Kenya eClaims FHIR IG
0.1.0 - ci-build Kenya flag

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

Example ClaimResponse: ClaimResponse - Example

version: 2; Last updated: 2025-01-04 11:03:06+0300;

Information Source: #e4fd6c167838fdfb

Profile: ClaimResponse Profile

com/fhir/StructureDefinition/claim-state-extension: Approved

status: Active

type: Professional

use: Claim

patient: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

created: 2025-01-04 11:00:00+0300

​insurer: Organization/insurer-example

request: Claim: identifier = https://uat-mis.apeiro-digital.com/fhir/claim#f6dc7f9e-1558-4b92-adbd-447771c7b2f9; status = active; type = Institutional; subType = op; use = preauthorization; billablePeriod = 2025-01-04 --> 2025-01-05; created = 2025-01-03; priority = Normal

outcome: Processing Complete

item

itemSequence: 1

adjudication

category: benefit

reason: Auto Approved.

Amounts

-ValueCurrency
*50KSH

total

category: submitted

Amounts

-ValueCurrency
*50KSH