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

: Example Ng EOB (Partial with Copay) - TTL Representation

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

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

<http://hl7.org/fhir/ExplanationOfBenefit/NgExplanationOfBenefit-002> a fhir:ExplanationOfBenefit ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "NgExplanationOfBenefit-002"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-explanation-of-benefit" ;
       fhir:index 0 ;
       fhir:link <https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-explanation-of-benefit>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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-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 12:51:00+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-002.html\">ClaimResponse: status = active; type = Pharmacy; use = claim; created = 2025-11-04 12:50:00+0000; outcome = partial; disposition = Partially approved; copay applied.; preAuthRef = 5678</a></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><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 --&gt; 2025-12-31; order = 1</a></td><td>PA-2025-8847</td></tr></table><p><b>benefitPeriod</b>: 2025-01-01 --&gt; 2025-12-31</p></div>"
  ] ;
  fhir:ExplanationOfBenefit.status [ fhir:value "active"] ;
  fhir:ExplanationOfBenefit.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
       fhir:Coding.code [ fhir:value "pharmacy" ]
     ]
  ] ;
  fhir:ExplanationOfBenefit.use [ fhir:value "claim"] ;
  fhir:ExplanationOfBenefit.patient [
     fhir:link <http://hl7.org/fhir/Patient/NgPatient-002> ;
     fhir:Reference.reference [ fhir:value "Patient/NgPatient-002" ]
  ] ;
  fhir:ExplanationOfBenefit.created [ fhir:value "2025-11-04T12:51:00Z"^^xsd:dateTime] ;
  fhir:ExplanationOfBenefit.insurer [
     fhir:link <http://hl7.org/fhir/Organization/Organization-Truth-HMO> ;
     fhir:Reference.reference [ fhir:value "Organization/Organization-Truth-HMO" ]
  ] ;
  fhir:ExplanationOfBenefit.provider [
     fhir:link <http://hl7.org/fhir/Organization/Organization-PortHarcourt-Hospital> ;
     fhir:Reference.reference [ fhir:value "Organization/Organization-PortHarcourt-Hospital" ]
  ] ;
  fhir:ExplanationOfBenefit.claim [
     fhir:link <http://hl7.org/fhir/Claim/NgClaim-001> ;
     fhir:Reference.reference [ fhir:value "Claim/NgClaim-001" ]
  ] ;
  fhir:ExplanationOfBenefit.claimResponse [
     fhir:link <http://hl7.org/fhir/ClaimResponse/NgClaimResponse-002> ;
     fhir:Reference.reference [ fhir:value "ClaimResponse/NgClaimResponse-002" ]
  ] ;
  fhir:ExplanationOfBenefit.outcome [ fhir:value "partial"] ;
  fhir:ExplanationOfBenefit.insurance [
     fhir:index 0 ;
     fhir:ExplanationOfBenefit.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
     fhir:ExplanationOfBenefit.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/Coverage-Chika-TruthHMO> ;
       fhir:Reference.reference [ fhir:value "Coverage/Coverage-Chika-TruthHMO" ]
     ] ;
     fhir:ExplanationOfBenefit.insurance.preAuthRef [
       fhir:value "PA-2025-8847" ;
       fhir:index 0
     ]
  ] ;
  fhir:ExplanationOfBenefit.benefitPeriod [
     fhir:Period.start [ fhir:value "2025-01-01"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2025-12-31"^^xsd:date ]
  ] .

<http://hl7.org/fhir/Patient/NgPatient-002> a fhir:Patient .

<http://hl7.org/fhir/Organization/Organization-Truth-HMO> a fhir:Organization .

<http://hl7.org/fhir/Organization/Organization-PortHarcourt-Hospital> a fhir:Organization .

<http://hl7.org/fhir/Claim/NgClaim-001> a fhir:Claim .

<http://hl7.org/fhir/ClaimResponse/NgClaimResponse-002> a fhir:ClaimResponse .

<http://hl7.org/fhir/Coverage/Coverage-Chika-TruthHMO> a fhir:Coverage .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ExplanationOfBenefit/NgExplanationOfBenefit-002.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ExplanationOfBenefit/NgExplanationOfBenefit-002.ttl> .