Kenya eClaims FHIR IG
0.1.0 - ci-build
Kenya eClaims FHIR IG
0.1.0 - ci-build
Kenya eClaims FHIR IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Claim",
"id" : "f6dc7f9e-1558-4b92-adbd-447771c7b2f9",
"meta" : {
"profile" : [
🔗 "https://example.com/fhir/StructureDefinition/eclaims-claim"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim f6dc7f9e-1558-4b92-adbd-447771c7b2f9</b></p><a name=\"f6dc7f9e-1558-4b92-adbd-447771c7b2f9\"> </a><a name=\"hcf6dc7f9e-1558-4b92-adbd-447771c7b2f9\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-eclaims-claim.html\">Claim Profile</a></p></div><p><b>identifier</b>: <code>https://uat-mis.apeiro-digital.com/fhir/claim</code>/f6dc7f9e-1558-4b92-adbd-447771c7b2f9</p><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>subType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-claimsubtype op}\">op</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"https://uat-mis.apeiro-digital.com/fhir/Patient/BZ38380568-6\">https://uat-mis.apeiro-digital.com/fhir/Patient/BZ38380568-6</a></p><p><b>billablePeriod</b>: 2025-01-04 --> 2025-01-05</p><p><b>created</b>: 2025-01-03</p><p><b>provider</b>: <a href=\"Organization/FID-22-101101-0\">Organization/FID-22-101101-0</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{https://uat-mis.apeiro-digital.com/fhir/terminology/CodeSystem/icd-11 XT77}\">XT77</span></td></tr></table><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=\"https://uat-mis.apeiro-digital.com/fhir/Coverage/CR6164711105276-6-sha-coverage\">https://uat-mis.apeiro-digital.com/fhir/Coverage/CR6164711105276-6-sha-coverage</a></td></tr></table><blockquote><p><b>item</b></p><p><b>com/fhir/sha-coverage/StructureDefinition/Coverage</b>: <a href=\"https://uat-mis.apeiro-digital.com/fhir/Coverage/CR6164711105276-6-sha-coverage\">https://uat-mis.apeiro-digital.com/fhir/Coverage/CR6164711105276-6-sha-coverage</a></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title=\"Codes:{https://uat-mis.apeiro-digital.com/fhir/CodeSystem/category-codes procedure}\">Procedure</span></p><p><b>productOrService</b>: <span title=\"Codes:{https://uat-mis.apeiro-digital.com/fhir/CodeSystem/intervention-codes SHA-12-001}\">SHA-12-001</span></p><p><b>serviced</b>: 2025-01-04</p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>50</td><td>Kenyan shilling</td></tr></table><p><b>factor</b>: 1</p><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>50</td><td>Kenyan shilling</td></tr></table></blockquote><h3>Totals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>50</td><td>Kenyan shilling</td></tr></table></div>"
},
"identifier" : [
{
"system" : "https://uat-mis.apeiro-digital.com/fhir/claim",
"value" : "f6dc7f9e-1558-4b92-adbd-447771c7b2f9"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "institutional"
}
]
},
"subType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/ex-claimsubtype",
"code" : "op"
}
]
},
"use" : "preauthorization",
"patient" : {
"reference" : "https://uat-mis.apeiro-digital.com/fhir/Patient/BZ38380568-6",
"type" : "Patient",
"identifier" : {
"use" : "official",
"system" : "https://uat-mis.apeiro-digital.com/fhir/identifier/shanumber",
"value" : "BZ38380568-6"
}
},
"billablePeriod" : {
"start" : "2025-01-04",
"end" : "2025-01-05"
},
"created" : "2025-01-03",
"provider" : {
"reference" : "Organization/FID-22-101101-0",
"type" : "Organization",
"identifier" : {
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://ts-kenyahie.health/facility-identifier-type",
"code" : "fr-code"
}
]
},
"system" : "https://fr.kenya-hie.health/api/v4/Organization",
"value" : "FID-22-101101-0"
}
},
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "normal"
}
]
},
"diagnosis" : [
{
"sequence" : 1,
"diagnosisCodeableConcept" : {
"coding" : [
{
"system" : "https://uat-mis.apeiro-digital.com/fhir/terminology/CodeSystem/icd-11",
"code" : "XT77",
"display" : "XT77"
}
]
}
}
],
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
"reference" : "https://uat-mis.apeiro-digital.com/fhir/Coverage/CR6164711105276-6-sha-coverage"
}
}
],
"item" : [
{
"extension" : [
{
"url" : "https://uat-mis.apeiro-digital.com/fhir/sha-coverage/StructureDefinition/Coverage",
"valueReference" : {
"reference" : "https://uat-mis.apeiro-digital.com/fhir/Coverage/CR6164711105276-6-sha-coverage"
}
}
],
"sequence" : 1,
"category" : {
"coding" : [
{
"system" : "https://uat-mis.apeiro-digital.com/fhir/CodeSystem/category-codes",
"code" : "procedure",
"display" : "Procedure"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "https://uat-mis.apeiro-digital.com/fhir/CodeSystem/intervention-codes",
"code" : "SHA-12-001",
"display" : "SHA-12-001"
}
]
},
"servicedDate" : "2025-01-04",
"quantity" : {
"value" : 1
},
"unitPrice" : {
"value" : 50,
"currency" : "KES"
},
"factor" : 1,
"net" : {
"value" : 50,
"currency" : "KES"
}
}
],
"total" : {
"value" : 50,
"currency" : "KES"
}
}