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

: Pre-Authorization - Request (Transaction) - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "PreAuth-Request",
  "meta" : {
    "profile" : [
      🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-preauthorization-bundle"
    ]
  },
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "NgPatient-PreAuth-001",
        "meta" : {
          "lastUpdated" : "2024-10-15T09:00:00+01:00",
          "profile" : [
            🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_NgPatient-PreAuth-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient NgPatient-PreAuth-001</b></p><a name=\"NgPatient-PreAuth-001\"> </a><a name=\"hcNgPatient-PreAuth-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 ( nin)</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\">mobile/08031112233</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>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs",
                  "code" : "NIN"
                }
              ]
            },
            "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs",
            "value" : "23456565514"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs",
                  "code" : "MOBILE",
                  "display" : "mobile"
                }
              ]
            },
            "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs",
            "value" : "08031112233"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Okafor",
            "given" : [
              "Chika"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1990-04-21",
        "address" : [
          {
            "line" : [
              "21 Industrial Area"
            ],
            "city" : "Port Harcourt",
            "district" : "ri-emohua",
            "state" : "RI"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient"
      }
    },
    {
      "fullUrl" : "urn:uuid:bbbcccd2-e5f6-4789-a123-456789abcdef",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "NgPractitioner-PreAuth-001",
        "meta" : {
          "profile" : [
            🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_NgPractitioner-PreAuth-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner NgPractitioner-PreAuth-001</b></p><a name=\"NgPractitioner-PreAuth-001\"> </a><a name=\"hcNgPractitioner-PreAuth-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>"
        },
        "identifier" : [
          {
            "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-mdcn",
            "value" : "MDCN-45231"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Aderemi",
            "given" : [
              "Elidayo"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "08090001111"
          }
        ],
        "birthDate" : "1985-03-05"
      },
      "request" : {
        "method" : "POST",
        "url" : "Practitioner"
      }
    },
    {
      "fullUrl" : "urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "NgOrganization-Hospital-001",
        "meta" : {
          "profile" : [
            🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-provider-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry",
            "value" : "CLM-2025-0001"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "City General Hospital",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "01-445-7788"
          }
        ],
        "address" : [
          {
            "line" : [
              "25 Hospital Way"
            ],
            "city" : "Port Harcourt",
            "district" : "ri-emohua",
            "state" : "RI"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Organization"
      }
    },
    {
      "fullUrl" : "urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "NgOrganization-Insurer-001",
        "meta" : {
          "profile" : [
            🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-insurer-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry",
            "value" : "CLM-2025-0001"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "ins",
                "display" : "Insurance Company"
              }
            ]
          }
        ],
        "name" : "XYZ HMO",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "01-445-7799"
          }
        ],
        "address" : [
          {
            "line" : [
              "25 Hospital Way"
            ],
            "city" : "Port Harcourt",
            "district" : "ri-emohua",
            "state" : "RI"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Organization"
      }
    },
    {
      "fullUrl" : "urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef",
      "resource" : {
        "resourceType" : "Coverage",
        "id" : "NgCoverage-PreAuth-001",
        "meta" : {
          "profile" : [
            🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_NgCoverage-PreAuth-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage NgCoverage-PreAuth-001</b></p><a name=\"NgCoverage-PreAuth-001\"> </a><a name=\"hcNgCoverage-PreAuth-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 --&gt; 2025-12-31</p><p><b>payor</b>: <a href=\"Bundle-PreAuth-Request.html#urn-uuid-cccddde3-e5f6-4789-a123-456789abcdef\">Organization XYZ HMO</a></p></div>"
        },
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "EHCPOL",
              "display" : "extended healthcare"
            }
          ]
        },
        "beneficiary" : {
          "reference" : "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef"
        },
        "period" : {
          "start" : "2025-01-01",
          "end" : "2025-12-31"
        },
        "payor" : [
          {
            "reference" : "urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Coverage"
      }
    },
    {
      "fullUrl" : "urn:uuid:aabbccff-e5f6-4789-a123-456789abcdef",
      "resource" : {
        "resourceType" : "Claim",
        "id" : "NgClaim-PreAuth-001",
        "meta" : {
          "profile" : [
            🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_NgClaim-PreAuth-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim NgClaim-PreAuth-001</b></p><a name=\"NgClaim-PreAuth-001\"> </a><a name=\"hcNgClaim-PreAuth-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>: Preauthorization</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>: 2025-10-20 10:20:00+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>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-PreAuth-Request.html#urn-uuid-dddeeef2-e5f6-4789-a123-456789abcdef\">Coverage: status = active; type = extended healthcare; period = 2025-01-01 --&gt; 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 99555}\">Expense</span></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>5000</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 2101}\">Radiograph, series (12)</span></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></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 1102}\">Exam, comp, mixed</span></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>3000</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 99555}\">Expense</span></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>2000</td><td>Nigerian naira</td></tr></table></blockquote></div>"
        },
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
              "code" : "institutional",
              "display" : "Institutional"
            }
          ]
        },
        "use" : "preauthorization",
        "patient" : {
          "reference" : "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef"
        },
        "created" : "2025-10-20T10:20:00+01:00",
        "provider" : {
          "reference" : "urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef"
        },
        "priority" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
              "code" : "normal"
            }
          ]
        },
        "insurance" : [
          {
            "sequence" : 1,
            "focal" : true,
            "coverage" : {
              "reference" : "urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef"
            }
          }
        ],
        "item" : [
          {
            "sequence" : 1,
            "productOrService" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ex-USCLS",
                  "code" : "99555"
                }
              ]
            },
            "quantity" : {
              "value" : 1
            },
            "unitPrice" : {
              "value" : 5000,
              "currency" : "NGN"
            }
          },
          {
            "sequence" : 2,
            "productOrService" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ex-USCLS",
                  "code" : "2101"
                }
              ]
            },
            "quantity" : {
              "value" : 1
            },
            "unitPrice" : {
              "value" : 15000,
              "currency" : "NGN"
            }
          },
          {
            "sequence" : 3,
            "productOrService" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ex-USCLS",
                  "code" : "1102"
                }
              ]
            },
            "quantity" : {
              "value" : 1
            },
            "unitPrice" : {
              "value" : 3000,
              "currency" : "NGN"
            }
          },
          {
            "sequence" : 4,
            "productOrService" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ex-USCLS",
                  "code" : "99555"
                }
              ]
            },
            "quantity" : {
              "value" : 1
            },
            "unitPrice" : {
              "value" : 2000,
              "currency" : "NGN"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Claim"
      }
    }
  ]
}