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 NG Claim (ePharmacy) - JSON Representation

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{
  "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\"><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://claims.example.ng/ids</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>: <code>NgPatient/NgPatient-002</code></p><p><b>created</b>: 2025-11-04 12:30:00+0000</p><p><b>provider</b>: <code>NgOrganization/NgOrganization-001</code></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><code>NgPractitioner/NgPractitioner-002</code></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>http://nhia.gov.ng/insurance-no</code>/NHIA-0011223344</td><td><code>NgCoverage/NgCoverage-001</code></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://claims.example.ng/ids",
      "value" : "CLM-2025-0001"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "pharmacy"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "NgPatient/NgPatient-002"
  },
  "created" : "2025-11-04T12:30:00Z",
  "provider" : {
    "reference" : "NgOrganization/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" : "NgPractitioner/NgPractitioner-002"
    }
  },
  "diagnosis" : [
    {
      "sequence" : 1,
      "diagnosisCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "59621000",
            "display" : "Essential hypertension"
          }
        ]
      }
    }
  ],
  "insurance" : [
    {
      "sequence" : 654,
      "focal" : true,
      "identifier" : {
        "system" : "http://nhia.gov.ng/insurance-no",
        "value" : "NHIA-0011223344"
      },
      "coverage" : {
        "reference" : "NgCoverage/NgCoverage-001"
      },
      "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"
  }
}