Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/nccpFHIRIG/ and changes regularly. See the Directory of published versions

: Example Oncology Claim Response — SHA Pre-authorisation Approved

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{
  "resourceType" : "ClaimResponse",
  "id" : "OncologyClaimResponseExample",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim-response"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse OncologyClaimResponseExample</b></p><a name=\"OncologyClaimResponseExample\"> </a><a name=\"hcOncologyClaimResponseExample\"> </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-response.html\">NCCP Oncology Claim Response</a></p></div><p><b>Sessions Covered Extension</b>: 8</p><p><b>Sessions Used Extension</b>: 0</p><p><b>Start Cycle Extension</b>: 1</p><p><b>End Cycle Extension</b>: 8</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>: 2026-01-18</p><p><b>insurer</b>: <a href=\"Organization-sha-kenya.html\">Organization Social Health Authority — Kenya</a></p><p><b>request</b>: <a href=\"Claim-example-oncology-claim.html\">Claim: status = active; type = Professional; use = preauthorization; created = 2026-01-15; priority = Normal</a></p><p><b>outcome</b>: Processing Complete</p><p><b>preAuthRef</b>: SHA-PREAUTH-2026-00789</p><blockquote><p><b>payment</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-paymenttype complete}\">Complete</span></p><h3>Amounts</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>120000</td><td>Kenyan shilling</td></tr></table></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-covered-extension",
      "valueInteger" : 8
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-used-extension",
      "valueInteger" : 0
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-start-cycle-extension",
      "valueInteger" : 1
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-end-cycle-extension",
      "valueInteger" : 8
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "professional",
        "display" : "Professional"
      }
    ]
  },
  "use" : "preauthorization",
  "patient" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "created" : "2026-01-18",
  "insurer" : {
    🔗 "reference" : "Organization/sha-kenya"
  },
  "request" : {
    🔗 "reference" : "Claim/example-oncology-claim"
  },
  "outcome" : "complete",
  "preAuthRef" : "SHA-PREAUTH-2026-00789",
  "payment" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/ex-paymenttype",
          "code" : "complete",
          "display" : "Complete"
        }
      ]
    },
    "amount" : {
      "value" : 120000,
      "currency" : "KES"
    }
  }
}