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 Provenance - Claim Submission - JSON Representation

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{
  "resourceType" : "Provenance",
  "id" : "provenance-claim-submission-001",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-provenance"
    ],
    "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: Provenance provenance-claim-submission-001</b></p><a name=\"provenance-claim-submission-001\"> </a><a name=\"hcprovenance-claim-submission-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-provenance.html\">eClaims Provenance 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>Provenance for <a href=\"Claim-ae044c1d-9ecb-4294-be9b-0702e7892596.html\">Claim: status = active; type = Institutional; use = claim; created = 2025-10-01; priority = Normal</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2025-10-07 18:47:22+0000</td></tr><tr><td>Activity</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-DataOperation CREATE}\">Claim Submission</span></td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Submitting Provider</span></td><td><a href=\"Organization-ORG-001.html\">Nairobi General Hospital</a></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">SHA Receiving System</span></td><td><a href=\"Organization-sha-insurer.html\">Social Health Authority</a></td></tr></table></div>"
  },
  "target" : [
    {
      🔗 "reference" : "Claim/ae044c1d-9ecb-4294-be9b-0702e7892596"
    }
  ],
  "recorded" : "2025-10-07T18:47:22+00:00",
  "reason" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code" : "TREAT",
          "display" : "treatment"
        }
      ],
      "text" : "Institutional claim submitted for patient treatment"
    }
  ],
  "activity" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
        "code" : "CREATE",
        "display" : "create"
      }
    ],
    "text" : "Claim Submission"
  },
  "agent" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code" : "author",
            "display" : "Author"
          }
        ],
        "text" : "Submitting Provider"
      },
      "who" : {
        🔗 "reference" : "Organization/ORG-001",
        "display" : "Nairobi General Hospital"
      }
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code" : "custodian",
            "display" : "Custodian"
          }
        ],
        "text" : "SHA Receiving System"
      },
      "who" : {
        🔗 "reference" : "Organization/sha-insurer",
        "display" : "Social Health Authority"
      }
    }
  ],
  "entity" : [
    {
      "role" : "source",
      "what" : {
        🔗 "reference" : "Patient/example"
      }
    }
  ]
}