Pre-Authorization - Response (Collection) - TTL Representation

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 - Response (Collection) - TTL Representation

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@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-Response"] ; # 
  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 "collection"] ; # 
  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: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: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:fullUrl [
fhir:v "urn:uuid:afbabdaa-e5f6-4789-a123-456789abcdef"^^xsd:anyURI ;
fhir:l <urn:uuid:afbabdaa-e5f6-4789-a123-456789abcdef>     ] ;
    ( fhir:resource <urn:uuid:afbabdaa-e5f6-4789-a123-456789abcdef> )
  ] ) . # 

<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:cccddde3-e5f6-4789-a123-456789abcdef> a fhir:Organization ;
  fhir:id [ fhir:v "NgOrganization-Insurer-002"] ; # 
  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-002\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization NgOrganization-Insurer-002</b></p><a name=\"NgOrganization-Insurer-002\"> </a><a name=\"hcNgOrganization-Insurer-002\"> </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>/HMO876653</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>: PrimeCare HMO</p><p><b>telecom</b>: ph: 0700-PRIMECARE</p><p><b>address</b>: 12 Insurance Close Victoria Island LA </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 "HMO876653" ]
  ] ) ; # 
  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 "PrimeCare HMO"] ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "0700-PRIMECARE" ]
  ] ) ; # 
  fhir:address ( [
    ( fhir:line [ fhir:v "12 Insurance Close" ] ) ;
fhir:city [ fhir:v "Victoria Island" ] ;
fhir:district [ fhir:v "la-eti-osa" ] ;
fhir:state [ fhir:v "LA" ]
  ] ) . # 

<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 --&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>"^^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:afbabdaa-e5f6-4789-a123-456789abcdef> a fhir:ClaimResponse ;
  fhir:id [ fhir:v "NgClaimResponse-PreAuth-001"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim-response"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim-response>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ClaimResponse_NgClaimResponse-PreAuth-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse NgClaimResponse-PreAuth-001</b></p><a name=\"NgClaimResponse-PreAuth-001\"> </a><a name=\"hcNgClaimResponse-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-response.html\">NG ClaimResponse</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 10:45:00+0100</p><p><b>insurer</b>: <a href=\"Bundle-PreAuth-Request.html#urn-uuid-cccddde3-e5f6-4789-a123-456789abcdef\">Organization XYZ HMO</a></p><p><b>outcome</b>: Processing Complete</p><p><b>preAuthRef</b>: Ref: CLM-2025-001234. Check status at https://truth-hmo.ng.</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligible}\">Eligible Amount</span></p><h3>Amounts</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>23000</td><td>Nigerian naira</td></tr></table></blockquote></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 "2025-10-20T10:45:00+01:00"^^xsd:dateTime] ; # 
  fhir:insurer [
fhir:l <urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:preAuthRef [ fhir:v "Ref: CLM-2025-001234. Check status at https://truth-hmo.ng."] ; # 
  fhir:item ( [
fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    ( fhir:adjudication [
fhir:category [
        ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/adjudication>           ] ;
fhir:code [ fhir:v "eligible" ]         ] )       ] ;
fhir:amount [
fhir:value [ fhir:v "23000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "NGN" ]       ]     ] )
  ] ) . #