Kenya eClaims FHIR Implementation Guide
0.1.0 - ci-build
KE
Kenya eClaims FHIR Implementation Guide, published by Digital Health Agency of Kenya. 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
Profile: Kenya eClaims ClaimResponse Profile
Claim Workflow State: Sent Back
status: Active
type: Institutional
use: Claim
patient: Jane Wanjiku Female, DoB: 1985-06-15
created: 2025-10-07 18:47:22+0000
insurer: Social Health Authority
request: Claim: status = active; type = Institutional; use = claim; created = 2025-10-01; priority = Normal
outcome: Processing Complete
item
itemSequence: 1
adjudication
category: benefit
reason: Auto Approved.
Amounts
Value Currency 11200 Kenyan shilling
total
category: Benefit Amount
Amounts
Value Currency 11200 Kenyan shilling
processNote
number: 1
type: Display
text: medical cases
processNote
number: 2
type: Display
text: For surveillance review