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
<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
<id value="NgExplanationOfBenefit-001"/>
<meta>
<profile
value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-explanationofbenefit"/>
</meta>
<text>
<status value="generated"/>
<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-explanationofbenefit.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>: <code>NgPatient/NgPatient-002</code></p><p><b>created</b>: 2025-11-04 12:46:00+0000</p><p><b>insurer</b>: <code>NgOrganization/NgOrganization-002</code></p><p><b>provider</b>: <code>NgOrganization/NgOrganization-001</code></p><p><b>claim</b>: <a href="Claim-NgClaim-001.html">Claim: identifier = https://claims.example.ng/ids#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>: <code>NgClaimResponse/NgClaimResponse-001</code></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></tr><tr><td style="display: none">*</td><td>true</td><td><code>NgCoverage/NgCoverage-001</code></td></tr></table><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>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><p><b>benefitPeriod</b>: 2025-01-01 --> 2025-12-31</p></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="2025-11-04T12:46:00Z"/>
<insurer>
<reference value="NgOrganization/NgOrganization-002"/>
</insurer>
<provider>
<reference value="NgOrganization/NgOrganization-001"/>
</provider>
<claim>🔗
<reference value="Claim/NgClaim-001"/>
</claim>
<claimResponse>
<reference value="NgClaimResponse/NgClaimResponse-001"/>
</claimResponse>
<outcome value="complete"/>
<insurance>
<focal value="true"/>
<coverage>
<reference value="NgCoverage/NgCoverage-001"/>
</coverage>
</insurance>
<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>
<date value="2025-11-05"/>
<amount>
<value value="15000"/>
<currency value="NGN"/>
</amount>
</payment>
<benefitPeriod>
<start value="2025-01-01"/>
<end value="2025-12-31"/>
</benefitPeriod>
</ExplanationOfBenefit>