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

• Narrative Content
• XML
• JSON
• TTL

: Example Oncology Claim Response — SHA Pre-authorisation Approved

Raw xml | Download

<ClaimResponse xmlns="http://hl7.org/fhir">
  <id value="OncologyClaimResponseExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim-response"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-covered-extension">
    <valueInteger value="8"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-used-extension">
    <valueInteger value="0"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-start-cycle-extension">
    <valueInteger value="1"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-end-cycle-extension">
    <valueInteger value="8"/>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="professional"/>
      <display value="Professional"/>
    </coding>
  </type>
  <use value="preauthorization"/>
  <patient>🔗 
    <reference value="Patient/example-patient"/>
  </patient>
  <created value="2026-01-18"/>
  <insurer>🔗 
    <reference value="Organization/sha-kenya"/>
  </insurer>
  <request>🔗 
    <reference value="Claim/example-oncology-claim"/>
  </request>
  <outcome value="complete"/>
  <preAuthRef value="SHA-PREAUTH-2026-00789"/>
  <payment>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/ex-paymenttype"/>
        <code value="complete"/>
        <display value="Complete"/>
      </coding>
    </type>
    <amount>
      <value value="120000"/>
      <currency value="KES"/>
    </amount>
  </payment>
</ClaimResponse>