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
{
"resourceType" : "ExplanationOfBenefit",
"id" : "NgExplanationOfBenefit-002",
"meta" : {
"profile" : [
🔗 "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-explanationofbenefit"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ExplanationOfBenefit NgExplanationOfBenefit-002</b></p><a name=\"NgExplanationOfBenefit-002\"> </a><a name=\"hcNgExplanationOfBenefit-002\"> </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 12:51:00+0000</p><p><b>insurer</b>: <code>NgOrganization/NHIA</code></p><p><b>provider</b>: <code>NgOrganization/NgOrganization-KanoCentralPharmacy</code></p><p><b>claim</b>: <code>NgClaim/NgClaim-001</code></p><p><b>claimResponse</b>: <code>NgClaimResponse/NgClaimResponse-002</code></p><p><b>outcome</b>: Partial Processing</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>12000</td><td>Nigerian naira</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication copay}\">Copay</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>3000</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>12000</td><td>Nigerian naira</td></tr></table></blockquote><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" : "NgPatient/NgPatient-002"
},
"created" : "2025-11-04T12:51:00Z",
"insurer" : {
"reference" : "NgOrganization/NHIA"
},
"provider" : {
"reference" : "NgOrganization/NgOrganization-KanoCentralPharmacy"
},
"claim" : {
"reference" : "NgClaim/NgClaim-001"
},
"claimResponse" : {
"reference" : "NgClaimResponse/NgClaimResponse-002"
},
"outcome" : "partial",
"insurance" : [
{
"focal" : true,
"coverage" : {
"reference" : "NgCoverage/NgCoverage-001"
}
}
],
"total" : [
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/adjudication",
"code" : "benefit",
"display" : "Benefit Amount"
}
]
},
"amount" : {
"value" : 12000,
"currency" : "NGN"
}
},
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/adjudication",
"code" : "copay",
"display" : "Copay"
}
]
},
"amount" : {
"value" : 3000,
"currency" : "NGN"
}
}
],
"payment" : {
"date" : "2025-11-05",
"amount" : {
"value" : 12000,
"currency" : "NGN"
}
},
"benefitPeriod" : {
"start" : "2025-01-01",
"end" : "2025-12-31"
}
}