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 - XML Representation

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<PaymentNotice xmlns="http://hl7.org/fhir">
  <id value="ECLM-PN-001"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-paymentnotice"/>
    <tag>
      <system value="http://terminology.hl7.org/CodeSystem/common-tags"/>
      <code value="actionable"/>
      <display value="Actionable"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system
            value="https://nshr-uat.sha.go.ke/fhir/Identifier/payment-notice-number"/>
    <value value="PN-2025-001234"/>
  </identifier>
  <status value="active"/>
  <created value="2025-12-01T10:00:00+03:00"/>
  <provider>🔗 
    <reference value="Organization/ECLM-ORG-001"/>
  </provider>
  <payment>🔗 
    <reference value="PaymentReconciliation/ECLM-PR-001"/>
  </payment>
  <paymentDate value="2025-12-01"/>
  <payee>🔗 
    <reference value="Organization/ECLM-ORG-001"/>
  </payee>
  <recipient>🔗 
    <reference value="Organization/ECLM-INS-001"/>
  </recipient>
  <amount>
    <value value="145600"/>
    <currency value="KES"/>
  </amount>
  <paymentStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/paymentstatus"/>
      <code value="paid"/>
      <display value="Paid"/>
    </coding>
  </paymentStatus>
</PaymentNotice>