{ "resourceType" : "Bundle", "id" : "PreAuth-Request", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-preauthorization-bundle"] }, "type" : "transaction", "entry" : [{ "fullUrl" : "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef", "resource" : { "resourceType" : "Patient", "id" : "NgPatient-PreAuth-001", "meta" : { "lastUpdated" : "2024-10-15T09:00:00+01:00", "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient NgPatient-PreAuth-001

Last updated: 2024-10-15 09:00:00+0100

Profile: NG Patient

Chika Okafor Male, DoB: 1990-04-21 ( nin)

Active:true
Other Id:mobile/08031112233
Contact Detail21 Industrial Area Port Harcourt RI
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/patient-identifier-cs", "code" : "NIN" }] }, "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/patient-identifier-cs", "value" : "23456565514" }, { "type" : { "coding" : [{ "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/patient-identifier-cs", "code" : "MOBILE", "display" : "mobile" }] }, "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/patient-identifier-cs", "value" : "08031112233" }], "active" : true, "name" : [{ "family" : "Okafor", "given" : ["Chika"] }], "gender" : "male", "birthDate" : "1990-04-21", "address" : [{ "line" : ["21 Industrial Area"], "city" : "Port Harcourt", "district" : "ri-emohua", "state" : "RI" }] }, "request" : { "method" : "POST", "url" : "Patient" } }, { "fullUrl" : "urn:uuid:bbbcccd2-e5f6-4789-a123-456789abcdef", "resource" : { "resourceType" : "Practitioner", "id" : "NgPractitioner-PreAuth-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-practitioner"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner NgPractitioner-PreAuth-001

Profile: NG Practitioner

identifier: https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-mdcn/MDCN-45231

active: true

name: Elidayo Aderemi

telecom: ph: 08090001111

birthDate: 1985-03-05

" }, "identifier" : [{ "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-mdcn", "value" : "MDCN-45231" }], "active" : true, "name" : [{ "family" : "Aderemi", "given" : ["Elidayo"] }], "telecom" : [{ "system" : "phone", "value" : "08090001111" }], "birthDate" : "1985-03-05" }, "request" : { "method" : "POST", "url" : "Practitioner" } }, { "fullUrl" : "urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef", "resource" : { "resourceType" : "Organization", "id" : "NgOrganization-Hospital-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-provider-organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization NgOrganization-Hospital-001

Profile: NG Provider Organization

identifier: https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-facility-registry/CLM-2025-0001

active: true

type: Healthcare Provider

name: City General Hospital

telecom: ph: 01-445-7788

address: 25 Hospital Way Port Harcourt RI

" }, "identifier" : [{ "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-facility-registry", "value" : "CLM-2025-0001" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" }] }], "name" : "City General Hospital", "telecom" : [{ "system" : "phone", "value" : "01-445-7788" }], "address" : [{ "line" : ["25 Hospital Way"], "city" : "Port Harcourt", "district" : "ri-emohua", "state" : "RI" }] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef", "resource" : { "resourceType" : "Organization", "id" : "NgOrganization-Insurer-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-insurer-organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization NgOrganization-Insurer-001

Profile: NG Insurer Organization

identifier: https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-facility-registry/CLM-2025-0001

active: true

type: Insurance Company

name: XYZ HMO

telecom: ph: 01-445-7799

address: 25 Hospital Way Port Harcourt RI

" }, "identifier" : [{ "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-facility-registry", "value" : "CLM-2025-0001" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "ins", "display" : "Insurance Company" }] }], "name" : "XYZ HMO", "telecom" : [{ "system" : "phone", "value" : "01-445-7799" }], "address" : [{ "line" : ["25 Hospital Way"], "city" : "Port Harcourt", "district" : "ri-emohua", "state" : "RI" }] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef", "resource" : { "resourceType" : "Coverage", "id" : "NgCoverage-PreAuth-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-coverage"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage NgCoverage-PreAuth-001

Profile: NG Claim Coverage

status: Active

type: extended healthcare

beneficiary: Amaka Nwosu Female, DoB: 1992-07-15 ( mobile: 08045678901)

period: 2025-01-01 --> 2025-12-31

payor: Organization XYZ HMO

" }, "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "EHCPOL", "display" : "extended healthcare" }] }, "beneficiary" : { "reference" : "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef" }, "period" : { "start" : "2025-01-01", "end" : "2025-12-31" }, "payor" : [{ "reference" : "urn:uuid:cccddde3-e5f6-4789-a123-456789abcdef" }] }, "request" : { "method" : "POST", "url" : "Coverage" } }, { "fullUrl" : "urn:uuid:aabbccff-e5f6-4789-a123-456789abcdef", "resource" : { "resourceType" : "Claim", "id" : "NgClaim-PreAuth-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-claim"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Claim NgClaim-PreAuth-001

Profile: NG Claim

status: Active

type: Institutional

use: Preauthorization

patient: Amaka Nwosu Female, DoB: 1992-07-15 ( mobile: 08045678901)

created: 2025-10-20 10:20:00+0100

provider: Organization City General Hospital

priority: Normal

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active; type = extended healthcare; period = 2025-01-01 --> 2025-12-31

item

sequence: 1

productOrService: Expense

quantity: 1

UnitPrices

-ValueCurrency
*5000Nigerian naira

item

sequence: 2

productOrService: Radiograph, series (12)

quantity: 1

UnitPrices

-ValueCurrency
*15000Nigerian naira

item

sequence: 3

productOrService: Exam, comp, mixed

quantity: 1

UnitPrices

-ValueCurrency
*3000Nigerian naira

item

sequence: 4

productOrService: Expense

quantity: 1

UnitPrices

-ValueCurrency
*2000Nigerian naira
" }, "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/claim-type", "code" : "institutional", "display" : "Institutional" }] }, "use" : "preauthorization", "patient" : { "reference" : "urn:uuid:aaabbbc2-e5f6-4789-a123-456789abcdef" }, "created" : "2025-10-20T10:20:00+01:00", "provider" : { "reference" : "urn:uuid:cccdddee-e5f6-4789-a123-456789abcdef" }, "priority" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/processpriority", "code" : "normal" }] }, "insurance" : [{ "sequence" : 1, "focal" : true, "coverage" : { "reference" : "urn:uuid:dddeeef2-e5f6-4789-a123-456789abcdef" } }], "item" : [{ "sequence" : 1, "productOrService" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/ex-USCLS", "code" : "99555" }] }, "quantity" : { "value" : 1 }, "unitPrice" : { "value" : 5000, "currency" : "NGN" } }, { "sequence" : 2, "productOrService" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/ex-USCLS", "code" : "2101" }] }, "quantity" : { "value" : 1 }, "unitPrice" : { "value" : 15000, "currency" : "NGN" } }, { "sequence" : 3, "productOrService" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/ex-USCLS", "code" : "1102" }] }, "quantity" : { "value" : 1 }, "unitPrice" : { "value" : 3000, "currency" : "NGN" } }, { "sequence" : 4, "productOrService" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/ex-USCLS", "code" : "99555" }] }, "quantity" : { "value" : 1 }, "unitPrice" : { "value" : 2000, "currency" : "NGN" } }] }, "request" : { "method" : "POST", "url" : "Claim" } }] }