Kenya Patient Summary Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya Patient Summary 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/Kenya-Patient-Summary-FHIR-IG/ and changes regularly. See the Directory of published versions

: Claims Response status - TTL Representation

Draft as of 2026-08-07

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/claims-response-vs> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "claims-response-vs"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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/ig/patient-summary/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 ?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>"
  ] ;
  fhir:ValueSet.url [ fhir:value "https://fhir.dha.go.ke/ig/patient-summary/ValueSet/claims-response-vs"] ;
  fhir:ValueSet.version [ fhir:value "0.1.0"] ;
  fhir:ValueSet.name [ fhir:value "KNHTSCLMRSPVS"] ;
  fhir:ValueSet.title [ fhir:value "Claims Response status"] ;
  fhir:ValueSet.status [ fhir:value "draft"] ;
  fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ValueSet.date [ fhir:value "2026-08-07T13:10:11+00:00"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "Digital Health Agency (DHA), Kenya"] ;
  fhir:ValueSet.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency (DHA), Kenya" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.dha.go.ke" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "interoperability@dha.go.ke" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency of Kenya – Interoperability Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "interoperability@dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:ValueSet.description [ fhir:value "Claims Response status"] ;
  fhir:ValueSet.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "KE" ] ;
       fhir:Coding.display [ fhir:value "Kenya" ]
     ]
  ] ;
  fhir:ValueSet.copyright [ fhir: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.\n"] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0 ;
       fhir:ValueSet.compose.include.system [ fhir:value "https://fhir.dha.go.ke/ig/patient-summary/CodeSystem/knhts-clms-rsp-sts-cs" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index 0 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS01" ]
       ], [
         fhir:index 1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS02" ]
       ], [
         fhir:index 2 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS03" ]
       ], [
         fhir:index 3 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS04" ]
       ], [
         fhir:index 4 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS05" ]
       ], [
         fhir:index 5 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS06" ]
       ], [
         fhir:index 6 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS07" ]
       ], [
         fhir:index 7 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS08" ]
       ], [
         fhir:index 8 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS09" ]
       ], [
         fhir:index 9 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS10" ]
       ], [
         fhir:index 10 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS11" ]
       ], [
         fhir:index 11 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "STS12" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/claims-response-vs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/claims-response-vs.ttl> .