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

• Narrative Content
• XML
• JSON
• TTL

: Example Oncology Claim Response — SHA Pre-authorisation Approved

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<ClaimResponse xmlns="http://hl7.org/fhir">
  <id value="OncologyClaimResponseExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim-response"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-covered-extension">
    <valueInteger value="8"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-used-extension">
    <valueInteger value="0"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-start-cycle-extension">
    <valueInteger value="1"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-end-cycle-extension">
    <valueInteger value="8"/>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="professional"/>
      <display value="Professional"/>
    </coding>
  </type>
  <use value="preauthorization"/>
  <patient>🔗 
    <reference value="Patient/example-patient"/>
  </patient>
  <created value="2026-01-18"/>
  <insurer>🔗 
    <reference value="Organization/sha-kenya"/>
  </insurer>
  <request>🔗 
    <reference value="Claim/example-oncology-claim"/>
  </request>
  <outcome value="complete"/>
  <preAuthRef value="SHA-PREAUTH-2026-00789"/>
  <payment>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/ex-paymenttype"/>
        <code value="complete"/>
        <display value="Complete"/>
      </coding>
    </type>
    <amount>
      <value value="120000"/>
      <currency value="KES"/>
    </amount>
  </payment>
</ClaimResponse>