Kenya Patient Summary FHIR Implementation Guide
0.1.0 - ci-build
KE
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
| Draft as of 2026-05-11 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="knhts-clms-rsp-sts-cs"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem knhts-clms-rsp-sts-cs</b></p><a name="knhts-clms-rsp-sts-cs"> </a><a name="hcknhts-clms-rsp-sts-cs"> </a><p>This case-insensitive code system <code>https://fhir.dha.go.ke/kps/CodeSystem/knhts-clms-rsp-sts-cs</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">STS01<a name="knhts-clms-rsp-sts-cs-STS01"> </a></td><td>NEW</td><td>New Claims response</td></tr><tr><td style="white-space:nowrap">STS02<a name="knhts-clms-rsp-sts-cs-STS02"> </a></td><td>NOTIFIED</td><td>Identification done and payor notified</td></tr><tr><td style="white-space:nowrap">STS03<a name="knhts-clms-rsp-sts-cs-STS03"> </a></td><td>PREAUTHORIZED</td><td>Pre-authorization done.*</td></tr><tr><td style="white-space:nowrap">STS04<a name="knhts-clms-rsp-sts-cs-STS04"> </a></td><td>COMPLETE</td><td>Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge.</td></tr><tr><td style="white-space:nowrap">STS05<a name="knhts-clms-rsp-sts-cs-STS05"> </a></td><td>CANCELLED</td><td>Cancelled at provider, before submission.</td></tr><tr><td style="white-space:nowrap">STS06<a name="knhts-clms-rsp-sts-cs-STS06"> </a></td><td>SUBMITTED</td><td>Submitted to payer.</td></tr><tr><td style="white-space:nowrap">STS07<a name="knhts-clms-rsp-sts-cs-STS07"> </a></td><td>RECEIVED</td><td>Received at payer.</td></tr><tr><td style="white-space:nowrap">STS08<a name="knhts-clms-rsp-sts-cs-STS08"> </a></td><td>APPROVED</td><td>Approved</td></tr><tr><td style="white-space:nowrap">STS09<a name="knhts-clms-rsp-sts-cs-STS09"> </a></td><td>REJECTED</td><td>The payer has indicated that the claim will not be paid.</td></tr><tr><td style="white-space:nowrap">STS10<a name="knhts-clms-rsp-sts-cs-STS10"> </a></td><td>PAID</td><td>The claim has been paid and the payee should expect to receive or have received a remittance.</td></tr><tr><td style="white-space:nowrap">STS11<a name="knhts-clms-rsp-sts-cs-STS11"> </a></td><td>EXPIRED</td><td>Expired</td></tr><tr><td style="white-space:nowrap">STS12<a name="knhts-clms-rsp-sts-cs-STS12"> </a></td><td>QA</td><td>The claim is undergoing review.</td></tr></table></div>
</text>
<url value="https://fhir.dha.go.ke/kps/CodeSystem/knhts-clms-rsp-sts-cs"/>
<version value="0.1.0"/>
<name value="KNHTS_CLMS_RSP"/>
<title value="KNHTS.CLMSRSP CodeSystem for claim response status"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2026-05-11T04:59:51+00:00"/>
<publisher value="Digital Health Agency of Kenya"/>
<contact>
<name value="Digital Health Agency of Kenya"/>
<telecom>
<system value="url"/>
<value value="https://www.dha.go.ke"/>
</telecom>
<telecom>
<system value="email"/>
<value value="interoperability@dha.go.ke"/>
</telecom>
</contact>
<contact>
<name value="Digital Health Agency of Kenya – Interoperability Team"/>
<telecom>
<system value="email"/>
<value value="interoperability@dha.go.ke"/>
<use value="work"/>
</telecom>
<telecom>
<system value="url"/>
<value value="https://www.dha.go.ke"/>
<use value="work"/>
</telecom>
</contact>
<description value="CodeSystem for KNHTS Claim status"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="KE"/>
<display value="Kenya"/>
</coding>
</jurisdiction>
<copyright
value="Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.
"/>
<caseSensitive value="false"/>
<content value="complete"/>
<count value="12"/>
<concept>
<code value="STS01"/>
<display value="NEW"/>
<definition value="New Claims response"/>
</concept>
<concept>
<code value="STS02"/>
<display value="NOTIFIED"/>
<definition value="Identification done and payor notified"/>
</concept>
<concept>
<code value="STS03"/>
<display value="PREAUTHORIZED"/>
<definition value="Pre-authorization done.*"/>
</concept>
<concept>
<code value="STS04"/>
<display value="COMPLETE"/>
<definition
value="Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge."/>
</concept>
<concept>
<code value="STS05"/>
<display value="CANCELLED"/>
<definition value="Cancelled at provider, before submission."/>
</concept>
<concept>
<code value="STS06"/>
<display value="SUBMITTED"/>
<definition value="Submitted to payer."/>
</concept>
<concept>
<code value="STS07"/>
<display value="RECEIVED"/>
<definition value="Received at payer."/>
</concept>
<concept>
<code value="STS08"/>
<display value="APPROVED"/>
<definition value="Approved"/>
</concept>
<concept>
<code value="STS09"/>
<display value="REJECTED"/>
<definition
value="The payer has indicated that the claim will not be paid."/>
</concept>
<concept>
<code value="STS10"/>
<display value="PAID"/>
<definition
value="The claim has been paid and the payee should expect to receive or have received a remittance."/>
</concept>
<concept>
<code value="STS11"/>
<display value="EXPIRED"/>
<definition value="Expired"/>
</concept>
<concept>
<code value="STS12"/>
<display value="QA"/>
<definition value="The claim is undergoing review."/>
</concept>
</CodeSystem>