Kenya eClaims FHIR Implementation Guide
0.1.0 - ci-build KE

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

: Exclusion Code System - JSON Representation

Active as of 2026-05-19

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{
  "resourceType" : "CodeSystem",
  "id" : "ExclusionCS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem ExclusionCS</b></p><a name=\"ExclusionCS\"> </a><a name=\"hcExclusionCS\"> </a><p>This case-sensitive code system <code>https://fhir.dha.go.ke/eclaims/CodeSystem/ExclusionCS</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">COSMETIC<a name=\"ExclusionCS-COSMETIC\"> </a></td><td>Cosmetic</td></tr><tr><td style=\"white-space:nowrap\">EXPERIMENTAL<a name=\"ExclusionCS-EXPERIMENTAL\"> </a></td><td>Experimental</td></tr><tr><td style=\"white-space:nowrap\">ELECTIVE<a name=\"ExclusionCS-ELECTIVE\"> </a></td><td>Elective</td></tr><tr><td style=\"white-space:nowrap\">OUT-OF-NETWORK<a name=\"ExclusionCS-OUT-OF-NETWORK\"> </a></td><td>Out of Network</td></tr><tr><td style=\"white-space:nowrap\">NON-FORMULARY-DRUG<a name=\"ExclusionCS-NON-FORMULARY-DRUG\"> </a></td><td>Non Formulary Drug</td></tr><tr><td style=\"white-space:nowrap\">INFERTILITY<a name=\"ExclusionCS-INFERTILITY\"> </a></td><td>Infertility</td></tr><tr><td style=\"white-space:nowrap\">PRE-EXISTING-CONDITION<a name=\"ExclusionCS-PRE-EXISTING-CONDITION\"> </a></td><td>Pre Existing Condition</td></tr></table></div>"
  },
  "url" : "https://fhir.dha.go.ke/eclaims/CodeSystem/ExclusionCS",
  "version" : "0.1.0",
  "name" : "ExclusionCS",
  "title" : "Exclusion Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-19T11:26:54+00:00",
  "publisher" : "Digital Health Agency of Kenya",
  "contact" : [
    {
      "name" : "Digital Health Agency of Kenya",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://dha.go.ke"
        },
        {
          "system" : "email",
          "value" : "interoperability@dha.go.ke"
        }
      ]
    },
    {
      "name" : "eClaims Technical Working Group",
      "telecom" : [
        {
          "system" : "email",
          "value" : "interoperability@dha.go.ke",
          "use" : "work"
        },
        {
          "system" : "url",
          "value" : "https://dha.go.ke",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "A code system that defines Exclusion",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "KE",
          "display" : "Kenya"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 7,
  "concept" : [
    {
      "code" : "COSMETIC",
      "display" : "Cosmetic"
    },
    {
      "code" : "EXPERIMENTAL",
      "display" : "Experimental"
    },
    {
      "code" : "ELECTIVE",
      "display" : "Elective"
    },
    {
      "code" : "OUT-OF-NETWORK",
      "display" : "Out of Network"
    },
    {
      "code" : "NON-FORMULARY-DRUG",
      "display" : "Non Formulary Drug"
    },
    {
      "code" : "INFERTILITY",
      "display" : "Infertility"
    },
    {
      "code" : "PRE-EXISTING-CONDITION",
      "display" : "Pre Existing Condition"
    }
  ]
}