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) - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="PreAuth-Request"/>
  <meta>
    <profile
             value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-preauthorization-bundle"/>
  </meta>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <Patient>
        <id value="NgPatient-PreAuth-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-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>
        </text>
        <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>
        <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>
        <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>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:bbbcccd2-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <Practitioner>
        <id value="NgPractitioner-PreAuth-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-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>
        </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>
    <request>
      <method value="POST"/>
      <url value="Practitioner"/>
    </request>
  </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>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:cccddde3-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>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <Coverage>
        <id value="NgCoverage-PreAuth-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-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>
        </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:aaabbbc2-e5f6-4789-a123-456789abcdef"/>
        </beneficiary>
        <period>
          <start value="2025-01-01"/>
          <end value="2025-12-31"/>
        </period>
        <payor>
          <reference value="urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef"/>
        </payor>
      </Coverage>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Coverage"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:aabbccff-e5f6-4789-a123-456789abcdef"/>
    <resource>
      <Claim>
        <id value="NgClaim-PreAuth-001"/>
        <meta>
          <profile
                   value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
            <code value="institutional"/>
            <display value="Institutional"/>
          </coding>
        </type>
        <use value="preauthorization"/>
        <patient>
          <reference value="urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef"/>
        </patient>
        <created value="2025-10-20T10:20:00+01:00"/>
        <provider>
          <reference value="urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef"/>
        </provider>
        <priority>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/processpriority"/>
            <code value="normal"/>
          </coding>
        </priority>
        <insurance>
          <sequence value="1"/>
          <focal value="true"/>
          <coverage>
            <reference value="urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef"/>
          </coverage>
        </insurance>
        <item>
          <sequence value="1"/>
          <productOrService>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/ex-USCLS"/>
              <code value="99555"/>
            </coding>
          </productOrService>
          <quantity>
            <value value="1"/>
          </quantity>
          <unitPrice>
            <value value="5000"/>
            <currency value="NGN"/>
          </unitPrice>
        </item>
        <item>
          <sequence value="2"/>
          <productOrService>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/ex-USCLS"/>
              <code value="2101"/>
            </coding>
          </productOrService>
          <quantity>
            <value value="1"/>
          </quantity>
          <unitPrice>
            <value value="15000"/>
            <currency value="NGN"/>
          </unitPrice>
        </item>
        <item>
          <sequence value="3"/>
          <productOrService>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/ex-USCLS"/>
              <code value="1102"/>
            </coding>
          </productOrService>
          <quantity>
            <value value="1"/>
          </quantity>
          <unitPrice>
            <value value="3000"/>
            <currency value="NGN"/>
          </unitPrice>
        </item>
        <item>
          <sequence value="4"/>
          <productOrService>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/ex-USCLS"/>
              <code value="99555"/>
            </coding>
          </productOrService>
          <quantity>
            <value value="1"/>
          </quantity>
          <unitPrice>
            <value value="2000"/>
            <currency value="NGN"/>
          </unitPrice>
        </item>
      </Claim>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Claim"/>
    </request>
  </entry>
</Bundle>