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

ValueSet: Claims status

Official URL: https://fhir.dha.go.ke/kps/ValueSet/claims-status-vs Version: 0.1.0
Draft as of 2026-05-11 Computable Name: KNHTSCLMVS

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.

Claims status

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs version 📦0.1.0
    CodeDisplayDefinition
    STS01NEWActive
    STS02NOTIFIEDIdentification done and payor notified
    STS03PREAUTHORIZEDPre-authorization done.*
    STS04COMPLETEProvider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge.
    STS05CANCELLEDCancelled at provider, before submission.
    STS06SUBMITTEDSubmitted to payer.
    STS07RECEIVEDReceived at payer.
    STS08APPROVEDApproved
    STS09REJECTEDThe payer has indicated that the claim will not be paid.
    STS10PAIDThe claim has been paid and the payee should expect to receive or have received a remittance.
    STS11EXPIREDExpired
    STS12QAThe claim is undergoing review.

 

Expansion

Expansion performed internally based on codesystem KNHTS.CLMS CodeSystem for claim status v0.1.0 (CodeSystem)

This value set contains 12 concepts

SystemCodeDisplay (en)DefinitionJSONXML
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS01NEWActive
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS02NOTIFIEDIdentification done and payor notified
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS03PREAUTHORIZEDPre-authorization done.*
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS04COMPLETEProvider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge.
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS05CANCELLEDCancelled at provider, before submission.
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS06SUBMITTEDSubmitted to payer.
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS07RECEIVEDReceived at payer.
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS08APPROVEDApproved
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS09REJECTEDThe payer has indicated that the claim will not be paid.
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS10PAIDThe claim has been paid and the payee should expect to receive or have received a remittance.
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS11EXPIREDExpired
https://fhir.dha.go.ke/kps/CodeSystem/knhts-clm-sts-cs  STS12QAThe claim is undergoing review.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code