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 HIE ClaimResponse - JSON Representation

Raw json | Download

{
  "resourceType" : "ClaimResponse",
  "id" : "HIEClaimResponse-example",
  "meta" : {
    "profile" : [
      🔗 "https://nshr.dha.go.ke/fhir/StructureDefinition/hie-claimresponse"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>ClaimResponse Summary</b></p><p>Outcome complete. Primary coverage approved with member copay. Payment issued.</p><table><thead><tr><th align=\"left\">Header</th><th align=\"left\">Value</th></tr></thead><tbody><tr><td>Status</td><td>active</td></tr><tr><td>Use</td><td>claim</td></tr><tr><td>Outcome</td><td>complete</td></tr><tr><td>Patient</td><td>Jane Patient</td></tr><tr><td>Insurer</td><td>Acme Health Insurance</td></tr><tr><td>Request</td><td>Claim/claim-001</td></tr><tr><td>Created</td><td>2025-11-15</td></tr></tbody></table><p><b>Item Adjudication</b></p><table><thead><tr><th align=\"left\">ItemSeq</th><th align=\"left\">Category</th><th align=\"left\">Reason</th><th align=\"left\">Amount</th></tr></thead><tbody><tr><td>1</td><td>eligible</td><td/><td>100.00 USD</td></tr><tr><td>1</td><td>copay</td><td/><td>20.00 USD</td></tr><tr><td>1</td><td>benefit</td><td/><td>80.00 USD</td></tr></tbody></table><p><b>Totals</b></p><ul><li>Submitted: 100.00 USD</li><li>Copay: 20.00 USD</li><li>Benefit: 80.00 USD</li></ul><p><b>Payment</b></p><ul><li>Type: payment</li><li>Date: 2025-11-16</li><li>Amount: 80.00 USD</li><li>Reference: EPI-778899</li></ul><p><b>Notes</b></p><ul><li>Approved per plan. Member copay applied.</li></ul></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "ACSN",
            "display" : "Accession ID"
          }
        ]
      },
      "system" : "http://payer.example.org/claimresponses",
      "value" : "CR-2025-0001"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "professional",
        "display" : "Professional"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "Patient/p-001",
    "display" : "Jane Patient"
  },
  "created" : "2025-11-15",
  "insurer" : {
    "reference" : "Organization/ins-001",
    "display" : "Acme Health Insurance"
  },
  "requestor" : {
    "reference" : "Organization/org-001",
    "display" : "Acme Health Center"
  },
  "request" : {
    "reference" : "Claim/claim-001",
    "display" : "OP consult claim"
  },
  "outcome" : "complete",
  "disposition" : "Approved per plan rules. Member copay applied.",
  "preAuthRef" : "PA-556677",
  "item" : [
    {
      "itemSequence" : 1,
      "adjudication" : [
        {
          "category" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
                "code" : "eligible",
                "display" : "Eligible"
              }
            ]
          },
          "amount" : {
            "value" : 100,
            "currency" : "USD"
          }
        },
        {
          "category" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
                "code" : "copay",
                "display" : "Copay"
              }
            ]
          },
          "amount" : {
            "value" : 20,
            "currency" : "USD"
          }
        },
        {
          "category" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
                "code" : "benefit",
                "display" : "Benefit amount"
              }
            ]
          },
          "amount" : {
            "value" : 80,
            "currency" : "USD"
          }
        }
      ],
      "detail" : [
        {
          "detailSequence" : 1,
          "adjudication" : [
            {
              "category" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
                    "code" : "eligible",
                    "display" : "Eligible"
                  }
                ]
              },
              "amount" : {
                "value" : 100,
                "currency" : "USD"
              }
            }
          ],
          "subDetail" : [
            {
              "subDetailSequence" : 1,
              "adjudication" : [
                {
                  "category" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
                        "code" : "benefit",
                        "display" : "Benefit amount"
                      }
                    ]
                  },
                  "amount" : {
                    "value" : 80,
                    "currency" : "USD"
                  }
                }
              ]
            }
          ]
        }
      ]
    }
  ],
  "addItem" : [
    {
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://example.org/codes/payer-adjustment",
            "code" : "ADJ001",
            "display" : "Administrative adjustment"
          }
        ]
      },
      "adjudication" : [
        {
          "category" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
                "code" : "eligible",
                "display" : "Eligible"
              }
            ]
          },
          "amount" : {
            "value" : 0,
            "currency" : "USD"
          }
        }
      ]
    }
  ],
  "total" : [
    {
      "category" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
            "code" : "submitted",
            "display" : "Submitted Amount"
          }
        ]
      },
      "amount" : {
        "value" : 100,
        "currency" : "USD"
      }
    },
    {
      "category" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
            "code" : "copay",
            "display" : "Copay"
          }
        ]
      },
      "amount" : {
        "value" : 20,
        "currency" : "USD"
      }
    },
    {
      "category" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/adjudication",
            "code" : "benefit",
            "display" : "Benefit Amount"
          }
        ]
      },
      "amount" : {
        "value" : 80,
        "currency" : "USD"
      }
    }
  ],
  "payment" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/ex-paymenttype",
          "code" : "payment",
          "display" : "Payment"
        }
      ]
    },
    "date" : "2025-11-16",
    "amount" : {
      "value" : 80,
      "currency" : "USD"
    },
    "identifier" : {
      "system" : "http://payer.example.org/erds",
      "value" : "EPI-778899"
    }
  },
  "processNote" : [
    {
      "number" : 1,
      "type" : "display",
      "text" : "Approved per plan. Member copay applied.",
      "language" : {
        "coding" : [
          {
            "system" : "urn:ietf:bcp:47",
            "code" : "en",
            "display" : "English"
          }
        ]
      }
    }
  ],
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        "reference" : "Coverage/cov-001",
        "display" : "Primary PPO coverage"
      }
    }
  ]
}