Kenya eClaims Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya eClaims Implementation Guide, published by Digital Health Agency (DHA), 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

Example Coverage: Example eClaims Coverage

Profiles: Coverage Profile, https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-coverage

Tag: Actionable (Details: Common Tags code actionable = 'Actionable')

Paymen tMethod Extension: Mobile Money

Current member status Extension: Active

Annual Limits Category Extension: General Practice

identifier: https://nshr-uat.sha.go.ke/fhir/Identifier/coverage-number/COV-SHA-2024-001234

status: Active

type: Medical

subscriber: John Mwangi Kamau (official) Male, DoB: 1985-06-15 ( National ID: 12345678 (use: official, ))

beneficiary: John Mwangi Kamau (official) Male, DoB: 1985-06-15 ( National ID: 12345678 (use: official, ))

relationship: Self

period: 2024-01-01 --> 2024-12-31

payor: Organization Social Health Authority

Classes

-TypeValueName
*GroupSHA-SOCIAL-001SHA Social Health Scheme