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
<Bundle xmlns="http://hl7.org/fhir">
<id value="PreAuth-Response"/>
<meta>
<profile
value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-preauthorization-bundle"/>
</meta>
<type value="collection"/>
<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>
</entry>
<entry>
<fullUrl value="urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef"/>
<resource>
<Organization>
<id value="NgOrganization-Insurer-002"/>
<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-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>
</text>
<identifier>
<system
value="https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry"/>
<value value="HMO876653"/>
</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="PrimeCare HMO"/>
<telecom>
<system value="phone"/>
<value value="0700-PRIMECARE"/>
</telecom>
<address>
<line value="12 Insurance Close"/>
<city value="Victoria Island"/>
<district value="la-eti-osa"/>
<state value="LA"/>
</address>
</Organization>
</resource>
</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 --> 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>
</entry>
<entry>
<fullUrl value="urn:uuid:afbabdaa-e5f6-4789-a123-456789abcdef"/>
<resource>
<ClaimResponse>
<id value="NgClaimResponse-PreAuth-001"/>
<meta>
<profile
value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim-response"/>
</meta>
<text>
<status value="generated"/>
<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>
</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="2025-10-20T10:45:00+01:00"/>
<insurer>
<reference value="urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef"/>
</insurer>
<outcome value="complete"/>
<preAuthRef
value="Ref: CLM-2025-001234. Check status at https://truth-hmo.ng."/>
<item>
<itemSequence value="1"/>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
</coding>
</category>
<amount>
<value value="23000"/>
<currency value="NGN"/>
</amount>
</adjudication>
</item>
</ClaimResponse>
</resource>
</entry>
</Bundle>