Unattributed Code Systems

• http://loinc.org
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/KenyaSocialHealthAuthorityInterventionCS
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/civil-status-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/claim-care-team-role-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/claim-expiry-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/claim-state-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/claim-subtype-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/claim-type-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/condition-category-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/condition-severity-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-class-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-member-status-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-type-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/eclaims-diagnostic-report-codes-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/eclaims-generic-products-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/eclaims-provider-qualification-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/episode-of-care-type-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/icd11-codes-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/identifier-types-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/payment-method-cs
• https://nshr-uat.sha.go.ke/fhir/CodeSystem/related-claim-relationship-cs
• urn:iso:std:iso:3166

Copyright Fragment

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Copyright and Registered Trademark Uses

• IG © 2024+ Digital Health Agency (DHA), Kenya. Package ke.fhir.eclaims#0.1.0 based on FHIR 4.0.1. Generated 2026-08-07 Links: Table of Contents | QA Report ( src )
• hl7.fhir.us.hai: Healthcare Associated Infection Implementation Guide ®© HL7 | CC0 ( src )
• 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 ( src )
• There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. ( src )
• These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright © 2011 by the National Electrical Manufacturers Association. Show Usage * DICOM Controlled Terminology Definitions: EClaimsProvenance ( src )
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. Show Usage * LOINC: Observation/ECLM-OBS-001 ( src )
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html Show Usage * Adjudication Value Codes: ClaimResponse/8e0e3d44-4b7a-47d6-8b82-39fa646f8088, ClaimResponse/fd876fab-979d-4adb-8b32-46dff643b89f and EClaimsClaimResponse * Adjudication Error Codes: ClaimResponseAdjudicationErrorVS and EClaimsClaimResponse * Adjudication Reason Codes: EClaimsClaimResponse * Exception Codes: EclaimsResponse, KenyaClaimBase... Show 6 more, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Claim Type Codes: Claim/CLAIM-0000X, Claim/a7dcd571-d8a2-483a-8a45-e3c8bcbff8b8, Claim/ae044c1d-9ecb-4294-be9b-0702e7892596, ClaimResponse/8e0e3d44-4b7a-47d6-8b82-39fa646f8088 and ClaimResponse/fd876fab-979d-4adb-8b32-46dff643b89f * Claim Information Category Codes: Claim/CR-00001, EclaimsResponse... Show 7 more, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Common Tags: Claim/ECLM-CB-001, Claim/ECLM-IMG-001... Show 19 more, Claim/ECLM-ONC-001, Claim/ECLM-OPT-001, Claim/ECLM-REN-001, Claim/ECLM-SUB-001, Claim/ECLM-SUR-001, Coverage/ECLM-COV-001, EClaimsPaymentNotice, EClaimsProvenance, EclaimsCoverage, EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth, KenyaSurgicalPreauth, PaymentNotice/ECLM-PN-001 and Provenance/provenance-claim-submission-001 * Condition Clinical Status Codes: Condition/ECLM-COND-001 and EClaimsCondition * ConditionVerificationStatus: Condition/ECLM-COND-001 and EClaimsCondition * Coverage Copay Type Codes: EclaimsCoverage * Diagnosis Role: EClaimsEpisodeOfCare * Diet: EClaimsEncounter * Discharge disposition: EClaimsEncounter * DoseAndRateType: EClaimsMedicationDispense and EClaimsMedicationRequest * Encounter type: EClaimsEncounter * Benefit Category Codes: Claim/ECLM-CB-001, Claim/ECLM-IMG-001... Show 13 more, Claim/ECLM-ONC-001, Claim/ECLM-OPT-001, Claim/ECLM-REN-001, Claim/ECLM-SUB-001, Claim/ECLM-SUR-001, EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Example Claim SubType Codes: EClaimsClaimResponse * Example Coverage Financial Exception Codes: EclaimsCoverage * Example Diagnosis on Admission Codes: EclaimsResponse, KenyaClaimBase... Show 6 more, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Example Diagnosis Related Group Codes: EclaimsResponse, KenyaClaimBase... Show 6 more, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Example Diagnosis Type Codes: Claim/CR-00001, EclaimsResponse... Show 7 more, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Example Payment Type Codes: EClaimsClaimResponse * Example Procedure Type Codes: EclaimsResponse, KenyaClaimBase... Show 6 more, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Example Program Reason Codes: EClaimsClaimResponse, EclaimsResponse... Show 7 more, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Example Revenue Center Codes: EclaimsResponse, KenyaClaimBase... Show 6 more, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Example Service Place Codes: EClaimsClaimResponse, EclaimsResponse... Show 7 more, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Security Role Type: EClaimsProvenance * Form Codes: ClaimResponseFormsVS and EClaimsClaimResponse * Funds Reservation Codes: ClaimResponseFundsReserveVS, EClaimsClaimResponse... Show 8 more, EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Location type: EClaimsEncounter * MedicationAdministration Performer Function Codes: EClaimsMedicationDispense * MedicationRequest Category Codes: EClaimsMedicationRequest and MedicationRequest/ECLM-MR-001 * MedicationRequest Course of Therapy Codes: EClaimsMedicationRequest * MedicationRequest Status Reason Codes: EClaimsMedicationRequest * Missing Tooth Reason Codes: EclaimsResponse, KenyaClaimBase... Show 6 more, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Modifier type Codes: EClaimsClaimResponse, EclaimsResponse... Show 7 more, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Organization type: EClaimsOrganization, Nairobi General Hospital and Social Health Authority * Payee Type Codes: Claim/CR-00001, Claim/ECLM-CB-001... Show 16 more, Claim/ECLM-IMG-001, Claim/ECLM-ONC-001, Claim/ECLM-OPT-001, Claim/ECLM-REN-001, Claim/ECLM-SUB-001, Claim/ECLM-SUR-001, ClaimResponsePayeeTypeVS, EClaimsClaimResponse, EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Payment Adjustment Reason Codes: EClaimsClaimResponse * Payment Status Codes: EClaimsPaymentNotice and PaymentNotice/ECLM-PN-001 * Process Priority Codes: Claim/CLAIM-0000X, Claim/CR-00001... Show 17 more, Claim/ECLM-CB-001, Claim/ECLM-IMG-001, Claim/ECLM-ONC-001, Claim/ECLM-OPT-001, Claim/ECLM-REN-001, Claim/ECLM-SUB-001, Claim/ECLM-SUR-001, Claim/a7dcd571-d8a2-483a-8a45-e3c8bcbff8b8, Claim/ae044c1d-9ecb-4294-be9b-0702e7892596, EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth * Provenance participant type: EClaimsProvenance and Provenance/provenance-claim-submission-001 * Service category: Coverage/ECLM-COV-001 and EclaimsCoverage * Service type: EClaimsEncounter and Encounter/ECLM-ENC-001 * SubscriberPolicyholder Relationship Codes: Coverage/ECLM-COV-001 and EclaimsCoverage * diagnosticServiceSectionId: DiagnosticReport/ECLM-DR-001 and EClaimsDiagnosticReport * re-admissionIndicator: EClaimsEncounter * contactRole2: EClaimsPatient and Patient/ECLM-PT-001 * identifierType: EClaimsOrganization and Nairobi General Hospital * ActCode: EClaimsEncounter, EClaimsMedicationDispense... Show 11 more, EClaimsProvenance, EclaimsResponse, Encounter/ECLM-ENC-001, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth, KenyaSurgicalPreauth and MedicationDispense/ECLM-DISP-001 * ActPriority: EClaimsEncounter * ActReason: EClaimsMedicationDispense, EClaimsMedicationRequest, EClaimsProvenance and Provenance/provenance-claim-submission-001 * DataOperation: EClaimsProvenance and Provenance/provenance-claim-submission-001 * DocumentCompletion: EClaimsProvenance * ParticipationFunction: EClaimsProvenance * ParticipationType: EClaimsProvenance * RoleClass: EClaimsProvenance * RoleCode: EClaimsProvenance * Orderable Drug Form: MedicationDispense/ECLM-DISP-001 * Substance Admin Substitution: EClaimsMedicationDispense, EClaimsMedicationRequest and MedicationRequest/ECLM-MR-001 ( src )

External References

Type	Reference	Content
web	api-edi.provider.sha.go.ke	application/pdf @ https://api-edi.provider.sha.go.ke/media/claim/CHURCHILL_X-RAY.pdf
web	tel:+254203456789	+254203456789
web	tel:+254202345678	+254202345678
web	tel:+254712345678	+254712345678
web	tel:+254798765432	+254798765432
web	tel:+254711234567	telecom : +254711234567
web	github.com	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
web	dha.go.ke	IG © 2024+ Digital Health Agency (DHA), Kenya . Package ke.fhir.eclaims#0.1.0 based on FHIR 4.0.1 . Generated 2026-08-07 Links: Table of Contents | QA Report
web	github.com	Repository: https://github.com/IntelliSOFT-Consulting/Kenya-eClaims-FHIR-IG
web	github.com	Report a bug or suggest an improvement
web	dha.go.ke	Digital Health Agency of Kenya Upper Hill Medical Centre, Hospital Road, Nairobi Website: https://dha.go.ke
web	fhir.dha.go.ke	Kenya Core FHIR IG
web	fhir.dha.go.ke	Kenya NCCP FHIR IG
web	fhir.dha.go.ke	Kenya ePrescription FHIR IG
web	fhir.dha.go.ke	Kenya Patient Summary (KPS) FHIR IG
web	profiles.ihe.net	IHE ATNA — Audit Trail and Node Authentication
web	profiles.ihe.net	IHE IUA — Internet User Authorization (OAuth 2.0 for FHIR)

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