{
  "resourceType" : "Claim",
  "id" : "OncologyClaimExample",
  "meta" : {
    "profile" : ["https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim OncologyClaimExample</b></p><a name=\"OncologyClaimExample\"> </a><a name=\"hcOncologyClaimExample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-nccp-oncology-claim.html\">NCCP Oncology Claim</a></p></div><p><b>Carcinoma Staging Extension</b>: STAGE-2</p><p><b>Treatment Setting Extension</b>: DAY-CASE</p><p><b>Session Expected Date Extension</b>: 2026-01-15</p><p><b>Sessions Required Extension</b>: 8</p><p><b>Cost Per Session Extension</b>: <span title=\"Kenyan Shilling\">KES15,000.00</span> (KES)</p><p><b>Regimen Reference Extension</b>: <a href=\"CarePlan-example-careplan.html\">CarePlan: status = active; intent = plan</a></p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Patient-example-patient.html\">Mary Wanjiku  Female, DoB: 1975-06-15</a></p><p><b>created</b>: 2026-01-15</p><p><b>provider</b>: <a href=\"Organization-example-organization.html\">Organization Kenyatta National Hospital — Oncology Unit</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Condition-example-condition.html\">Condition C50 — Malignant neoplasm of breast</a></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-example-coverage.html\">Coverage: status = active</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-CHEMO-NEO-ADJUVANT}\">SHA: Chemotherapy — Neo-adjuvant</span></p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>15000</td><td>Kenyan shilling</td></tr></table><blockquote><p><b>detail</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-CHEMO-NEO-ADJUVANT}\">SHA: Chemotherapy — Neo-adjuvant</span></p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>7500</td><td>Kenyan shilling</td></tr></table></blockquote></blockquote></div>"
  },
  "extension" : [{
    "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-carcinoma-staging-extension",
    "valueCode" : "STAGE-2"
  },
  {
    "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-setting-extension",
    "valueCode" : "DAY-CASE"
  },
  {
    "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-session-expected-date-extension",
    "valueDate" : "2026-01-15"
  },
  {
    "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-required-extension",
    "valueInteger" : 8
  },
  {
    "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cost-per-session-extension",
    "valueMoney" : {
      "value" : 15000,
      "currency" : "KES"
    }
  },
  {
    "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-regimen-reference-extension",
    "valueReference" : {
      "reference" : "CarePlan/example-careplan"
    }
  }],
  "status" : "active",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
      "code" : "professional",
      "display" : "Professional"
    }]
  },
  "use" : "preauthorization",
  "patient" : {
    "reference" : "Patient/example-patient"
  },
  "created" : "2026-01-15",
  "provider" : {
    "reference" : "Organization/example-organization"
  },
  "priority" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
      "code" : "normal",
      "display" : "Normal"
    }]
  },
  "diagnosis" : [{
    "sequence" : 1,
    "diagnosisReference" : {
      "reference" : "Condition/example-condition"
    }
  }],
  "insurance" : [{
    "sequence" : 1,
    "focal" : true,
    "coverage" : {
      "reference" : "Coverage/example-coverage"
    }
  }],
  "item" : [{
    "sequence" : 1,
    "productOrService" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
        "code" : "SHA-CHEMO-NEO-ADJUVANT",
        "display" : "SHA: Chemotherapy — Neo-adjuvant"
      }]
    },
    "quantity" : {
      "value" : 1
    },
    "unitPrice" : {
      "value" : 15000,
      "currency" : "KES"
    },
    "detail" : [{
      "sequence" : 1,
      "productOrService" : {
        "coding" : [{
          "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
          "code" : "SHA-CHEMO-NEO-ADJUVANT",
          "display" : "SHA: Chemotherapy — Neo-adjuvant"
        }]
      },
      "quantity" : {
        "value" : 1
      },
      "unitPrice" : {
        "value" : 7500,
        "currency" : "KES"
      }
    }]
  }]
}