Kenya eClaims FHIR Implementation Guide
0.1.0 - ci-build
KE
Kenya eClaims FHIR Implementation Guide
0.1.0 - ci-build
KE
Kenya eClaims FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Profile: Claim Response - Preauthorization
identifier: https://fhir.dha.go.ke/eclaims/Identifier/claim-number/CLAIM-00001
status: Active
type: Institutional
subType: Inpatient
use: Preauthorization
patient: John Doe Male, DoB: 1980-01-01
billablePeriod: 2025-11-01 --> 2025-11-30
created: 2025-12-16 12:00:00+0300
insurer: Organization Kenya Insurance Company
provider: Organization Nairobi General Hospital
priority: Normal
| Claim | Relationship |
| Claim: status = active; type = Institutional; use = claim; created = 2025-01-01; priority = Normal | Associated |
originalPrescription: MedicationRequest: status = active; intent = order; medication[x] =
| Type | Party |
| Provider | Organization Nairobi General Hospital |
referral: ServiceRequest
facility: Location Main Ward
| Sequence | Provider | Role | Qualification |
| 1 | Practitioner Dr. James Kamau | Primary Provider | Doctor of Medicine |
| Sequence | Category | Value[x] |
| 1 | Attachment | application/pdf @ https://api-edi.provider.sha.go.ke/media/claim/CHURCHILL_X-RAY.pdf |
| Sequence | Diagnosis[x] | Type |
| 1 | Fracture of shaft of femur | Principal Diagnosis |
| Sequence | Focal | Coverage |
| 1 | true | Coverage: status = active |
item
sequence: 1
careTeamSequence: 1
productOrService: Open reduction and internal fixation: Femur
quantity: 1
UnitPrices
Value Currency 145600 Kenyan shilling Nets
Value Currency 145600 Kenyan shilling
| Value | Currency |
| 145600 | Kenyan shilling |