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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Provenance ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "provenance-claim-submission-001"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-provenance"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-provenance> ] ) ;
( fhir:tag [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/common-tags"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/common-tags> ] ;
fhir:code [ fhir:v "actionable" ] ;
fhir:display [ fhir:v "Actionable" ] ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
] ; #
fhir:target ( [
fhir:l fhir:Claim/ae044c1d-9ecb-4294-be9b-0702e7892596 ;
fhir:reference [ fhir:v "Claim/ae044c1d-9ecb-4294-be9b-0702e7892596" ]
] ) ; #
fhir:recorded [ fhir:v "2025-10-07T18:47:22+00:00"^^xsd:dateTime] ; #
fhir:reason ( [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActReason> ] ;
fhir:code [ fhir:v "TREAT" ] ;
fhir:display [ fhir:v "treatment" ] ] ) ;
fhir:text [ fhir:v "Institutional claim submitted for patient treatment" ]
] ) ; #
fhir:activity [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-DataOperation"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-DataOperation> ] ;
fhir:code [ fhir:v "CREATE" ] ;
fhir:display [ fhir:v "create" ] ] ) ;
fhir:text [ fhir:v "Claim Submission" ]
] ; #
fhir:agent ( [
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/provenance-participant-type> ] ;
fhir:code [ fhir:v "author" ] ;
fhir:display [ fhir:v "Author" ] ] ) ;
fhir:text [ fhir:v "Submitting Provider" ] ] ;
fhir:who [
fhir:l fhir:Organization/ORG-001 ;
fhir:reference [ fhir:v "Organization/ORG-001" ] ;
fhir:display [ fhir:v "Nairobi General Hospital" ] ]
] [
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/provenance-participant-type> ] ;
fhir:code [ fhir:v "custodian" ] ;
fhir:display [ fhir:v "Custodian" ] ] ) ;
fhir:text [ fhir:v "SHA Receiving System" ] ] ;
fhir:who [
fhir:l fhir:Organization/sha-insurer ;
fhir:reference [ fhir:v "Organization/sha-insurer" ] ;
fhir:display [ fhir:v "Social Health Authority" ] ]
] ) ; #
fhir:entity ( [
fhir:role [ fhir:v "source" ] ;
fhir:what [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ] ]
] ) . #
IG © 2024+ Digital Health Agency of Kenya. Package fhir.kenyaClaimsIG#0.1.0 based on FHIR 4.0.1. Generated 2026-06-03
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