Capability statement for the DHIN (Digital Health Interoperability Network) Sandbox FHIR Server. This server supports the Nigeria FHIR Implementation Guide profiles and is used for Connectathon testing and development purposes.

Base URL: https://sandbox.dhin-hie.org

FHIR Version: R4 (4.0.1)

Supported Formats: JSON, XML

This capability statement describes the resources, operations, and search parameters supported by the DHIN Sandbox Server for the 2025 Connectathon tracks:

1. Claims & Insurance (Eligibility, Pre-Authorization, Billing)
2. ePharmacy (Prescription & Dispense)
3. MNCH Referral
4. Immunization (AEFI & Scheduling)
5. Medical Devices (Wearable & Lab Data)
6. MDCN Registry (Practitioner Verification)
7. PCN Registry (Pharmacy Verification)
8. Standards Adoption (Consent & Pseudonymization)
9. Privacy Use Case

Single Bundle profile that supports BOTH: • Transaction request from a hospital to an HMO (type = transaction) • Collection response from an insurer/HMO (type = collection) It allows Patient, Practitioner, Organizations, Coverage, and CoverageEligibilityRequest/Response with minimal constraints to reduce QA noise.

One bundle profile that supports both:

• Pre-Authorization Request (type=transaction): Patient, Practitioner, Provider Org, Insurer Org, Coverage, and a Claim (use=preauthorization)
• Pre-Authorization Response (type=collection): Patient (echo), Insurer Org, Coverage (echo), and a ClaimResponse (decision)

Single Bundle profile that supports BOTH:

• Claim Submission Request (type=transaction): Patient, Practitioner, Provider Org, Insurer Org, Coverage, and a Claim (use=claim) for services rendered
• Claim Response/Billing (type=collection): Patient (echo), Insurer Org, Coverage (echo), ClaimResponse with adjudication and payment details, and optional ExplanationOfBenefit

Single Bundle profile that supports BOTH:

• Prescription Request (type=transaction): Patient, Practitioner, Provider Org, MedicationRequest(s), and Medication(s) for new prescriptions
• Prescription Response (type=collection): Patient (echo), Pharmacy Org, MedicationRequest(s) with dispense status, and optional MedicationDispense records

Single Bundle profile that supports BOTH:

• Dispense Request (type=transaction): Pharmacy receives prescription and prepares medications - includes Patient, MedicationRequest(s), Medication(s), and Pharmacy Org
• Dispense Response (type=collection): Pharmacy confirms dispensing - includes Patient (echo), Pharmacy Org, Medication(s), MedicationDispense records with actual quantities dispensed, and optional Payment/Invoice information

Transaction bundle for MNCH referrals between facilities and/or payers. MUST contain a Patient and a ServiceRequest (the referral order). Optional entries (Communication, Task, etc.) may support initiation, response, and tracking.

Minimal transaction bundle to report an AEFI with Patient, Immunization, AdverseEvent, and supporting data.

A minimal transaction bundle to schedule an immunization visit with optional recommendations.

Single Bundle profile supporting BOTH: • Chemistry analyzer result sharing (type = collection) • Wearable (e.g., Apple Watch) data upload via an app to a FHIR server (type = transaction) Includes Patient, Device, optional Organization (source), and ≥1 Observation. Kept minimal to reduce QA noise.

Minimal Appointment profile for DHIN 2025 Connectathon (e.g., immunization, ePharmacy counseling, referrals).

A simple CarePlan profile for the 2025 Connectathon.

A profile representing submitted claims from providers to payers.

A profile capturing a patient's insurance coverage details.

A profile verifying a patient's active insurance coverage and covered services..

Profile defining the response from an HMO to an eligibilty request

A profile representing responses from insurers regarding submitted claims.

Lightweight communication artifact for clinical messaging across DHIN tracks (e.g., MNCH referral updates, pharmacy notifications, insurer clarifications). Optimized to minimize QA noise while keeping key elements Must Support.

Minimal Condition profile for the 2025 Connectathon.

Minimal consent profile for Nigerian implementations (e.g., NDPR / NIS ISO/TR 17975 use). Keeps constraints light to reduce QA noise.

Minimal Device profile for the 2025 Connectathon (medical devices communications).

Minimal DeviceRequest profile for the 2025 Connectathon.

A profile for encounters in the Nigerian used to health visits and related healthcare interactions.

A profile detailing adjudicated claim results.

Minimal Goal profile for the 2025 Connectathon.

Minimal HealthcareService profile for the 2025 Connectathon (service directory/referrals).

Nigerian Profile for Immunization resource.

Simple profile to convey due/overdue vaccine recommendations for a Nigerian client.

Organization profile for insurance payers/HMOs

Lightweight Invoice profile for pharmacy dispensing and payment in DHIN 2025 Connectathon.

Minimal provenance profile for DHIN 2025 Connectathon. Captures who created/updated a resource, when, and (optionally) which activity was performed.

A profile for immunization service locations, including health facilities, outreach sites, and mobile vaccination units.

A profile on the Measure resource used to define indicators within prescription program.

A Medication profile with some core elements for demonstration purposes.

Minimal MedicationDispense profile for the 2025 Connectathon (ePharmacy).

A MedicationRequest profile with some of core elements for demonstration purposes.

A composite Observation profile capturing state of health, underlying conditions, HIV status, ages in weeks/months/years during client registration.

An organization profile representing healthcare facilities responsible for health services or other types of organizations.

Nigeria 2025 Connectathon Patient Profile

Organization profile for pharmacies and dispensing facilities

Profile for a Nigerian Practitioner

Defines the role(s) of a Nigerian healthcare practitioner context. Links a Practitioner to an Organization, specifies their role.

Minimal Procedure profile for the 2025 Connectathon.

Organization profile for healthcare providers (hospitals, clinics)

Sibling or parent of the sick person.

Minimal ServiceRequest profile for the 2025 Connectathon (referrals and orders).

Minimal Task profile for the 2025 Connectathon (referrals, claims, pharmacy, devices).

Captures the administrative ward within a geographic address

Indicates whether the immunization was contraindicated

The recommended due date for the next vaccine dose in the schedule.

An extension to define the owner of the health institution

Indicates specific situations in which it is not recommended to administer certain vaccines (e.g severe AEFI, History of Anaphylactic reactions, Symptomatic HIV infection)

ValueSet including all local bundle identifier codes for DHIN 2025 Connectathon use cases (immunization, MNCH referral, claims, device data, etc.).

ValueSet for CarePlan.activity.detail.code (demo).

ValueSet for CarePlan.category (demo).

Client HIV Status

This ValueSet defines list of options for uniquely Identifting a Client

The outcome of the reaction

The outcome of the reaction

The outcome of the reaction

ValueSet selecting the 50 hypothetical electromechanical medical device identifiers (leaf concepts only) from NGDeviceIdentifierCS. Excludes category/group nodes.

A subset of the administrative gender codes including only 'male' and 'female'

Classification of Nigerian health facilities

Organization types for insurance payers/HMOs

The administrative Local Government Areas where a person or a facility is.

All local ATC-style medication codes used across MNCH referral, claims, prescription, and immunization.

The owner of an Health Facility location

Organization types for Pharmacies

ValueSet including local provenance activity codes (anonymize, de-identify, mask, label, pseudonymize, create, delete, append, nullify, legally authenticated) for DHIN 2025 Connectathon.

Organization types for healthcare providers

list of persons related to a patient, but who is not a direct target of care.

Type of session for immunization. Could be in a fixed facility, outreach or mobile.

This CodeSystem defines the health of the client's sibling

A sub list from relationship list with only two options brother and sister.

The state where a person or a facility is.

A set of standardized codes used to represent clinical conditions, diagnoses, or circumstances that serve as contraindications to the administration of one or more vaccines.

All ICD11 vaccine codes (DE1–DE29).

All local vaccine codes (DE1–DE29).

All SNOMED vaccine codes (DE1–DE29).

The administrative Ward (within an LGA) where a person or a facility is.

Local codes to identify the type used for an Eligibility Request identifier. Intended for use in CoverageEligibilityRequest.identifier.type.

This CodeSystem defines ward codes and names mapped to their respective Local Government Areas (LGAs) in Nigeria.

A classification system that represents the current clinical status of an individual who experienced an Adverse Event Following Immunization (AEFI), based on medical observation, investigation, or follow-up assessment.

Local CodeSystem for age components: units, comparison operators, and common MNCH/EPI age bands for use in measures, decision logic, and stratification.

Local CodeSystem defining standard bundle identifiers for DHIN 2025 Connectathon use cases, including claim transactions, immunization submissions, MNCH referrals, and device data exchanges.

Activities for CarePlan.activity.detail.code aligned to DHIN 2025 Connectathon tracks.

Categories for CarePlan.category aligned to DHIN 2025 Connectathon tracks.

This CodeSystem IMMZ.C.DE31 defines list of options for HIV status of a Client

This CodeSystem defines list of options for Pregnancy status of a Client

Local mirror of DeviceMetric.category. Consider using 'http://terminology.hl7.org/CodeSystem/metric-category' in production.

Local mirror of Device Type.

Simplified CodeSystem of 50 placeholder identifiers for electromechanical medical devices (vital signs, analyzers, imaging/DICOM, bedside, handheld, IoT).

This CodeSystem IMMZ.A.DE1 defines placeholder codes to manage Facility identifiers in Nigeria.

A standardized classification system used to describe the type or level of health facility within a healthcare delivery system, based on the scope of services provided, staffing, infrastructure, and administrative role.

This CodeSystem IMMZ.C.DE30 defines the health of the client's sibling

ICD11 code Immunization.vaccineCode. Dose/order is not encoded in codes; use protocolApplied.doseNumber[x].

SNOMED-CT code Immunization.vaccineCode. Dose/order is not encoded in codes; use protocolApplied.doseNumber[x].

Locally defined vaccine codes used for data capture and UI labels. Doses are local; external systems map at antigen/product level.

Type of session for immunization Could be in a fixed facility, outreach or mobile.

This CodeSystem defines LGA codes and names mapped to their respective States in Nigeria.

This CodeSystem defines codes for major languages spoken across Nigeria.

Local, ATC-inspired medication codes for MNCH referral, claims, prescription, and immunization use cases at the DHIN 2025 Connectathon. Codes are placeholders aligned to common maternal, newborn, and child health needs, plus EPI vaccines.

This CodeSystem defines Immunization Location Owner.

This CodeSystem defines list of options for uniquely Identifting a Client

This CodeSystem IMMZ.C.DE14 defines placeholder codes to manage physician identifiers in Nigeria.

This CodeSystem defines placeholder codes to manage Pharmcists' identifiers in Nigeria validated at https://pcn.gov.ng/practice-number.

Local CodeSystem defining provenance activity codes for data lifecycle operations such as anonymization, de-identification, labeling, creation, and deletion, aligned to DHIN 2025 Connectathon artifacts.

This CodeSystem defines list of persons related to a patient, but who is not a direct target of care

This CodeSystem defines ward codes and names mapped to their respective States in Nigeria.

A set of standardized codes used to represent clinical conditions, diagnoses, or circumstances that serve as contraindications to the administration of one or more vaccines.

Maps local dose-labelled DE codes to ICD-11 vaccine concepts (antigen/product level).

Maps local dose-labelled DE codes to SNOMED CT vaccine concepts (antigen/product level).

Wadata PHC reports a mild rash AEFI for a 14-month-old after Measles-Rubella vaccine.

Mobile app uploads wearable-derived observations (heart rate and daily steps) to a FHIR server.

A Healthcare provider checking for a given Patient's eligibility for service.

A Healthcare provider checking for a given Patient's eligibility for service.

Simple booked appointment between a patient and a clinician at a facility.

Lab shares a serum glucose result from a chemistry analyzer to an EHR/LIS.

A Hospital organization where a Patient has gone for service.

Hospital submits claim to HMO for services already rendered to patient.

HMO response with adjudication, approved amounts, and payment details.

Nigeria 2025 Connectathon Consent Patient Profile

Patient permits use/disclosure for treatment and payment for one year; captured and held by the provider organization.

Chika's Truth HMO Policy

The Coverage of a Patient Chika.

Hospital requests HMO eligibility for a patient.

Insurer's response indicating coverage and eligibility outcome.

A Patient Chika whose service eligibility is being sorth.

A Patient Chika whose service eligibility is being sorth.

Sister Blessing scans Chika's HMO card at 11:47 PM to verify his coverage before emergency treatment for ankle injury. The system checks active policy and outpatient benefits in 3 seconds.

The request sent to a HMO from a Hospital.

The response sent from HMO to Hospital to confirm eligibility or not.

Truth HMO's instant response (3 seconds) to Sister Blessing's eligibility check. Screen lights up green: -Active policy. Outpatient benefits in force. Copay: ₦2,500- Patient cleared for emergency treatment.

Truth HMO's approval response to Dr. Adeyemi's pre-authorization request. -Pre-authorization APPROVED. Approved amount: ₦15,000. Patient copay: ₦1,500. Authorization code: PA-2025-8847. Valid until: 10-Nov-2025.- Approval arrives while Chika is being wheeled to radiology.

Public secondary hospital in FCT (AMAC).

Outpatient department at Asokoro District Hospital.

Periodic immunization outreach post in Abaji Area Council, FCT.

RI room at Gwagwalada Model PHC.

Public PHC facility in FCT Gwagwalada Area Council.

Pharmacy department serving outpatient dispensing; Kano Municipal.

Dispensing counter at Kano Central Hospital Pharmacy.

Order for Insulin 100 IU/mL vial, ongoing therapy.

Minimal example of a CarePlan using NgCarePlan.

Pharmacy claim submitted by Kano Central Hospital Pharmacy for NgPatient-002.

Partial approval; copay applied per plan rules.

Essential hypertension on problem list.

An example Device.

A minimal DeviceRequest for a pulse oximeter for home monitoring.

Patient goal to control systolic BP within 6 weeks.

Minimal healthcare service (ANC clinic).

Cesarean section for obstructed labor.

Minimal Task to coordinate a referral based on a ServiceRequest.

Full approval of pharmacy claim for NgPatient-002.

Active NHIA dependent coverage for NgPatient-003; subscriber is NgPatient-002.

Active NHIA coverage for NgPatient-002.

EOB for fully approved pharmacy claim.

EOB documenting partial approval and member copay.

RI session at Gwagwalada Model PHC.

Antenatal care visit at Asokoro District Hospital.

Outpatient pharmacy encounter at Kano Central Hospital Pharmacy.

Pentavalent 1 administered to NgPatient-003 at Gwagwalada PHC.

Rotavirus 1 administered orally to NgPatient-003.

Td dose administered to NgPatient-001 at Asokoro District Hospital.

Proportion of submitted claims that are approved.

Proportion of dispensations with counseling documented.

Proportion of ePrescriptions dispensed within 48 hours of prescription.

Amoxicillin hard gelatin capsule, 500 mg.

Short-acting insulin solution for injection.

Paracetamol (Acetaminophen) oral suspension, pediatric.

Completed outpatient dispensing.

Completed insulin dispensing.

Completed pediatric dispensing.

Order for Amoxicillin 500 mg capsule x30.

Order for Paracetamol 250 mg/5 mL, 100 mL.

Age in months and birth weight for NgPatient-003.

HIV status with age in years for NgPatient-002.

Male child presenting for routine vaccination; FCT AMAC.

Adult female referred for ANC; Lagos State, Ikeja LGA.

Adult male on chronic meds; insured with NHIA; Kano Municipal LGA.

Obstetrician supporting ANC referrals.

CHEW operating connected vitals devices.

Pharmacist dispensing and submitting claims.

Obstetrician role for ANC referrals.

CHEW operating connected vitals devices.

Pharmacist dispensing medications and processing claims.

Older brother of NgPatient-003.

Brother of NgPatient-001.

Younger sister of NgPatient-003.

Lab order for diabetes follow-up.

Ultrasound order for pregnant client.

Pregnancy & HIV status with age in years for NgPatient-001.

Recommends Measles dose for a child; due now.

Referring midwife notifies receiving facility about patient en route.

Stabilized after 6 hrs; plan for observation and PHC follow-up.

Nkwo PHC refers Ada to NAUTH (urgent ANC specialist review).

Receiving specialist accepts referral; bed reserved, triage notified.

Arrival at NAUTH; treatment initiated; ongoing monitoring.

Patient presents prescription at pharmacy for dispensing.

Pharmacy confirms medication dispensing with actual quantities and payment details.

Patient with Emergency situation (Welding Supervisor)

Hospital requests payer authorization before delivering a service.

Payer response to pre-authorization request.

Prescribing Physician - Dr. Oluwaseun Bakare

Physician creates prescription for patient with multiple medications.

Pharmacy response with dispense records for filled prescriptions.

Provenance indicating that a practitioner authored the MNCH referral request.

NIS ISO/TR 25237-compliant pseudonymized equivalent of NgPatient-001. Direct identifiers removed; stable pseudonym retained for controlled re-linkage.

ISO 25237-compliant pseudonymization of NgPractitioner-001; direct identifiers suppressed, linkage via controlled pseudonym.

ISO 25237-compliant pseudonymization of NgRelatedPerson-003; direct identifiers suppressed, linkage via pseudonymized patient.

Books an immunization appointment and carries a next-dose recommendation.

Port Harcourt Emergency Hospital.

Triage Nurse used in Claims check

Triage Nurse used in Claims check

Truth Health Management Organization.

A Health Insurance Organization.

A Health Insurance Organization.