Kenya eClaims FHIR IG
0.1.0 - ci-build Kenya flag

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

Example ClaimResponse: Example ClaimResponse - Sent Back

Claim Workflow State: Returned Back

status: Active

type: Institutional

use: Claim

patient: Patient/example

created: 2025-10-07 18:47:22+0000

insurer: Social Health Authority

request: Claim/ae044c1d-9ecb-4294-be9b-0702e7892596

outcome: Processing Complete

item

itemSequence: 1

adjudication

category: benefit

reason: Auto Approved.

Amounts

-ValueCurrency
*11200Kenyan shilling

total

category: Benefit Amount

Amounts

-ValueCurrency
*11200Kenyan shilling

processNote

number: 1

type: Display

text: medical cases

processNote

number: 2

type: Display

text: For surveillance review