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 - TTL Representation

Active as of 2026-05-19

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "coverage-plan-type-cs"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "https://fhir.dha.go.ke/eclaims/CodeSystem/coverage-plan-type-cs"^^xsd:anyURI ;
fhir:l <https://fhir.dha.go.ke/eclaims/CodeSystem/coverage-plan-type-cs>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "CoveragePlanTypeCS"] ; # 
  fhir:title [ fhir:v "Coverage Plan Type Code System"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-05-19T11:26:54+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Digital Health Agency of Kenya"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Digital Health Agency of Kenya" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://dha.go.ke" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "interoperability@dha.go.ke" ]     ] )
  ] [
fhir:name [ fhir:v "eClaims Technical Working Group" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "interoperability@dha.go.ke" ] ;
fhir:use [ fhir:v "work" ]     ] [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://dha.go.ke" ] ;
fhir:use [ fhir:v "work" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Codes for types of coverage plan (MOH-Kenya OCL: COVERAGE-PLAN-TYPE)"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "KE" ] ;
fhir:display [ fhir:v "Kenya" ]     ] )
  ] ) ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "6"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "HMO" ] ;
fhir:display [ fhir:v "Health Maintenance Organization" ]
  ] [
fhir:code [ fhir:v "PPO" ] ;
fhir:display [ fhir:v "Preferred Provider Organization" ]
  ] [
fhir:code [ fhir:v "POS" ] ;
fhir:display [ fhir:v "Point of Service" ]
  ] [
fhir:code [ fhir:v "EPO" ] ;
fhir:display [ fhir:v "Exclusive Provider Organization" ]
  ] [
fhir:code [ fhir:v "INDEMNITY" ] ;
fhir:display [ fhir:v "Indemnity" ]
  ] [
fhir:code [ fhir:v "TPA" ] ;
fhir:display [ fhir:v "Third Party Administrator" ]
  ] ) . #