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 eClaims Payment Notice - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/PaymentNotice/ECLM-PN-001> a fhir:PaymentNotice ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ECLM-PN-001"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.dha.go.ke/ig/eclaims/StructureDefinition/ke-eclaims-paymentnotice" ;
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/eclaims/StructureDefinition/ke-eclaims-paymentnotice>
     ], [
       fhir:value "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-paymentnotice" ;
       fhir:index 1 ;
       fhir:link <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-paymentnotice>
     ] ;
     fhir:Meta.tag [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/common-tags" ] ;
       fhir:Coding.code [ fhir:value "actionable" ] ;
       fhir:Coding.display [ fhir:value "Actionable" ]
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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\">Profiles: <a href=\"StructureDefinition-ke-eclaims-paymentnotice.html\">eClaims Payment Notice Profile</a>, <code>https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-paymentnotice</code></p><p style=\"margin-bottom: 0px\">Tag: <a href=\"http://terminology.hl7.org/7.1.0/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>"
  ] ;
  fhir:PaymentNotice.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "https://nshr-uat.sha.go.ke/fhir/Identifier/payment-notice-number" ] ;
     fhir:Identifier.value [ fhir:value "PN-2025-001234" ]
  ] ;
  fhir:PaymentNotice.status [ fhir:value "active"] ;
  fhir:PaymentNotice.created [ fhir:value "2025-12-01T10:00:00+03:00"^^xsd:dateTime] ;
  fhir:PaymentNotice.provider [
     fhir:link <http://hl7.org/fhir/Organization/ECLM-ORG-001> ;
     fhir:Reference.reference [ fhir:value "Organization/ECLM-ORG-001" ]
  ] ;
  fhir:PaymentNotice.payment [
     fhir:link <http://hl7.org/fhir/PaymentReconciliation/ECLM-PR-001> ;
     fhir:Reference.reference [ fhir:value "PaymentReconciliation/ECLM-PR-001" ]
  ] ;
  fhir:PaymentNotice.paymentDate [ fhir:value "2025-12-01"^^xsd:date] ;
  fhir:PaymentNotice.payee [
     fhir:link <http://hl7.org/fhir/Organization/ECLM-ORG-001> ;
     fhir:Reference.reference [ fhir:value "Organization/ECLM-ORG-001" ]
  ] ;
  fhir:PaymentNotice.recipient [
     fhir:link <http://hl7.org/fhir/Organization/ECLM-INS-001> ;
     fhir:Reference.reference [ fhir:value "Organization/ECLM-INS-001" ]
  ] ;
  fhir:PaymentNotice.amount [
     fhir:Money.value [ fhir:value "145600"^^xsd:decimal ] ;
     fhir:Money.currency [ fhir:value "KES" ]
  ] ;
  fhir:PaymentNotice.paymentStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/paymentstatus" ] ;
       fhir:Coding.code [ fhir:value "paid" ] ;
       fhir:Coding.display [ fhir:value "Paid" ]
     ]
  ] .

<http://hl7.org/fhir/Organization/ECLM-ORG-001> a fhir:Organization .

<http://hl7.org/fhir/PaymentReconciliation/ECLM-PR-001> a fhir:PaymentReconciliation .

<http://hl7.org/fhir/Organization/ECLM-INS-001> a fhir:Organization .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/PaymentNotice/ECLM-PN-001.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/PaymentNotice/ECLM-PN-001.ttl> .