0.1.0 - ci-build

kenyaClaimsIG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example ClaimResponse: ClaimResponseProfileExample

Generated Narrative: ClaimResponse ClaimResponseProfileExample

identifier: http://example.org/fhir/identifier-type/KMFL12345 (use: official, )

status: Active

type: Professional

subType: Orthodontic Claim

use: Claim

patient: Eliud Kipchoge Kiptun Male, DoB: 1984-11-05 ( Unique Patient Identifier: 123456 (use: official, ))

created: 2020-06-15

insurer: Organization Kenyatta National Hospital

requestor: SHAPractitionerExample

request: Claim: status = active; type = Professional; use = claim; created = 2020-06-15; priority = Normal

outcome: Processing Complete

disposition: Claim settled as per policy.

payeeType: Provider

item

itemSequence: 1

noteNumber: 1

adjudication

category: Tax

reason: Not covered

Amounts

-ValueCurrency
*100Kenyan shilling

value: 100

detail

detailSequence: 1

noteNumber: 1

adjudication

subDetail

subDetailSequence: 1

noteNumber: 1

adjudication

ProcessNotes

-NumberTypeTextLanguage
*1DisplayClaim settled as per policy.English

communicationRequest: CommunicationRequest: status = active

Insurances

-SequenceFocalCoverageClaimResponse
*1trueCoverageExampleClaimResponse: status = active; type = Professional; use = claim; created = 2020-06-15; outcome = complete

Errors

-DetailSequenceSubDetailSequenceCode
*11Missing Creation Date