Kenya eClaims FHIR IG
0.1.0 - ci-build
Kenya eClaims FHIR IG
0.1.0 - ci-build
Kenya eClaims FHIR IG, published by iclKenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-eClaims-FHIR-IG/ and changes regularly. See the Directory of published versions
Profiles: Claim Response - Preauthorization, http://fhir.sha.go.ke/fhir/StructureDefinition/eclaims-claim
identifier: http://fhir.sha.go.ke/fhir/Identifier/claim-number/CLAIM-00001
status: Active
type: Institutional Claim
subType: Inpatient
use: Preauthorization
patient: Patient/PT-0001
billablePeriod: 2025-11-01 --> 2025-11-30
created: 2025-12-16 12:00:00+0300
insurer: Organization/INS-001
provider: Organization/ORG-001
priority: Routine
| Claim | Relationship |
| Claim/CLAIM-0000X | Claim |
originalPrescription: MedicationRequest/MED-0001
| Type | Party |
| Provider | Organization/ORG-001 |
referral: ServiceRequest/SRV-0001
facility: Location/LOC-001
| Sequence | Provider | Role | Qualification |
| 1 | Practitioner/PRA-001 | Primary Provider | Medical Doctor |
| Sequence | Category | Value[x] |
| 1 | Attachment | application-pdf @ https://api-edi.provider.sha.go.ke/media/claim/CHURCHILL_X-RAY.pdf |
| Sequence | Diagnosis[x] | Type |
| 1 | Fracture of shaft of femur | Principal Diagnosis |
| Sequence | Focal | Coverage |
| 1 | true | Coverage/COV-0001 |
item
sequence: 1
careTeamSequence: 1
productOrService: Open reduction and internal fixation: Femur
quantity: 1
UnitPrices
Value Currency 145600 Kenyan shilling Nets
Value Currency 145600 Kenyan shilling
| Value | Currency |
| 145600 | Kenyan shilling |