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

: Coverage Plan Type Code System - JSON Representation

Active as of 2026-05-19

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{
  "resourceType" : "CodeSystem",
  "id" : "coverage-plan-type-cs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem coverage-plan-type-cs</b></p><a name=\"coverage-plan-type-cs\"> </a><a name=\"hccoverage-plan-type-cs\"> </a><p>This case-sensitive code system <code>https://fhir.dha.go.ke/eclaims/CodeSystem/coverage-plan-type-cs</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\">HMO<a name=\"coverage-plan-type-cs-HMO\"> </a></td><td>Health Maintenance Organization</td></tr><tr><td style=\"white-space:nowrap\">PPO<a name=\"coverage-plan-type-cs-PPO\"> </a></td><td>Preferred Provider Organization</td></tr><tr><td style=\"white-space:nowrap\">POS<a name=\"coverage-plan-type-cs-POS\"> </a></td><td>Point of Service</td></tr><tr><td style=\"white-space:nowrap\">EPO<a name=\"coverage-plan-type-cs-EPO\"> </a></td><td>Exclusive Provider Organization</td></tr><tr><td style=\"white-space:nowrap\">INDEMNITY<a name=\"coverage-plan-type-cs-INDEMNITY\"> </a></td><td>Indemnity</td></tr><tr><td style=\"white-space:nowrap\">TPA<a name=\"coverage-plan-type-cs-TPA\"> </a></td><td>Third Party Administrator</td></tr></table></div>"
  },
  "url" : "https://fhir.dha.go.ke/eclaims/CodeSystem/coverage-plan-type-cs",
  "version" : "0.1.0",
  "name" : "CoveragePlanTypeCS",
  "title" : "Coverage Plan Type 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" : "Codes for types of coverage plan (MOH-Kenya OCL: COVERAGE-PLAN-TYPE)",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "KE",
          "display" : "Kenya"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 6,
  "concept" : [
    {
      "code" : "HMO",
      "display" : "Health Maintenance Organization"
    },
    {
      "code" : "PPO",
      "display" : "Preferred Provider Organization"
    },
    {
      "code" : "POS",
      "display" : "Point of Service"
    },
    {
      "code" : "EPO",
      "display" : "Exclusive Provider Organization"
    },
    {
      "code" : "INDEMNITY",
      "display" : "Indemnity"
    },
    {
      "code" : "TPA",
      "display" : "Third Party Administrator"
    }
  ]
}