DHIN 2025Connectathon FHIR IG
0.2.0 - ci-build
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
{
"resourceType" : "ExplanationOfBenefit",
"id" : "NgExplanationOfBenefit-001",
"meta" : {
"profile" : [
🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-explanation-of-benefit"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ExplanationOfBenefit NgExplanationOfBenefit-001</b></p><a name=\"NgExplanationOfBenefit-001\"> </a><a name=\"hcNgExplanationOfBenefit-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-explanation-of-benefit.html\">NG ExplanationOfBenefit</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>: <a href=\"Patient-NgPatient-002.html\">Musa Abdullahi Male, DoB: 1987-07-06 ( nin)</a></p><p><b>created</b>: 2025-11-04 12:46:00+0000</p><p><b>insurer</b>: <a href=\"Organization-Organization-Truth-HMO.html\">Organization Truth Health Maintenance Organization</a></p><p><b>provider</b>: <a href=\"Organization-Organization-PortHarcourt-Hospital.html\">Organization Port Harcourt Emergency Hospital</a></p><p><b>claim</b>: <a href=\"Claim-NgClaim-001.html\">Claim: identifier = https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry#CLM-2025-0001; status = active; type = Pharmacy; use = claim; created = 2025-11-04 12:30:00+0000; priority = Normal</a></p><p><b>claimResponse</b>: <a href=\"ClaimResponse-NgClaimResponse-001.html\">ClaimResponse: status = active; type = Pharmacy; use = claim; created = 2025-11-04 12:45:00+0000; outcome = complete; disposition = Approved in full.; preAuthRef = 1234</a></p><p><b>outcome</b>: Processing Complete</p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td><td><b>PreAuthRef</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"Coverage-Coverage-Chika-TruthHMO.html\">Coverage: status = active; type = extended healthcare; subscriberId = TRUTH-HMO-CHIKA-2025; dependent = 00; relationship = Self; period = 2025-01-01 --> 2025-12-31; order = 1</a></td><td>PA-2025-8847</td></tr></table><p><b>benefitPeriod</b>: 2025-01-01 --> 2025-12-31</p></div>"
},
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "pharmacy"
}
]
},
"use" : "claim",
"patient" : {
🔗 "reference" : "Patient/NgPatient-002"
},
"created" : "2025-11-04T12:46:00Z",
"insurer" : {
🔗 "reference" : "Organization/Organization-Truth-HMO"
},
"provider" : {
🔗 "reference" : "Organization/Organization-PortHarcourt-Hospital"
},
"claim" : {
🔗 "reference" : "Claim/NgClaim-001"
},
"claimResponse" : {
🔗 "reference" : "ClaimResponse/NgClaimResponse-001"
},
"outcome" : "complete",
"insurance" : [
{
"focal" : true,
"coverage" : {
🔗 "reference" : "Coverage/Coverage-Chika-TruthHMO"
},
"preAuthRef" : [
"PA-2025-8847"
]
}
],
"benefitPeriod" : {
"start" : "2025-01-01",
"end" : "2025-12-31"
}
}