Kenya Patient Summary FHIR Implementation Guide
0.1.0 - ci-build KE

Kenya Patient Summary FHIR Implementation Guide, published by Digital Health Agency of 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/Kenya-Patient-Summary-FHIR-IG/ and changes regularly. See the Directory of published versions

CodeSystem: KNHTS.CLMS CodeSystem for claim status

Official URL: https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs Version: 0.1.0
Draft as of 2026-05-11 Computable Name: KNHTS_CLMS

Copyright/Legal: Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.

CodeSystem for KNHTS Claim status

This Code system is referenced in the content logical definition of the following value sets:

This case-insensitive code system https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs defines the following codes:

CodeDisplayDefinition
STS01 NEW Active
STS02 NOTIFIED Identification done and payor notified
STS03 PREAUTHORIZED Pre-authorization done.*
STS04 COMPLETE Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge.
STS05 CANCELLED Cancelled at provider, before submission.
STS06 SUBMITTED Submitted to payer.
STS07 RECEIVED Received at payer.
STS08 APPROVED Approved
STS09 REJECTED The payer has indicated that the claim will not be paid.
STS10 PAID The claim has been paid and the payee should expect to receive or have received a remittance.
STS11 EXPIRED Expired
STS12 QA The claim is undergoing review.