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

• Narrative Content
• XML
• JSON
• TTL

: Example Ng ClaimResponse (Approved) - JSON Representation

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{
  "resourceType" : "ClaimResponse",
  "id" : "NgClaimResponse-001",
  "meta" : {
    "profile" : [
      🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claimresponse"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse NgClaimResponse-001</b></p><a name=\"NgClaimResponse-001\"> </a><a name=\"hcNgClaimResponse-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-claimresponse.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 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 12:45:00+0000</p><p><b>insurer</b>: <code>NgOrganization/NgOrganization-001</code></p><p><b>request</b>: <code>NgClaim/NgClaim-001</code></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Approved in full.</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>15000</td><td>Nigerian naira</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit 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>15000</td><td>Nigerian naira</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit 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>15000</td><td>Nigerian naira</td></tr></table></blockquote><blockquote><p><b>payment</b></p><p><b>type</b>: <span title=\"Codes:\">capitation</span></p><p><b>date</b>: 2025-11-05</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>15000</td><td>Nigerian naira</td></tr></table></blockquote></div>"
  },
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "pharmacy"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "NgPatient/NgPatient-002"
  },
  "created" : "2025-11-04T12:45:00Z",
  "insurer" : {
    "reference" : "NgOrganization/NgOrganization-001"
  },
  "request" : {
    "reference" : "NgClaim/NgClaim-001"
  },
  "outcome" : "complete",
  "disposition" : "Approved in full.",
  "item" : [
    {
      "itemSequence" : 1,
      "adjudication" : [
        {
          "category" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
                "code" : "eligible",
                "display" : "Eligible Amount"
              }
            ]
          },
          "amount" : {
            "value" : 15000,
            "currency" : "NGN"
          }
        },
        {
          "category" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
                "code" : "benefit",
                "display" : "Benefit Amount"
              }
            ]
          },
          "amount" : {
            "value" : 15000,
            "currency" : "NGN"
          }
        }
      ]
    }
  ],
  "total" : [
    {
      "category" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
            "code" : "benefit",
            "display" : "Benefit Amount"
          }
        ]
      },
      "amount" : {
        "value" : 15000,
        "currency" : "NGN"
      }
    }
  ],
  "payment" : {
    "type" : {
      "coding" : [
        {
          "code" : "capitation"
        }
      ]
    },
    "date" : "2025-11-05",
    "amount" : {
      "value" : 15000,
      "currency" : "NGN"
    }
  }
}