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

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Resource Profile: EClaimsClaimResponse - Mappings

Draft as of 2026-06-03

Mappings for the ke-eclaims-claimresponse resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

Name	Workflow Pattern	FiveWs Pattern Mapping	RIM Mapping
ClaimResponse	Event		Entity. Role or Act
id
meta
implicitRules
language
text			Act.text?
contained			N/A
Slices for extension
extension:claimState
extension:claimExpiry
modifierExtension			N/A
identifier	Event.identifier	FiveWs.identifier
status	Event.status	FiveWs.status
type		FiveWs.class
subType		FiveWs.class
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
use		FiveWs.class
patient		FiveWs.subject
created	Event.occurrence[x]	FiveWs.recorded
insurer	Event.performer
requestor		FiveWs.source
request	Event.basedOn	FiveWs.why[x]
outcome
disposition	Event.note
preAuthRef
preAuthPeriod
payeeType
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
item
id			n/a
extension			n/a
modifierExtension			N/A
itemSequence
noteNumber
adjudication
id			n/a
extension			n/a
modifierExtension			N/A
category
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
reason
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
amount
value
detail
id			n/a
extension			n/a
modifierExtension			N/A
detailSequence
noteNumber
adjudication
subDetail
id			n/a
extension			n/a
modifierExtension			N/A
subDetailSequence
noteNumber
adjudication
addItem
id			n/a
extension			n/a
modifierExtension			N/A
itemSequence
detailSequence
subdetailSequence
provider		FiveWs.source
productOrService
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
modifier			24.C 24.D mods
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
programCode			24.H
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
serviced[x]		FiveWs.done[x]	24.A
location[x]		FiveWs.where[x]	24.B
quantity			24.G
unitPrice
factor
net			24.F
bodySite
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
subSite
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
noteNumber
adjudication
detail
id			n/a
extension			n/a
modifierExtension			N/A
productOrService
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
modifier			24.C 24.D mods
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
quantity			24.G
unitPrice
factor
net			24.F
noteNumber
adjudication
subDetail
id			n/a
extension			n/a
modifierExtension			N/A
productOrService
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
modifier			24.C 24.D mods
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
quantity			24.G
unitPrice
factor
net			24.F
noteNumber
adjudication
adjudication
total
id			n/a
extension			n/a
modifierExtension			N/A
category
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
amount
id			n/a
extension			n/a
value
currency
payment
id			n/a
extension			n/a
modifierExtension			N/A
type
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
adjustment
adjustmentReason
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
date
amount
identifier
fundsReserve
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
formCode
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
form
processNote
id			n/a
extension			n/a
modifierExtension			N/A
number
type
text
language
communicationRequest
insurance			Coverage
id			n/a
extension			n/a
modifierExtension			N/A
sequence
focal
coverage
businessArrangement
claimResponse
error
id			n/a
extension			n/a
modifierExtension			N/A
itemSequence
detailSequence
subDetailSequence
code
id			n/a
extension			n/a
coding			union(. ./translation)
id			n/a
extension			n/a
system			./codeSystem
version			./codeSystemVersion
code			./code
display			CV.displayName
userSelected			CD.codingRationale
text			./originalText[mediaType/code="text/plain"]/data
Documentation for this format