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) - XML Representation

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<ClaimResponse xmlns="http://hl7.org/fhir">
  <id value="NgClaimResponse-001"/>
  <meta>
    <profile
             value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claimresponse"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="pharmacy"/>
    </coding>
  </type>
  <use value="claim"/>
  <patient>
    <reference value="NgPatient/NgPatient-002"/>
  </patient>
  <created value="2025-11-04T12:45:00Z"/>
  <insurer>
    <reference value="NgOrganization/NgOrganization-001"/>
  </insurer>
  <request>
    <reference value="NgClaim/NgClaim-001"/>
  </request>
  <outcome value="complete"/>
  <disposition value="Approved in full."/>
  <item>
    <itemSequence value="1"/>
    <adjudication>
      <category>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
          <code value="eligible"/>
          <display value="Eligible Amount"/>
        </coding>
      </category>
      <amount>
        <value value="15000"/>
        <currency value="NGN"/>
      </amount>
    </adjudication>
    <adjudication>
      <category>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
          <code value="benefit"/>
          <display value="Benefit Amount"/>
        </coding>
      </category>
      <amount>
        <value value="15000"/>
        <currency value="NGN"/>
      </amount>
    </adjudication>
  </item>
  <total>
    <category>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/adjudication"/>
        <code value="benefit"/>
        <display value="Benefit Amount"/>
      </coding>
    </category>
    <amount>
      <value value="15000"/>
      <currency value="NGN"/>
    </amount>
  </total>
  <payment>
    <type>
      <coding>
        <code value="capitation"/>
      </coding>
    </type>
    <date value="2025-11-05"/>
    <amount>
      <value value="15000"/>
      <currency value="NGN"/>
    </amount>
  </payment>
</ClaimResponse>