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

: Claims status - XML Representation

Draft as of 2025-12-09

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="ClaimsStatusVS"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet ClaimsStatusVS</b></p><a name="ClaimsStatusVS"> </a><a name="hcClaimsStatusVS"> </a><ul><li>Include these codes as defined in <a href="CodeSystem-KNHTS.CLMSTS.html"><code>https://example.org/fhir/CodeSystem/KNHTS.CLMSTS</code></a><span title="Version is not explicitly stated, which means it is fixed to the version provided in this specification"> version &#x1F4E6;0.1.0</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS01">STS01</a></td><td style="color: #cccccc">NEW</td><td>Active</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS02">STS02</a></td><td style="color: #cccccc">NOTIFIED</td><td>Identification done and payor notified</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS03">STS03</a></td><td style="color: #cccccc">PREAUTHORIZED</td><td>Pre-authorization done.*</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS04">STS04</a></td><td style="color: #cccccc">COMPLETE</td><td>Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge.</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS05">STS05</a></td><td style="color: #cccccc">CANCELLED</td><td>Cancelled at provider, before submission.</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS06">STS06</a></td><td style="color: #cccccc">SUBMITTED</td><td>Submitted to payer.</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS07">STS07</a></td><td style="color: #cccccc">RECEIVED</td><td>Received at payer.</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS08">STS08</a></td><td style="color: #cccccc">APPROVED</td><td>Approved</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS09">STS09</a></td><td style="color: #cccccc">REJECTED</td><td>The payer has indicated that the claim will not be paid.</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS10">STS10</a></td><td style="color: #cccccc">PAID</td><td>The claim has been paid and the payee should expect to receive or have received  a remittance.</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS11">STS11</a></td><td style="color: #cccccc">EXPIRED</td><td>Expired</td></tr><tr><td><a href="CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS12">STS12</a></td><td style="color: #cccccc">QA</td><td>The claim is undergoing review.</td></tr></table></li></ul></div>
  </text>
  <url value="https://example.org/fhir/ValueSet/ClaimsStatusVS"/>
  <version value="0.1.0"/>
  <name value="KNHTSCLMVS"/>
  <title value="Claims status"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2025-12-09T10:36:20+00:00"/>
  <publisher value="IntelliSOFT Consulting"/>
  <contact>
    <name value="IntelliSOFT Consulting"/>
    <telecom>
      <system value="url"/>
      <value value="https://.com/fhir/example-publisher"/>
    </telecom>
  </contact>
  <contact>
    <name value="KPS Team Kenya."/>
    <telecom>
      <system value="email"/>
      <value value="info@example.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description value="Claims status"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="KE"/>
      <display value="Kenya"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="https://example.org/fhir/CodeSystem/KNHTS.CLMSTS"/>
      <concept>
        <code value="STS01"/>
      </concept>
      <concept>
        <code value="STS02"/>
      </concept>
      <concept>
        <code value="STS03"/>
      </concept>
      <concept>
        <code value="STS04"/>
      </concept>
      <concept>
        <code value="STS05"/>
      </concept>
      <concept>
        <code value="STS06"/>
      </concept>
      <concept>
        <code value="STS07"/>
      </concept>
      <concept>
        <code value="STS08"/>
      </concept>
      <concept>
        <code value="STS09"/>
      </concept>
      <concept>
        <code value="STS10"/>
      </concept>
      <concept>
        <code value="STS11"/>
      </concept>
      <concept>
        <code value="STS12"/>
      </concept>
    </include>
  </compose>
</ValueSet>