Nigeria Core - FHIR Implementation Guide
0.0.0 - draft Nigeria flag

Nigeria Core - FHIR Implementation Guide, published by NDHI. This guide is not an authorized publication; it is the continuous build for version 0.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/digitalhealth-gov-ng/Nigeria-Core/ and changes regularly. See the Directory of published versions

Example CoverageEligibilityResponse: Eligibility Response - X-ray Pre-Auth Approved

identifier: https://fhir-ig.digitalhealth.gov.ng/CodeSystem/eligibility-request-id/ELAPPROVE02

status: Active

purpose: Coverage Validation

patient: Chika Okafor

created: 2025-11-07 00:09:00+0100

requestor: Port Harcourt Emergency Hospital

request: CoverageEligibilityRequest: identifier = https://fhir-ig.digitalhealth.gov.ng/CodeSystem/eligibility-request-id#ELAPPROVE01; status = active; purpose = validation; created = 2025-11-06 23:47:00+0100

outcome: Processing Complete

disposition: Pre-authorization APPROVED. Approved amount: ₦15,000. Patient copay: ₦1,500. Authorization code: PA-2025-8847. Valid until: 10-Nov-2025.

insurer: Truth HMO

insurance

coverage: Truth HMO Policy - Chika Okafor

inforce: true

item

productOrService: Ankle X-ray - Right ankle sprain (ICD-10: S93.4)

description: Pre-authorization approved for emergency ankle X-ray. Valid until 10-Nov-2025.

benefit

type: Benefit

allowed: NGN15,000.00 (NGN)

used: NGN0.00 (NGN)

benefit

type: Copayment per service

allowed: NGN1,500.00 (NGN)

benefit

type: HMO Coverage Amount

allowed: NGN13,500.00 (NGN)

authorizationRequired: true

authorizationSupporting: Emergency presentation with suspected fracture

authorizationUrl: https://fhir-ig.digitalhealth.gov.ng/CodeSystem/eligibility-request-id#PA-2025-8847

preAuthRef: PA-2025-8847