Kenya National Cancer Control Programme (NCCP) FHIR 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/nccpFHIRIG/ and changes regularly. See the Directory of published versions

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• JSON
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: Example Oncology Claim Response — SHA Pre-authorisation Approved

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{
  "resourceType" : "ClaimResponse",
  "id" : "OncologyClaimResponseExample",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim-response"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>SHA pre-authorisation approval for 6 cycles of AC-T chemotherapy (8 sessions) for breast cancer</p></div>"
  },
  "extension" : [
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-covered-extension",
      "valueInteger" : 8
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-used-extension",
      "valueInteger" : 0
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-start-cycle-extension",
      "valueInteger" : 1
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-end-cycle-extension",
      "valueInteger" : 8
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "professional",
        "display" : "Professional"
      }
    ]
  },
  "use" : "preauthorization",
  "patient" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "created" : "2026-01-18",
  "insurer" : {
    🔗 "reference" : "Organization/sha-kenya"
  },
  "request" : {
    🔗 "reference" : "Claim/example-oncology-claim"
  },
  "outcome" : "complete",
  "preAuthRef" : "SHA-PREAUTH-2026-00789",
  "payment" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/ex-paymenttype",
          "code" : "complete",
          "display" : "Complete"
        }
      ]
    },
    "amount" : {
      "value" : 120000,
      "currency" : "KES"
    }
  }
}