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sha-claims

TaifaCare is Kenya’s national healthcare program designed to ensure that every citizen can access affordable, high-quality medical services. KenyaEMR (Kenya Electronic Medical Record system) is a national, open-source electronic health record (EHR) platform used in health facilities across Kenya to support patient care and health program management. 

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Claims Rejected
Claims Sent Back
Functionalities

Key Functions:

Common Services
  • Registration 
  • Queuing including priority management 
  • Appointment management 
  • Triage including Triage early warning system (TEWS) 
Medical Services
  • Assessments & Screenings 
  • Diagnostics 
  • Health Education 
  • Inpatient and outpatient support 
  • Referrals and linkage 
  • Surveillance of diseases of interest 
Specialized Clinics
  • HIV, TB
  • Cancer,
  • Ophthalmology,
  • ENT e.t.c.
Diagnostics Testing
  • Lab request and results management
  • Procedures requests and recording
  • Imaging requests & results: Ultrasound, x-ray, CT scan
Clinical Decision Support
  • Flags, alerts
  • Validations and verifications
  • Intelligent early warning alerts based on machine learning
Facility Administration
  • User role management
  • Inventory management and dispensing
  • Billing, finance and cashier module
  • Reporting: MOH reports, Self-served custom reports
Interoperability
  • Integration with national health information systems such as KHIS and other registries
  • Data exchange through standards (FHIR) and APIs
Data Security & Access Control
  • Role-based user access
  • Audit trails to track system usage
  • Patient data confidentiality and integrity