FHIR IG analytics| Package | fhir.kenyaClaimsIG |
| Resource Type | ClaimResponse |
| Id | ClaimResponse-fd876fab-979d-4adb-8b32-46dff643b89f.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: ClaimResponse fd876fab-979d-4adb-8b32-46dff643b89f
Profile: Kenya eClaims ClaimResponse Profile
Preauthorization Expiry Date: 2025-11-01
Claim Workflow State: Canceled
status: Active
type: Institutional
use: Preauthorization
patient: Patient/example
created: 2025-10-03 07:36:24+0000
insurer: Organization/sha-insurer
request: Claim/a7dcd571-d8a2-483a-8a45-e3c8bcbff8b8
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
| Number | Type | Text |
| 1 | Display | cancelled as requested |
{
"resourceType": "ClaimResponse",
"id": "fd876fab-979d-4adb-8b32-46dff643b89f",
"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-expiry-extension",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.sha.go.ke/fhir/CodeSystem/claim-expiry",
"code": "expiry-date",
"display": "2025-11-01"
}
]
}
},
{
"url": "https://fhir.sha.go.ke/fhir/StructureDefinition/claim-state-extension",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.sha.go.ke/fhir/CodeSystem/claim-state",
"code": "canceled",
"display": "Canceled"
}
]
}
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
}
]
},
"use": "preauthorization",
"patient": {
"reference": "Patient/example"
},
"created": "2025-10-03T07:36:24+00:00",
"insurer": {
"reference": "Organization/sha-insurer"
},
"request": {
"reference": "Claim/a7dcd571-d8a2-483a-8a45-e3c8bcbff8b8"
},
"outcome": "complete",
"item": [
{
"itemSequence": 1,
"adjudication": [
{
"category": {
"text": "benefit"
},
"reason": {
"text": "Auto Approved."
},
"amount": {
"value": 11200,
"currency": "KES"
},
"value": 0
}
]
}
],
"total": [
{
"category": {
"text": "benefit"
},
"amount": {
"value": 11200,
"currency": "KES"
}
}
],
"processNote": [
{
"number": 1,
"type": "display",
"text": "cancelled as requested"
}
]
}