DHIN 2025Connectathon FHIR IG
0.1.0 - draft

DHIN 2025Connectathon FHIR IG, published by DHIN. This guide is not an authorized publication; it is the continuous build for version 0.1.0 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

: Example — Patient → Insurer Claims Transaction - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-patient-insurer",
  "meta" : {
    "profile" : [
      🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-transaction-bundle"
    ]
  },
  "identifier" : {
    "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/ng-bundle-identifier-cs",
    "value" : "BND-0013"
  },
  "type" : "transaction",
  "timestamp" : "2025-10-16T10:40:00+01:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:45f067c3-ad99-41d2-86e5-6f7a8b9c0015",
      "resource" : {
        "resourceType" : "Coverage",
        "id" : "NgCoverage-001",
        "meta" : {
          "profile" : [
            🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim-coverage"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_NgCoverage-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage NgCoverage-001</b></p><a name=\"NgCoverage-001\"> </a><a name=\"hcNgCoverage-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-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/coverage-copay-type emergency}\">NHIA Plan A</span></p><p><b>subscriber</b>: <a href=\"Patient-NgPatient-002.html\">Musa Abdullahi  Male, DoB: 1987-07-06 ( nin)</a></p><p><b>beneficiary</b>: <a href=\"Patient-NgPatient-002.html\">Musa Abdullahi  Male, DoB: 1987-07-06 ( nin)</a></p><p><b>period</b>: 2025-01-01 --&gt; 2025-12-31</p><p><b>payor</b>: <a href=\"Organization-NgOrganization-001.html\">Organization Asokoro District Hospital</a></p></div>"
        },
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
              "code" : "emergency"
            }
          ],
          "text" : "NHIA Plan A"
        },
        "subscriber" : {
          🔗 "reference" : "Patient/NgPatient-002"
        },
        "beneficiary" : {
          🔗 "reference" : "Patient/NgPatient-002"
        },
        "period" : {
          "start" : "2025-01-01",
          "end" : "2025-12-31"
        },
        "payor" : [
          {
            🔗 "reference" : "Organization/NgOrganization-001"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "https://sandbox.dhin-hie.org/ig/resources/NgCoverage"
      }
    },
    {
      "fullUrl" : "urn:uuid:56a178d4-bebb-4c33-95f6-7a8b9c0d1016",
      "resource" : {
        "resourceType" : "Claim",
        "id" : "NgClaim-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-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim NgClaim-001</b></p><a name=\"NgClaim-001\"> </a><a name=\"hcNgClaim-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>identifier</b>: <code>https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry</code>/CLM-2025-0001</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type pharmacy}\">Pharmacy</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-NgPatient-002.html\">Musa Abdullahi  Male, DoB: 1987-07-06 ( nin)</a></p><p><b>created</b>: 2025-11-04 12:30:00+0000</p><p><b>provider</b>: <a href=\"Organization-NgOrganization-001.html\">Organization Asokoro District Hospital</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Payees</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payeetype provider}\">Provider</span></td><td><a href=\"Practitioner-NgPractitioner-002.html\">Practitioner Nkiru Okeke </a></td></tr></table><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://snomed.info/sct 59621000}\">Essential hypertension</span></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Identifier</b></td><td><b>Coverage</b></td><td><b>BusinessArrangement</b></td><td><b>PreAuthRef</b></td></tr><tr><td style=\"display: none\">*</td><td>654</td><td>true</td><td><code>https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry</code>/NHIA-0011223344</td><td><a href=\"Bundle-bundle-patient-insurer.html#urn-uuid-45f067c3-ad99-41d2-86e5-6f7a8b9c0015\">Coverage: status = active; type = Emergency; period = 2025-01-01 --&gt; 2025-12-31</a></td><td>NHIA-PlanA-2025</td><td>PA-2025-ABC123</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>diagnosisSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://www.whocc.no/atc J01CA04}\">Amoxicillin</span></p><p><b>quantity</b>: 30</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>500</td><td>Nigerian naira</td></tr></table><h3>Nets</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><h3>Totals</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></div>"
        },
        "identifier" : [
          {
            "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry",
            "value" : "CLM-2025-0001"
          }
        ],
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
              "code" : "pharmacy"
            }
          ]
        },
        "use" : "claim",
        "patient" : {
          🔗 "reference" : "Patient/NgPatient-002"
        },
        "created" : "2025-11-04T12:30:00Z",
        "provider" : {
          🔗 "reference" : "Organization/NgOrganization-001"
        },
        "priority" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
              "code" : "normal"
            }
          ]
        },
        "payee" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/payeetype",
                "code" : "provider"
              }
            ]
          },
          "party" : {
            🔗 "reference" : "Practitioner/NgPractitioner-002"
          }
        },
        "diagnosis" : [
          {
            "sequence" : 1,
            "diagnosisCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "59621000",
                  "display" : "Essential hypertension"
                }
              ]
            }
          }
        ],
        "insurance" : [
          {
            "sequence" : 654,
            "focal" : true,
            "identifier" : {
              "system" : "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry",
              "value" : "NHIA-0011223344"
            },
            "coverage" : {
              "reference" : "urn:uuid:45f067c3-ad99-41d2-86e5-6f7a8b9c0015"
            },
            "businessArrangement" : "NHIA-PlanA-2025",
            "preAuthRef" : [
              "PA-2025-ABC123"
            ]
          }
        ],
        "item" : [
          {
            "sequence" : 1,
            "diagnosisSequence" : [
              1
            ],
            "productOrService" : {
              "coding" : [
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "J01CA04",
                  "display" : "Amoxicillin"
                }
              ]
            },
            "quantity" : {
              "value" : 30
            },
            "unitPrice" : {
              "value" : 500,
              "currency" : "NGN"
            },
            "net" : {
              "value" : 15000,
              "currency" : "NGN"
            }
          }
        ],
        "total" : {
          "value" : 15000,
          "currency" : "NGN"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "https://sandbox.dhin-hie.org/ig/resources/NgClaim"
      }
    }
  ]
}