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

: Claims Response status - XML Representation

Draft as of 2026-05-11

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="claims-response-vs"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <url value="https://fhir.dha.go.ke/kps/ValueSet/claims-response-vs"/>
  <version value="0.1.0"/>
  <name value="KNHTSCLMRSPVS"/>
  <title value="Claims 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="Claims Response 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.
"/>
  <compose>
    <include>
      <system
              value="https://fhir.dha.go.ke/kps/CodeSystem/knhts-clms-rsp-sts-cs"/>
      <concept>
        <code value="STS01"/>
      </concept>
      <concept>
        <code value="STS02"/>
      </concept>
      <concept>
        <code value="STS03"/>
      </concept>
      <concept>
        <code value="STS04"/>
      </concept>
      <concept>
        <code value="STS05"/>
      </concept>
      <concept>
        <code value="STS06"/>
      </concept>
      <concept>
        <code value="STS07"/>
      </concept>
      <concept>
        <code value="STS08"/>
      </concept>
      <concept>
        <code value="STS09"/>
      </concept>
      <concept>
        <code value="STS10"/>
      </concept>
      <concept>
        <code value="STS11"/>
      </concept>
      <concept>
        <code value="STS12"/>
      </concept>
    </include>
  </compose>
</ValueSet>