Kenya eClaims FHIR IG, published by iclKenya. 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

Table of Contents

0 Table of Contents

1 Home

2 Artifacts Summary

2.1 Claim Response - Preauthorization

2.2 Claim Submission

2.3 Coverage Profile

2.4 Imaging Preauthorization

2.5 Kenya eClaims Base Profile

2.6 Kenya eClaims ClaimResponse Profile

2.7 Oncology Preauthorization

2.8 Optical Preauthorization

2.9 Renal Preauthorization

2.10 Surgical Preauthorization

2.11 Anaesthesia Type

2.12 Attachment Type

2.13 Carcinoma Staging

2.14 Chief Complaint

2.15 Claim Workflow State

2.16 Clinical Indications

2.17 Consultation Amount

2.18 Cost Per Session

2.19 Eye Examination Amount

2.20 Frame Amount

2.21 Has Coinsurance

2.22 History of Present Illness

2.23 Investigations

2.24 Item Coverage Reference

2.25 Last Replacement Date

2.26 Lens Amount

2.27 Lens Prescription

2.28 Metastases

2.29 Other Metastases

2.30 Patient Invoice Details

2.31 Physical Examination

2.32 Preauthorization Expiry Date

2.33 Preauthorization Token

2.34 Provider Auth Token

2.35 Raw Preauth Source Data

2.36 Reason For Service

2.37 Replacement Type

2.38 Session Expected Date

2.39 Treatment Setting

2.40 Vital Signs

2.41 Example Claim Response

2.42 Example ClaimResponse - Canceled

2.43 Example ClaimResponse - Sent Back

2.44 Example SHA Coverage