient>
          <reference value="urn:uuid:aaabbbcc-e5f6-4789-a123-456789abcdef"/>
        </patient>
        <created value="2025-10-15T09:05:00+01:00"/>
        <provider>
          <reference value="urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef"/>
        </provider>
        <insurer>
          <reference value="urn:uuid:cccddde1-e5f6-4789-a123-456789abcdef"/>
        </insurer>
        <facility>🔗 
          <reference value="Location/NgLocation-001"/>
        </facility>
        <item>
          <category>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
              <code value="1"/>
            </coding>
          </category>
        </item>
      </CoverageEligibilityRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:abababab-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <CoverageEligibilityResponse>
        <id value="CER-Response-001"/>
        <meta>
          <profile
                   value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage-eligibility-response"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CoverageEligibilityResponse_CER-Response-001"> </a><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityResponse CER-Response-001</b></p><a name="CER-Response-001"> </a><a name="hcCER-Response-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-eligibility-response.html">NG Claim Coverage Eligibility Response</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</p><p><b>patient</b>: <a href="Bundle-NgEligibilityCheck-Request.html#urn-uuid-aaabbbcc-e5f6-4789-a123-456789abcdef">Chika Okafor  Male, DoB: 1990-04-21 ( mobile: 08031112233)</a></p><p><b>created</b>: 2025-10-15 09:06:30+0100</p><p><b>request</b>: <a href="Bundle-NgEligibilityCheck-Request.html#urn-uuid-dddeeeff-e5f6-4789-a123-456789abcdef">CoverageEligibilityRequest: status = active; purpose = benefits; created = 2025-10-15 09:05:00+0100</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Eligible for covered services per active policy.</p><p><b>insurer</b>: <a href="Bundle-NgEligibilityCheck-Request.html#urn-uuid-cccddde1-e5f6-4789-a123-456789abcdef">Organization XYZ HMO</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href="Bundle-NgEligibilityCheck-Response.html#urn-uuid-fffaaabb-e5f6-4789-a123-456789abcdef">Coverage: status = active; type = extended healthcare; period = 2025-01-01 --&gt; 2025-12-31</a></p><p><b>inforce</b>: true</p><blockquote><p><b>item</b></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/ex-benefitcategory 1}">Outpatient</span></p><h3>Benefits</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Allowed[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}">vision-exam</span></td><td>1</td></tr></table></blockquote></blockquote></div>
        </text>
        <status value="active"/>
        <purpose value="benefits"/>
        <patient>
          <reference value="urn:uuid:aaabbbcc-e5f6-4789-a123-456789abcdef"/>
        </patient>
        <created value="2025-10-15T09:06:30+01:00"/>
        <request>
          <reference value="urn:uuid:dddeeeff-e5f6-4789-a123-456789abcdef"/>
        </request>
        <outcome value="complete"/>
        <disposition
                     value="Eligible for covered services per active policy."/>
        <insurer>
          <reference value="urn:uuid:cccddde1-e5f6-4789-a123-456789abcdef"/>
        </insurer>
        <insurance>
          <coverage>
            <reference value="urn:uuid:fffaaabb-e5f6-4789-a123-456789abcdef"/>
          </coverage>
          <inforce value="true"/>
          <item>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
                <code value="1"/>
              </coding>
              <text value="Outpatient"/>
            </category>
            <benefit>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/benefit-type"/>
                  <code value="copay"/>
                </coding>
                <text value="vision-exam"/>
              </type>
              <allowedUnsignedInt value="1"/>
            </benefit>
          </item>
        </insurance>
      </CoverageEligibilityResponse>
    </resource>
  </entry>
</Bundle>