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Packagefhir.kenyaPSIG
Resource TypeValueSet
IdValueSet-claims-status-vs.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/IntelliSOFT-Consulting/Kenya-Patient-Summary-FHIR-IG/ValueSet-claims-status-vs.html
URLhttps://nshr-uat.sha.go.ke/fhir/ValueSet/claims-status-vs
Version0.1.0
Statusdraft
Date2026-06-19T10:10:16+00:00
NameKNHTSCLMVS
TitleClaims status
Realmus
Authorityhl7
DescriptionClaims status
CopyrightCopyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.

Resources that use this resource

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Resources that this resource uses

CodeSystem
fhir.kenyaPSIG#currentknhts-clm-sts-csKNHTS.CLMS CodeSystem for claim status

Narrative

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

Generated Narrative: ValueSet claims-status-vs

  • Include these codes as defined in https://nshr-uat.sha.go.ke/fhir/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.

Source1

{
  "resourceType": "ValueSet",
  "id": "claims-status-vs",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://nshr-uat.sha.go.ke/fhir/ValueSet/claims-status-vs",
  "version": "0.1.0",
  "name": "KNHTSCLMVS",
  "title": "Claims status",
  "status": "draft",
  "experimental": false,
  "date": "2026-06-19T10:10:16+00:00",
  "publisher": "Digital Health Agency of Kenya",
  "contact": [
    {
      "name": "Digital Health Agency of Kenya",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.dha.go.ke"
        },
        {
          "system": "email",
          "value": "interoperability@dha.go.ke"
        }
      ]
    },
    {
      "name": "Digital Health Agency of Kenya – Interoperability Team",
      "telecom": [
        {
          "system": "email",
          "value": "interoperability@dha.go.ke",
          "use": "work"
        },
        {
          "system": "url",
          "value": "https://www.dha.go.ke",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Claims status",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "KE",
          "display": "Kenya"
        }
      ]
    }
  ],
  "copyright": "Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.\n",
  "compose": {
    "include": [
      {
        "system": "https://nshr-uat.sha.go.ke/fhir/CodeSystem/knhts-clm-sts-cs",
        "concept": [
          {
            "code": "STS01"
          },
          {
            "code": "STS02"
          },
          {
            "code": "STS03"
          },
          {
            "code": "STS04"
          },
          {
            "code": "STS05"
          },
          {
            "code": "STS06"
          },
          {
            "code": "STS07"
          },
          {
            "code": "STS08"
          },
          {
            "code": "STS09"
          },
          {
            "code": "STS10"
          },
          {
            "code": "STS11"
          },
          {
            "code": "STS12"
          }
        ]
      }
    ]
  }
}