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
<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
<id value="NgExplanationOfBenefit-001"/>
<meta>
<profile
value="https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-explanation-of-benefit"/>
</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-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>
</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="Patient/NgPatient-002"/>
</patient>
<created value="2025-11-04T12:46:00Z"/>
<insurer>🔗
<reference value="Organization/Organization-Truth-HMO"/>
</insurer>
<provider>🔗
<reference value="Organization/Organization-PortHarcourt-Hospital"/>
</provider>
<claim>🔗
<reference value="Claim/NgClaim-001"/>
</claim>
<claimResponse>🔗
<reference value="ClaimResponse/NgClaimResponse-001"/>
</claimResponse>
<outcome value="complete"/>
<insurance>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/Coverage-Chika-TruthHMO"/>
</coverage>
<preAuthRef value="PA-2025-8847"/>
</insurance>
<benefitPeriod>
<start value="2025-01-01"/>
<end value="2025-12-31"/>
</benefitPeriod>
</ExplanationOfBenefit>