DHIN 2025Connectathon FHIR IG
0.2.0 - ci-build Nigeria flag

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

: Eligibility Response - Approved - TTL Representation

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CoverageEligibilityResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "CER-Response-001"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage-eligibility-response"^^xsd:anyURI ;
fhir:l <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-coverage-eligibility-response>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityResponse CER-Response-001</b></p><a name=\"CER-Response-001\"> </a><a name=\"hcCER-Response-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-eligibility-response.html\">NG Claim Coverage Eligibility Response</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</p><p><b>patient</b>: <a href=\"Bundle-NgEligibilityCheck-Request.html#urn-uuid-aaabbbcc-e5f6-4789-a123-456789abcdef\">Chika Okafor  Male, DoB: 1990-04-21 ( mobile: 08031112233)</a></p><p><b>created</b>: 2025-10-15 09:06:30+0100</p><p><b>request</b>: <a href=\"Bundle-NgEligibilityCheck-Request.html#urn-uuid-dddeeeff-e5f6-4789-a123-456789abcdef\">CoverageEligibilityRequest: status = active; purpose = benefits; created = 2025-10-15 09:05:00+0100</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Eligible for covered services per active policy.</p><p><b>insurer</b>: <a href=\"Bundle-NgEligibilityCheck-Request.html#urn-uuid-cccddde1-e5f6-4789-a123-456789abcdef\">Organization XYZ HMO</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href=\"Bundle-NgEligibilityCheck-Response.html#urn-uuid-fffaaabb-e5f6-4789-a123-456789abcdef\">Coverage: status = active; type = extended healthcare; period = 2025-01-01 --&gt; 2025-12-31</a></p><p><b>inforce</b>: true</p><blockquote><p><b>item</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-benefitcategory 1}\">Outpatient</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Allowed[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/benefit-type copay}\">vision-exam</span></td><td>1</td></tr></table></blockquote></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:purpose ( [ fhir:v "benefits"] ) ; # 
  fhir:patient [
fhir:l <urn:uuid:aaabbbcc-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:aaabbbcc-e5f6-4789-a123-456789abcdef" ]
  ] ; # 
  fhir:created [ fhir:v "2025-10-15T09:06:30+01:00"^^xsd:dateTime] ; # 
  fhir:request [
fhir:l <urn:uuid:dddeeeff-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:dddeeeff-e5f6-4789-a123-456789abcdef" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "Eligible for covered services per active policy."] ; # 
  fhir:insurer [
fhir:l <urn:uuid:cccddde1-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:cccddde1-e5f6-4789-a123-456789abcdef" ]
  ] ; # 
  fhir:insurance ( [
fhir:coverage [
fhir:l <urn:uuid:fffaaabb-e5f6-4789-a123-456789abcdef> ;
fhir:reference [ fhir:v "urn:uuid:fffaaabb-e5f6-4789-a123-456789abcdef" ]     ] ;
fhir:inforce [ fhir:v true ] ;
    ( fhir:item [
fhir:category [
        ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/ex-benefitcategory"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/ex-benefitcategory>           ] ;
fhir:code [ fhir:v "1" ]         ] ) ;
fhir:text [ fhir:v "Outpatient" ]       ] ;
      ( fhir:benefit [
fhir:type [
          ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/benefit-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/benefit-type>             ] ;
fhir:code [ fhir:v "copay" ]           ] ) ;
fhir:text [ fhir:v "vision-exam" ]         ] ;
fhir:allowed [
a fhir:UnsignedInt ;
fhir:v "1"^^xsd:nonNegativeInteger         ]       ] )     ] )
  ] ) . #