Kenya eClaims FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

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

: Example eClaims Payment Notice - JSON Representation

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{
  "resourceType" : "PaymentNotice",
  "id" : "ECLM-PN-001",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-paymentnotice"
    ],
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/common-tags",
        "code" : "actionable",
        "display" : "Actionable"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PaymentNotice ECLM-PN-001</b></p><a name=\"ECLM-PN-001\"> </a><a name=\"hcECLM-PN-001\"> </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\">Profile: <a href=\"StructureDefinition-ke-eclaims-paymentnotice.html\">eClaims Payment Notice Profile</a></p><p style=\"margin-bottom: 0px\">Tag: <a href=\"http://hl7.org/fhir/R4/codesystem-common-tags.html\">Actionable (Details: Common Tags code actionable = 'Actionable')</a></p></div><p><b>identifier</b>: <code>https://nshr-uat.sha.go.ke/fhir/Identifier/payment-notice-number</code>/PN-2025-001234</p><p><b>status</b>: Active</p><p><b>created</b>: 2025-12-01 10:00:00+0300</p><p><b>provider</b>: <a href=\"Organization-ECLM-ORG-001.html\">Organization Nairobi General Hospital</a></p><p><b>payment</b>: <a href=\"PaymentReconciliation-ECLM-PR-001.html\">PaymentReconciliation: status = active; period = 2025-11-01 --&gt; 2025-11-30; created = 2025-12-01 10:00:00+0300; outcome = complete; paymentDate = 2025-12-01</a></p><p><b>paymentDate</b>: 2025-12-01</p><p><b>payee</b>: <a href=\"Organization-ECLM-ORG-001.html\">Organization Nairobi General Hospital</a></p><p><b>recipient</b>: <a href=\"Organization-ECLM-INS-001.html\">Organization Social Health Authority</a></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>145600</td><td>Kenyan shilling</td></tr></table><p><b>paymentStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/paymentstatus paid}\">Paid</span></p></div>"
  },
  "identifier" : [
    {
      "system" : "https://nshr-uat.sha.go.ke/fhir/Identifier/payment-notice-number",
      "value" : "PN-2025-001234"
    }
  ],
  "status" : "active",
  "created" : "2025-12-01T10:00:00+03:00",
  "provider" : {
    🔗 "reference" : "Organization/ECLM-ORG-001"
  },
  "payment" : {
    🔗 "reference" : "PaymentReconciliation/ECLM-PR-001"
  },
  "paymentDate" : "2025-12-01",
  "payee" : {
    🔗 "reference" : "Organization/ECLM-ORG-001"
  },
  "recipient" : {
    🔗 "reference" : "Organization/ECLM-INS-001"
  },
  "amount" : {
    "value" : 145600,
    "currency" : "KES"
  },
  "paymentStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/paymentstatus",
        "code" : "paid",
        "display" : "Paid"
      }
    ]
  }
}