Nigeria Core - FHIR Implementation Guide
0.0.0 - draft
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
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
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