Generated Narrative: Claim CR-00001 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 Relateds - Claim Relationship * Claim: status = active; type = Institutional; use = claim; created = 2025-01-01; priority = Normal Associated originalPrescription: MedicationRequest: status = active; intent = order; medication[x] = Payees - Type Party * Provider Organization Nairobi General Hospital referral: ServiceRequest facility: Location Main Ward CareTeams - Sequence Provider Role Qualification * 1 Practitioner Dr. James Kamau Primary Provider Doctor of Medicine SupportingInfos - Sequence Category Value[x] * 1 Attachment application/pdf @ https://api-edi.provider.sha.go.ke/media/claim/CHURCHILL_X-RAY.pdf Diagnoses - Sequence Diagnosis[x] Type * 1 Fracture of shaft of femur Principal Diagnosis Insurances - 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 Totals - Value Currency * 145600 Kenyan shilling
Open reduction and internal fixation: Femur