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 Provenance - Claim Submission - 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/Provenance/provenance-claim-submission-001> a fhir:Provenance ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "provenance-claim-submission-001"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.dha.go.ke/ig/eclaims/StructureDefinition/ke-eclaims-provenance" ;
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/eclaims/StructureDefinition/ke-eclaims-provenance>
     ], [
       fhir:value "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-provenance" ;
       fhir:index 1 ;
       fhir:link <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-provenance>
     ] ;
     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: 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\">Profiles: <a href=\"StructureDefinition-ke-eclaims-provenance.html\">eClaims Provenance Profile</a>, <code>https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-provenance</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>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>"
  ] ;
  fhir:Provenance.target [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Claim/ae044c1d-9ecb-4294-be9b-0702e7892596> ;
     fhir:Reference.reference [ fhir:value "Claim/ae044c1d-9ecb-4294-be9b-0702e7892596" ]
  ] ;
  fhir:Provenance.recorded [ fhir:value "2025-10-07T18:47:22+00:00"^^xsd:dateTime] ;
  fhir:Provenance.reason [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ] ;
       fhir:Coding.code [ fhir:value "TREAT" ] ;
       fhir:Coding.display [ fhir:value "treatment" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Institutional claim submitted for patient treatment" ]
  ] ;
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ] ;
       fhir:Coding.code [ fhir:value "CREATE" ] ;
       fhir:Coding.display [ fhir:value "create" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Claim Submission" ]
  ] ;
  fhir:Provenance.agent [
     fhir:index 0 ;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ] ;
         fhir:Coding.code [ fhir:value "author" ] ;
         fhir:Coding.display [ fhir:value "Author" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Submitting Provider" ]
     ] ;
     fhir:Provenance.agent.who [
       fhir:link <http://hl7.org/fhir/Organization/ORG-001> ;
       fhir:Reference.reference [ fhir:value "Organization/ORG-001" ] ;
       fhir:Reference.display [ fhir:value "Nairobi General Hospital" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ] ;
         fhir:Coding.code [ fhir:value "custodian" ] ;
         fhir:Coding.display [ fhir:value "Custodian" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "SHA Receiving System" ]
     ] ;
     fhir:Provenance.agent.who [
       fhir:link <http://hl7.org/fhir/Organization/sha-insurer> ;
       fhir:Reference.reference [ fhir:value "Organization/sha-insurer" ] ;
       fhir:Reference.display [ fhir:value "Social Health Authority" ]
     ]
  ] ;
  fhir:Provenance.entity [
     fhir:index 0 ;
     fhir:Provenance.entity.role [ fhir:value "source" ] ;
     fhir:Provenance.entity.what [
       fhir:link <http://hl7.org/fhir/Patient/example> ;
       fhir:Reference.reference [ fhir:value "Patient/example" ]
     ]
  ] .

<http://hl7.org/fhir/Claim/ae044c1d-9ecb-4294-be9b-0702e7892596> a fhir:Claim .

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

<http://hl7.org/fhir/Organization/sha-insurer> a fhir:Organization .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

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

<http://hl7.org/fhir/Provenance/provenance-claim-submission-001.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Provenance/provenance-claim-submission-001.ttl> .