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Packagefhir.ke.nccp
Resource TypeClaimResponse
IdClaimResponse-OncologyClaimResponseExample.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

SHA pre-authorisation approval for 6 cycles of AC-T chemotherapy (8 sessions) for breast cancer


Source1

{
  "resourceType": "ClaimResponse",
  "id": "OncologyClaimResponseExample",
  "meta": {
    "profile": [
      "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim-response"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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"
    }
  }
}