https://fhir.dha.go.ke/eclaims/ClaimResponse/fd876fab-979d-4adb-8b32-46dff643b89f
type: ClaimResponse
node role: treeRoot
meta:
  profile:
    v: https://fhir.dha.go.ke/eclaims/StructureDefinition/ke-eclaims-claimresponse
    l: ke-eclaims-claimresponse
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: ClaimResponse fd876fab-979d-4adb-8b32-46dff643b89f Profile: Kenya eClaims ClaimResponse Profile Preauthorization Expiry Date: Expiry Date Claim Workflow State: Canceled status: Active type: Institutional use: Preauthorization patient: Jane Wanjiku Female, DoB: 1985-06-15 created: 2025-10-03 07:36:24+0000 insurer: Organization Social Health Authority request: Claim: status = active; type = Institutional; use = preauthorization; created = 2025-10-01; priority = Normal outcome: Processing Complete item itemSequence: 1 adjudication category: benefit reason: Auto Approved. Amounts - Value Currency * 11200 Kenyan shilling value: 0 total category: benefit Amounts - Value Currency * 11200 Kenyan shilling ProcessNotes - Number Type Text * 1 Display cancelled as requested
extension:
  url:
    v: https://fhir.dha.go.ke/eclaims/StructureDefinition/claim-expiry-extension
    l: claim-expiry-extension
  value: CodeableConcept
    coding:
      system:
        v: https://fhir.dha.go.ke/eclaims/CodeSystem/claim-expiry-cs
        l: claim-expiry-cs
      code:
        v: expiry-date
      display:
        v: Expiry Date
extension:
  url:
    v: https://fhir.dha.go.ke/eclaims/StructureDefinition/claim-state-extension
    l: claim-state-extension
  value: CodeableConcept
    coding:
      system:
        v: https://fhir.dha.go.ke/eclaims/CodeSystem/claim-state-cs
        l: claim-state-cs
      code:
        v: canceled
      display:
        v: Canceled
status:
  v: active
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/claim-type
      l: claim-type
    code:
      v: institutional
use:
  v: preauthorization
patient:
  l: example
  reference:
    v: Patient/example
created:
  v: 2025-10-03T07:36:24+00:00
insurer:
  l: sha-insurer
  reference:
    v: Organization/sha-insurer
outcome:
  v: complete
item:
  item sequence:
    v: 1
  adjudication:
    category:
      text:
        v: benefit
    reason:
      text:
        v: Auto Approved.
    amount:
      value:
        v: 11200
      currency:
        v: KES
    value:
      v: 0
total:
  category:
    text:
      v: benefit
  amount:
    value:
      v: 11200
    currency:
      v: KES
process note:
  number:
    v: 1
  type:
    v: display
  text:
    v: cancelled as requested