@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<https://fhir-ig.digitalhealth.gov.ng/ExplanationOfBenefit/NgExplanationOfBenefit-002> a fhir:ExplanationOfBenefit ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "NgExplanationOfBenefit-002"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-explanation-of-benefit"^^xsd:anyURI ;
       fhir:l <https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-explanation-of-benefit>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<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://fhir-ig.digitalhealth.gov.ng/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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/claim-type>
       ] ;
       fhir:code [ fhir:v "pharmacy" ]
     ] )
  ] ; # 
  fhir:use [ fhir:v "claim"] ; # 
  fhir:patient [
     fhir:l <https://fhir-ig.digitalhealth.gov.ng/Patient/NgPatient-002> ;
     fhir:reference [ fhir:v "Patient/NgPatient-002" ]
  ] ; # 
  fhir:created [ fhir:v "2025-11-04T12:51:00Z"^^xsd:dateTime] ; # 
  fhir:insurer [
     fhir:l <https://fhir-ig.digitalhealth.gov.ng/Organization/Organization-Truth-HMO> ;
     fhir:reference [ fhir:v "Organization/Organization-Truth-HMO" ]
  ] ; # 
  fhir:provider [
     fhir:l <https://fhir-ig.digitalhealth.gov.ng/Organization/Organization-PortHarcourt-Hospital> ;
     fhir:reference [ fhir:v "Organization/Organization-PortHarcourt-Hospital" ]
  ] ; # 
  fhir:claim [
     fhir:l <https://fhir-ig.digitalhealth.gov.ng/Claim/NgClaim-001> ;
     fhir:reference [ fhir:v "Claim/NgClaim-001" ]
  ] ; # 
  fhir:claimResponse [
     fhir:l <https://fhir-ig.digitalhealth.gov.ng/ClaimResponse/NgClaimResponse-002> ;
     fhir:reference [ fhir:v "ClaimResponse/NgClaimResponse-002" ]
  ] ; # 
  fhir:outcome [ fhir:v "partial"] ; # 
  fhir:insurance ( [
     fhir:focal [ fhir:v true ] ;
     fhir:coverage [
       fhir:l <https://fhir-ig.digitalhealth.gov.ng/Coverage/Coverage-Chika-TruthHMO> ;
       fhir:reference [ fhir:v "Coverage/Coverage-Chika-TruthHMO" ]
     ] ;
     fhir:preAuthRef ( [ fhir:v "PA-2025-8847" ] )
  ] ) ; # 
  fhir:benefitPeriod [
     fhir:start [ fhir:v "2025-01-01"^^xsd:date ] ;
     fhir:end [ fhir:v "2025-12-31"^^xsd:date ]
  ] . # 

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