Kenya Emergency FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya Emergency FHIR Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-Emmergency-FHIR-IG/ and changes regularly. See the Directory of published versions

: Claims Departments - TTL Representation

Draft as of 2026-07-20

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

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

<http://hl7.org/fhir/CodeSystem/claims-departments-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "claims-departments-cs"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem claims-departments-cs</b></p><a name=\"claims-departments-cs\"> </a><a name=\"hcclaims-departments-cs\"> </a><p>This  code system <code>https://nshr-uat.sha.go.ke/fhir/CodeSystem/claims-departments-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\">OUTPATIENT<a name=\"claims-departments-cs-OUTPATIENT\"> </a></td><td>Outpatient</td></tr><tr><td style=\"white-space:nowrap\">INPATIENT<a name=\"claims-departments-cs-INPATIENT\"> </a></td><td>Inpatient</td></tr><tr><td style=\"white-space:nowrap\">DENTAL<a name=\"claims-departments-cs-DENTAL\"> </a></td><td>Dental</td></tr><tr><td style=\"white-space:nowrap\">LAB<a name=\"claims-departments-cs-LAB\"> </a></td><td>Lab</td></tr><tr><td style=\"white-space:nowrap\">RADIOLOGY<a name=\"claims-departments-cs-RADIOLOGY\"> </a></td><td>Radiology</td></tr><tr><td style=\"white-space:nowrap\">OPHTHALMOLOGY<a name=\"claims-departments-cs-OPHTHALMOLOGY\"> </a></td><td>Ophthalmology</td></tr><tr><td style=\"white-space:nowrap\">PHARMACY<a name=\"claims-departments-cs-PHARMACY\"> </a></td><td>Pharmacy</td></tr><tr><td style=\"white-space:nowrap\">CONSULTATION<a name=\"claims-departments-cs-CONSULTATION\"> </a></td><td>Consultation</td></tr><tr><td style=\"white-space:nowrap\">CREDIT_NOTE<a name=\"claims-departments-cs-CREDIT_NOTE\"> </a></td><td>Credit Note</td></tr><tr><td style=\"white-space:nowrap\">MATERNITY<a name=\"claims-departments-cs-MATERNITY\"> </a></td><td>Maternity</td></tr><tr><td style=\"white-space:nowrap\">OPTICAL<a name=\"claims-departments-cs-OPTICAL\"> </a></td><td>Optical</td></tr><tr><td style=\"white-space:nowrap\">OTHER<a name=\"claims-departments-cs-OTHER\"> </a></td><td>Other</td></tr><tr><td style=\"white-space:nowrap\">DENTAL_AND_OPTICAL<a name=\"claims-departments-cs-DENTAL_AND_OPTICAL\"> </a></td><td>Dental/Optical</td></tr><tr><td style=\"white-space:nowrap\">HIV_AIDS_AND_COVID<a name=\"claims-departments-cs-HIV_AIDS_AND_COVID\"> </a></td><td>Hiv/Aids &amp; Covid</td></tr><tr><td style=\"white-space:nowrap\">HIV_AIDS<a name=\"claims-departments-cs-HIV_AIDS\"> </a></td><td>Hiv/Aids</td></tr><tr><td style=\"white-space:nowrap\">COVID_19<a name=\"claims-departments-cs-COVID_19\"> </a></td><td>Covid-19</td></tr><tr><td style=\"white-space:nowrap\">VACCINES<a name=\"claims-departments-cs-VACCINES\"> </a></td><td>Vaccines</td></tr><tr><td style=\"white-space:nowrap\">HEALTH_CHECKUPS<a name=\"claims-departments-cs-HEALTH_CHECKUPS\"> </a></td><td>Health Checkups</td></tr><tr><td style=\"white-space:nowrap\">EMERGENCY<a name=\"claims-departments-cs-EMERGENCY\"> </a></td><td>Emergency</td></tr><tr><td style=\"white-space:nowrap\">CAPITATION<a name=\"claims-departments-cs-CAPITATION\"> </a></td><td>Capitation</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://nshr-uat.sha.go.ke/fhir/CodeSystem/claims-departments-cs"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "ClaimsDepartmentsCS"] ;
  fhir:CodeSystem.title [ fhir:value "Claims Departments"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.date [ fhir:value "2026-07-20T11:03:05+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Digital Health Agency (DHA), Kenya"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency (DHA), Kenya" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency Kenya – FHIR Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Locally defined healthcare service departments for claims"] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "KE" ] ;
       fhir:Coding.display [ fhir:value "Kenya" ]
     ]
  ] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "20"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "OUTPATIENT" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Outpatient" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "INPATIENT" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Inpatient" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "DENTAL" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Dental" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "LAB" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Lab" ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "RADIOLOGY" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Radiology" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "OPHTHALMOLOGY" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Ophthalmology" ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "PHARMACY" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pharmacy" ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "CONSULTATION" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Consultation" ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "CREDIT_NOTE" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Credit Note" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "MATERNITY" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Maternity" ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "OPTICAL" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Optical" ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "OTHER" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Other" ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "DENTAL_AND_OPTICAL" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Dental/Optical" ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "HIV_AIDS_AND_COVID" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hiv/Aids & Covid" ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "HIV_AIDS" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hiv/Aids" ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "COVID_19" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Covid-19" ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "VACCINES" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Vaccines" ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "HEALTH_CHECKUPS" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Health Checkups" ]
  ], [
     fhir:index 18 ;
     fhir:CodeSystem.concept.code [ fhir:value "EMERGENCY" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Emergency" ]
  ], [
     fhir:index 19 ;
     fhir:CodeSystem.concept.code [ fhir:value "CAPITATION" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Capitation" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/claims-departments-cs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/claims-departments-cs.ttl> .