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
Profile: Kenya eClaims ClaimResponse Profile
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
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