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 rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "PreAuth-Request"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-preauthorization-bundle"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-preauthorization-bundle> ] )
] ; #
fhir:type [ fhir:v "transaction"] ; #
fhir:entry ( [
fhir:fullUrl [
fhir:v "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef"^^xsd:anyURI ;
fhir:l <urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef> ] ;
( fhir:resource <urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [
fhir:v "Patient"^^xsd:anyURI ;
fhir:l fhir:Patient ] ]
] [
fhir:fullUrl [
fhir:v "urn:uuid:bbbcccd2-e5f6-4789-a123-456789abcdef"^^xsd:anyURI ;
fhir:l <urn:uuid:bbbcccd2-e5f6-4789-a123-456789abcdef> ] ;
( fhir:resource <urn:uuid:bbbcccd2-e5f6-4789-a123-456789abcdef> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [
fhir:v "Practitioner"^^xsd:anyURI ;
fhir:l fhir:Practitioner ] ]
] [
fhir:fullUrl [
fhir:v "urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef"^^xsd:anyURI ;
fhir:l <urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef> ] ;
( fhir:resource <urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [
fhir:v "Organization"^^xsd:anyURI ;
fhir:l fhir:Organization ] ]
] [
fhir:fullUrl [
fhir:v "urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef"^^xsd:anyURI ;
fhir:l <urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef> ] ;
( fhir:resource <urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [
fhir:v "Organization"^^xsd:anyURI ;
fhir:l fhir:Organization ] ]
] [
fhir:fullUrl [
fhir:v "urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef"^^xsd:anyURI ;
fhir:l <urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef> ] ;
( fhir:resource <urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [
fhir:v "Coverage"^^xsd:anyURI ;
fhir:l fhir:Coverage ] ]
] [
fhir:fullUrl [
fhir:v "urn:uuid:aabbccff-e5f6-4789-a123-456789abcdef"^^xsd:anyURI ;
fhir:l <urn:uuid:aabbccff-e5f6-4789-a123-456789abcdef> ] ;
( fhir:resource <urn:uuid:aabbccff-e5f6-4789-a123-456789abcdef> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [
fhir:v "Claim"^^xsd:anyURI ;
fhir:l fhir:Claim ] ]
] ) . #
<urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef> a fhir:Patient ;
fhir:id [ fhir:v "NgPatient-PreAuth-001"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2024-10-15T09:00:00+01:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-patient"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-patient> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs> ] ;
fhir:code [ fhir:v "NIN" ] ] ) ] ;
fhir:system [
fhir:v "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs> ] ;
fhir:value [ fhir:v "23456565514" ]
] [
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs> ] ;
fhir:code [ fhir:v "MOBILE" ] ;
fhir:display [ fhir:v "mobile" ] ] ) ] ;
fhir:system [
fhir:v "https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/CodeSystem/patient-identifier-cs> ] ;
fhir:value [ fhir:v "08031112233" ]
] ) ; #
fhir:active [ fhir:v true] ; #
fhir:name ( [
fhir:family [ fhir:v "Okafor" ] ;
( fhir:given [ fhir:v "Chika" ] )
] ) ; #
fhir:gender [ fhir:v "male"] ; #
fhir:birthDate [ fhir:v "1990-04-21"^^xsd:date] ; #
fhir:address ( [
( fhir:line [ fhir:v "21 Industrial Area" ] ) ;
fhir:city [ fhir:v "Port Harcourt" ] ;
fhir:district [ fhir:v "ri-emohua" ] ;
fhir:state [ fhir:v "RI" ]
] ) . #
<urn:uuid:bbbcccd2-e5f6-4789-a123-456789abcdef> a fhir:Practitioner ;
fhir:id [ fhir:v "NgPractitioner-PreAuth-001"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-practitioner"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-practitioner> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
] ; #
fhir:identifier ( [
fhir:system [
fhir:v "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-mdcn"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-mdcn> ] ;
fhir:value [ fhir:v "MDCN-45231" ]
] ) ; #
fhir:active [ fhir:v true] ; #
fhir:name ( [
fhir:family [ fhir:v "Aderemi" ] ;
( fhir:given [ fhir:v "Elidayo" ] )
] ) ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "08090001111" ]
] ) ; #
fhir:birthDate [ fhir:v "1985-03-05"^^xsd:date] . #
<urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef> a fhir:Organization ;
fhir:id [ fhir:v "NgOrganization-Hospital-001"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-provider-organization"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-provider-organization> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
] ; #
fhir:identifier ( [
fhir:system [
fhir:v "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry> ] ;
fhir:value [ fhir:v "CLM-2025-0001" ]
] ) ; #
fhir:active [ fhir:v true] ; #
fhir:type ( [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/organization-type> ] ;
fhir:code [ fhir:v "prov" ] ;
fhir:display [ fhir:v "Healthcare Provider" ] ] )
] ) ; #
fhir:name [ fhir:v "City General Hospital"] ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "01-445-7788" ]
] ) ; #
fhir:address ( [
( fhir:line [ fhir:v "25 Hospital Way" ] ) ;
fhir:city [ fhir:v "Port Harcourt" ] ;
fhir:district [ fhir:v "ri-emohua" ] ;
fhir:state [ fhir:v "RI" ]
] ) . #
<urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef> a fhir:Organization ;
fhir:id [ fhir:v "NgOrganization-Insurer-001"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-insurer-organization"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-insurer-organization> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
] ; #
fhir:identifier ( [
fhir:system [
fhir:v "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry> ] ;
fhir:value [ fhir:v "CLM-2025-0001" ]
] ) ; #
fhir:active [ fhir:v true] ; #
fhir:type ( [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/organization-type> ] ;
fhir:code [ fhir:v "ins" ] ;
fhir:display [ fhir:v "Insurance Company" ] ] )
] ) ; #
fhir:name [ fhir:v "XYZ HMO"] ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "01-445-7799" ]
] ) ; #
fhir:address ( [
( fhir:line [ fhir:v "25 Hospital Way" ] ) ;
fhir:city [ fhir:v "Port Harcourt" ] ;
fhir:district [ fhir:v "ri-emohua" ] ;
fhir:state [ fhir:v "RI" ]
] ) . #
<urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef> a fhir:Coverage ;
fhir:id [ fhir:v "NgCoverage-PreAuth-001"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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 --> 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>"^^rdf:XMLLiteral ]
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode> ] ;
fhir:code [ fhir:v "EHCPOL" ] ;
fhir:display [ fhir:v "extended healthcare" ] ] )
] ; #
fhir:beneficiary [
fhir:l <urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef" ]
] ; #
fhir:period [
fhir:start [ fhir:v "2025-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2025-12-31"^^xsd:date ]
] ; #
fhir:payor ( [
fhir:l <urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef" ]
] ) . #
<urn:uuid:aabbccff-e5f6-4789-a123-456789abcdef> a fhir:Claim ;
fhir:id [ fhir:v "NgClaim-PreAuth-001"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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 --> 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>"^^rdf:XMLLiteral ]
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/claim-type> ] ;
fhir:code [ fhir:v "institutional" ] ;
fhir:display [ fhir:v "Institutional" ] ] )
] ; #
fhir:use [ fhir:v "preauthorization"] ; #
fhir:patient [
fhir:l <urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef" ]
] ; #
fhir:created [ fhir:v "2025-10-20T10:20:00+01:00"^^xsd:dateTime] ; #
fhir:provider [
fhir:l <urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef" ]
] ; #
fhir:priority [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/processpriority> ] ;
fhir:code [ fhir:v "normal" ] ] )
] ; #
fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v true ] ;
fhir:coverage [
fhir:l <urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef" ] ]
] ) ; #
fhir:item ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:productOrService [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/ex-USCLS"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/ex-USCLS> ] ;
fhir:code [ fhir:v "99555" ] ] ) ] ;
fhir:quantity [
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ;
fhir:unitPrice [
fhir:value [ fhir:v "5000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "NGN" ] ]
] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:productOrService [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/ex-USCLS"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/ex-USCLS> ] ;
fhir:code [ fhir:v "2101" ] ] ) ] ;
fhir:quantity [
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ;
fhir:unitPrice [
fhir:value [ fhir:v "15000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "NGN" ] ]
] [
fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
fhir:productOrService [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/ex-USCLS"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/ex-USCLS> ] ;
fhir:code [ fhir:v "1102" ] ] ) ] ;
fhir:quantity [
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ;
fhir:unitPrice [
fhir:value [ fhir:v "3000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "NGN" ] ]
] [
fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ;
fhir:productOrService [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/ex-USCLS"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/ex-USCLS> ] ;
fhir:code [ fhir:v "99555" ] ] ) ] ;
fhir:quantity [
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ;
fhir:unitPrice [
fhir:value [ fhir:v "2000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "NGN" ] ]
] ) . #
IG © 2025+ DHIN. Package org.dhin-hie.sandbox#0.2.0 based on FHIR 4.0.1. Generated 2025-11-25
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