{
  "resourceType" : "ValueSet",
  "id" : "claims-response-vs",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet claims-response-vs</b></p><a name=\"claims-response-vs\"> </a><a name=\"hcclaims-response-vs\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html\"><code>https://fhir.dha.go.ke/kps/CodeSystem/knhts-clms-rsp-sts-cs</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version &#x1F4E6;0.1.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS01\">STS01</a></td><td style=\"color: #cccccc\">NEW</td><td>New Claims response</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS02\">STS02</a></td><td style=\"color: #cccccc\">NOTIFIED</td><td>Identification done and payor notified</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS03\">STS03</a></td><td style=\"color: #cccccc\">PREAUTHORIZED</td><td>Pre-authorization done.*</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS04\">STS04</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS05\">STS05</a></td><td style=\"color: #cccccc\">CANCELLED</td><td>Cancelled at provider, before submission.</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS06\">STS06</a></td><td style=\"color: #cccccc\">SUBMITTED</td><td>Submitted to payer.</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS07\">STS07</a></td><td style=\"color: #cccccc\">RECEIVED</td><td>Received at payer.</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS08\">STS08</a></td><td style=\"color: #cccccc\">APPROVED</td><td>Approved</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS09\">STS09</a></td><td style=\"color: #cccccc\">REJECTED</td><td>The payer has indicated that the claim will not be paid.</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS10\">STS10</a></td><td style=\"color: #cccccc\">PAID</td><td>The claim has been paid and the payee should expect to receive or have received  a remittance.</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS11\">STS11</a></td><td style=\"color: #cccccc\">EXPIRED</td><td>Expired</td></tr><tr><td><a href=\"CodeSystem-knhts-clms-rsp-sts-cs.html#knhts-clms-rsp-sts-cs-STS12\">STS12</a></td><td style=\"color: #cccccc\">QA</td><td>The claim is undergoing review.</td></tr></table></li></ul></div>"
  },
  "url" : "https://fhir.dha.go.ke/kps/ValueSet/claims-response-vs",
  "version" : "0.1.0",
  "name" : "KNHTSCLMRSPVS",
  "title" : "Claims Response status",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-05-11T04:59:51+00:00",
  "publisher" : "Digital Health Agency of Kenya",
  "contact" : [{
    "name" : "Digital Health Agency of Kenya",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.dha.go.ke"
    },
    {
      "system" : "email",
      "value" : "interoperability@dha.go.ke"
    }]
  },
  {
    "name" : "Digital Health Agency of Kenya – Interoperability Team",
    "telecom" : [{
      "system" : "email",
      "value" : "interoperability@dha.go.ke",
      "use" : "work"
    },
    {
      "system" : "url",
      "value" : "https://www.dha.go.ke",
      "use" : "work"
    }]
  }],
  "description" : "Claims Response status",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "KE",
      "display" : "Kenya"
    }]
  }],
  "copyright" : "Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.\n",
  "compose" : {
    "include" : [{
      "system" : "https://fhir.dha.go.ke/kps/CodeSystem/knhts-clms-rsp-sts-cs",
      "concept" : [{
        "code" : "STS01"
      },
      {
        "code" : "STS02"
      },
      {
        "code" : "STS03"
      },
      {
        "code" : "STS04"
      },
      {
        "code" : "STS05"
      },
      {
        "code" : "STS06"
      },
      {
        "code" : "STS07"
      },
      {
        "code" : "STS08"
      },
      {
        "code" : "STS09"
      },
      {
        "code" : "STS10"
      },
      {
        "code" : "STS11"
      },
      {
        "code" : "STS12"
      }]
    }]
  }
}