FHIR IG analytics| Package | org.dhin-hie.sandbox |
| Resource Type | Claim |
| Id | Claim-NgClaim-001.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Claim NgClaim-001
Profile: NG Claim
identifier: https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry/CLM-2025-0001
status: Active
type: Pharmacy
use: Claim
patient: Musa Abdullahi Male, DoB: 1987-07-06 ( nin)
created: 2025-11-04 12:30:00+0000
provider: Organization Asokoro District Hospital
priority: Normal
| Type | Party |
| Provider | Practitioner Nkiru Okeke |
| Sequence | Focal | Identifier | Coverage | BusinessArrangement | PreAuthRef |
| 654 | true | https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry/NHIA-0011223344 | Coverage: status = active; period = 2025-01-01 --> 2025-12-31 | NHIA-PlanA-2025 | PA-2025-ABC123 |
item
sequence: 1
diagnosisSequence: 1
productOrService: Exam, comp, primary
quantity: 30
UnitPrices
Value Currency 500 Nigerian naira Nets
Value Currency 15000 Nigerian naira
| Value | Currency |
| 15000 | Nigerian naira |
{
"resourceType": "Claim",
"id": "NgClaim-001",
"meta": {
"profile": [
"https://sandbox.dhin-hie.org/ig/StructureDefinition/ng-claim"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"identifier": [
{
"system": "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry",
"value": "CLM-2025-0001"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
}
]
},
"use": "claim",
"patient": {
"reference": "Patient/NgPatient-002"
},
"created": "2025-11-04T12:30:00Z",
"provider": {
"reference": "Organization/00134455-e5f6-4789-a123-456789abcdef"
},
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
}
]
},
"payee": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/payeetype",
"code": "provider"
}
]
},
"party": {
"reference": "Practitioner/NgPractitioner-002"
}
},
"insurance": [
{
"sequence": 654,
"focal": true,
"identifier": {
"system": "https://sandbox.dhin-hie.org/ig/CodeSystem/nigeria-facility-registry",
"value": "NHIA-0011223344"
},
"coverage": {
"reference": "Coverage/NgCoverage-001"
},
"businessArrangement": "NHIA-PlanA-2025",
"preAuthRef": [
"PA-2025-ABC123"
]
}
],
"item": [
{
"sequence": 1,
"diagnosisSequence": [
1
],
"productOrService": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/ex-USCLS",
"code": "1101"
}
]
},
"quantity": {
"value": 30
},
"unitPrice": {
"value": 500,
"currency": "NGN"
},
"net": {
"value": 15000,
"currency": "NGN"
}
}
],
"total": {
"value": 15000,
"currency": "NGN"
}
}