Kenya Patient Summary FHIR IG
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Kenya Patient Summary FHIR IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

ValueSet: Claims Response status

Official URL: https://example.org/fhir/ValueSet/ClaimsResponseVS Version: 0.1.0
Draft as of 2025-12-09 Computable Name: KNHTSCLMRSPVS

Claims Response 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://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS version 📦0.1.0
    CodeDisplayDefinition
    STS01NEWNew Claims response
    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.CLMSRSP CodeSystem for claim response status v0.1.0 (CodeSystem)

This value set contains 12 concepts

SystemCodeDisplay (en)DefinitionJSONXML
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS01NEWNew Claims response
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS02NOTIFIEDIdentification done and payor notified
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS03PREAUTHORIZEDPre-authorization done.*
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  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://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS05CANCELLEDCancelled at provider, before submission.
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS06SUBMITTEDSubmitted to payer.
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS07RECEIVEDReceived at payer.
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS08APPROVEDApproved
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS09REJECTEDThe payer has indicated that the claim will not be paid.
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS10PAIDThe claim has been paid and the payee should expect to receive or have received a remittance.
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  STS11EXPIREDExpired
https://example.org/fhir/CodeSystem/KNHTS.CLMSRSPSTS  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