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

: Example Claim for ClaimResponse (canceled) - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="a7dcd571-d8a2-483a-8a45-e3c8bcbff8b8"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim a7dcd571-d8a2-483a-8a45-e3c8bcbff8b8</b></p><a name="a7dcd571-d8a2-483a-8a45-e3c8bcbff8b8"> </a><a name="hca7dcd571-d8a2-483a-8a45-e3c8bcbff8b8"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}">Institutional</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href="Patient-example.html">Jane Wanjiku  Female, DoB: 1985-06-15</a></p><p><b>created</b>: 2025-10-01</p><p><b>insurer</b>: <a href="Organization-sha-insurer.html">Organization Social Health Authority</a></p><p><b>provider</b>: <a href="Organization-ORG-001.html">Organization Nairobi General Hospital</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Coverage-COV-0001.html">Coverage: status = active</a></td></tr></table></div>
  </text>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="institutional"/>
    </coding>
  </type>
  <use value="preauthorization"/>
  <patient>🔗 
    <reference value="Patient/example"/>
  </patient>
  <created value="2025-10-01"/>
  <insurer>🔗 
    <reference value="Organization/sha-insurer"/>
  </insurer>
  <provider>🔗 
    <reference value="Organization/ORG-001"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="normal"/>
      <display value="Normal"/>
    </coding>
  </priority>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>🔗 
      <reference value="Coverage/COV-0001"/>
    </coverage>
  </insurance>
</Claim>