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 SHA Coverage - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "CR1569230130821-1-sha-coverage",
  "meta" : {
    "profile" : [
      🔗 "https://example.com/fhir/StructureDefinition/eclaims-coverage",
      "https://fhir.sha.go.ke/fhir/StructureDefinition/eclaims-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage CR1569230130821-1-sha-coverage</b></p><a name=\"CR1569230130821-1-sha-coverage\"> </a><a name=\"hcCR1569230130821-1-sha-coverage\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-eclaims-coverage.html\">Coverage Profile</a>, <code>https://fhir.sha.go.ke/fhir/StructureDefinition/eclaims-coverage</code></p></div><p><b>identifier</b>: <code>https://fhir.sha.go.ke/fhir/Coverage</code>/CR1569230130821-SHA</p><p><b>status</b>: Active</p><p><b>subscriber</b>: <a href=\"Patient/CR1569230130821\">Patient/CR1569230130821</a></p><p><b>beneficiary</b>: <a href=\"Patient/CR1569230130821\">Patient/CR1569230130821</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2025-01-01 --&gt; 2025-12-31</p><p><b>payor</b>: <a href=\"Organization/SHA\">Organization/SHA</a></p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></td><td>SHA-CIVIL-SERVANTS</td><td>SHA Civil Servants Scheme</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "https://fhir.sha.go.ke/fhir/Coverage",
      "value" : "CR1569230130821-SHA"
    }
  ],
  "status" : "active",
  "subscriber" : {
    "reference" : "Patient/CR1569230130821"
  },
  "beneficiary" : {
    "reference" : "Patient/CR1569230130821",
    "type" : "Patient"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self",
        "display" : "Self"
      }
    ]
  },
  "period" : {
    "start" : "2025-01-01",
    "end" : "2025-12-31"
  },
  "payor" : [
    {
      "reference" : "Organization/SHA"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "group",
            "display" : "Group"
          }
        ]
      },
      "value" : "SHA-CIVIL-SERVANTS",
      "name" : "SHA Civil Servants Scheme"
    }
  ]
}