FHIR IG analytics

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Narrative

Note: links and images are rebased to the (stated) source

Source1

{
  "resourceType": "ClaimResponse",
  "id": "8e0e3d44-4b7a-47d6-8b82-39fa646f8088",
  "meta": {
    "profile": [
      "https://example.com/fhir/StructureDefinition/eClaims-claim-response"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://fhir.sha.go.ke/fhir/StructureDefinition/claim-state-extension",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.sha.go.ke/fhir/CodeSystem/claim-state",
            "code": "sent-back",
            "display": "Returned Back"
          }
        ]
      }
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "institutional"
      }
    ]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/example"
  },
  "created": "2025-10-07T18:47:22+00:00",
  "insurer": {
    "reference": "Organization/sha-insurer",
    "display": "Social Health Authority"
  },
  "request": {
    "reference": "Claim/ae044c1d-9ecb-4294-be9b-0702e7892596"
  },
  "outcome": "complete",
  "item": [
    {
      "itemSequence": 1,
      "adjudication": [
        {
          "category": {
            "text": "benefit"
          },
          "reason": {
            "text": "Auto Approved."
          },
          "amount": {
            "value": 11200,
            "currency": "KES"
          }
        }
      ]
    }
  ],
  "total": [
    {
      "category": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/adjudication",
            "code": "benefit"
          }
        ]
      },
      "amount": {
        "value": 11200,
        "currency": "KES"
      }
    }
  ],
  "processNote": [
    {
      "number": 1,
      "type": "display",
      "text": "medical cases"
    },
    {
      "number": 2,
      "type": "display",
      "text": "For surveillance review"
    }
  ]
}