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 - XML Representation

Active as of 2026-05-19

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="coverage-plan-type-cs"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://fhir.dha.go.ke/eclaims/CodeSystem/coverage-plan-type-cs"/>
  <version value="0.1.0"/>
  <name value="CoveragePlanTypeCS"/>
  <title value="Coverage Plan Type Code System"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-05-19T11:26:54+00:00"/>
  <publisher value="Digital Health Agency of Kenya"/>
  <contact>
    <name value="Digital Health Agency of Kenya"/>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="interoperability@dha.go.ke"/>
    </telecom>
  </contact>
  <contact>
    <name value="eClaims Technical Working Group"/>
    <telecom>
      <system value="email"/>
      <value value="interoperability@dha.go.ke"/>
      <use value="work"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="Codes for types of coverage plan (MOH-Kenya OCL: COVERAGE-PLAN-TYPE)"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="KE"/>
      <display value="Kenya"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="6"/>
  <concept>
    <code value="HMO"/>
    <display value="Health Maintenance Organization"/>
  </concept>
  <concept>
    <code value="PPO"/>
    <display value="Preferred Provider Organization"/>
  </concept>
  <concept>
    <code value="POS"/>
    <display value="Point of Service"/>
  </concept>
  <concept>
    <code value="EPO"/>
    <display value="Exclusive Provider Organization"/>
  </concept>
  <concept>
    <code value="INDEMNITY"/>
    <display value="Indemnity"/>
  </concept>
  <concept>
    <code value="TPA"/>
    <display value="Third Party Administrator"/>
  </concept>
</CodeSystem>