SIL HIE Implementation Guide
0.1.0 - sil-hie-active

SIL HIE Implementation Guide, published by Kathurima Kimathi. 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/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

Example ClaimResponse: Example HIE ClaimResponse

ClaimResponse Summary

Outcome complete. Primary coverage approved with member copay. Payment issued.

HeaderValue
Statusactive
Useclaim
Outcomecomplete
PatientJane Patient
InsurerAcme Health Insurance
RequestClaim/claim-001
Created2025-11-15

Item Adjudication

ItemSeqCategoryReasonAmount
1eligible100.00 USD
1copay20.00 USD
1benefit80.00 USD

Totals

  • Submitted: 100.00 USD
  • Copay: 20.00 USD
  • Benefit: 80.00 USD

Payment

  • Type: payment
  • Date: 2025-11-16
  • Amount: 80.00 USD
  • Reference: EPI-778899

Notes

  • Approved per plan. Member copay applied.