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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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:ClaimResponse ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "OncologyClaimResponseExample"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim-response"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim-response> ] )
] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
] ; #
fhir:extension ( [
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-covered-extension"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-covered-extension> ] ;
fhir:value [
a fhir:Integer ;
fhir:v 8 ]
] [
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-used-extension"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-used-extension> ] ;
fhir:value [
a fhir:Integer ;
fhir:v 0 ]
] [
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-start-cycle-extension"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-start-cycle-extension> ] ;
fhir:value [
a fhir:Integer ;
fhir:v 1 ]
] [
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-end-cycle-extension"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-end-cycle-extension> ] ;
fhir:value [
a fhir:Integer ;
fhir:v 8 ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/claim-type> ] ;
fhir:code [ fhir:v "professional" ] ;
fhir:display [ fhir:v "Professional" ] ] )
] ; #
fhir:use [ fhir:v "preauthorization"] ; #
fhir:patient [
fhir:l fhir:Patient/example-patient ;
fhir:reference [ fhir:v "Patient/example-patient" ]
] ; #
fhir:created [ fhir:v "2026-01-18"^^xsd:date] ; #
fhir:insurer [
fhir:l fhir:Organization/sha-kenya ;
fhir:reference [ fhir:v "Organization/sha-kenya" ]
] ; #
fhir:request [
fhir:l fhir:Claim/example-oncology-claim ;
fhir:reference [ fhir:v "Claim/example-oncology-claim" ]
] ; #
fhir:outcome [ fhir:v "complete"] ; #
fhir:preAuthRef [ fhir:v "SHA-PREAUTH-2026-00789"] ; #
fhir:payment [
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/ex-paymenttype"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/ex-paymenttype> ] ;
fhir:code [ fhir:v "complete" ] ;
fhir:display [ fhir:v "Complete" ] ] ) ] ;
fhir:amount [
fhir:value [ fhir:v "120000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "KES" ] ]
] . #
