Kenya Patient Summary Implementation Guide
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Kenya Patient Summary 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-Patient-Summary-FHIR-IG/ and changes regularly. See the Directory of published versions

: KNHTS.CLMSTPS CodeSystem for claim Sub-types - TTL Representation

Draft as of 2026-08-07

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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/knhts-clms-sb-typs-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "knhts-clms-sb-typs-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 knhts-clms-sb-typs-cs</b></p><a name=\"knhts-clms-sb-typs-cs\"> </a><a name=\"hcknhts-clms-sb-typs-cs\"> </a><p>This case-insensitive code system <code>https://fhir.dha.go.ke/ig/patient-summary/CodeSystem/knhts-clms-sb-typs-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><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS01<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS01\"> </a></td><td>PHC_OUTPATIENT</td><td>Outpatient Health Services (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS02<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS02\"> </a></td><td>PHC_EAR</td><td>Ear Health Services (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS03<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS03\"> </a></td><td>PHC_EYE</td><td>Eye Health Services (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS04<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS04\"> </a></td><td>PHC_MENTAL</td><td>Mental and Behavioral Health Services (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS05<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS05\"> </a></td><td>PHC_SCREENING</td><td>Screening Services (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS06<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS06\"> </a></td><td>PHC_REHABILITATIVE</td><td>Rehabilitative Services (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS07<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS07\"> </a></td><td>PHC_ASSISTIVE</td><td>Assistive Devices (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS08<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS08\"> </a></td><td>PHC_MATERNITY</td><td>Maternity Healthcare Services (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS09<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS09\"> </a></td><td>PHC_INPATIENT</td><td>Inpatient Services (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS10<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS10\"> </a></td><td>PHC_LAST_EXPENSE</td><td>Last Expense (Primary Healthcare Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS11<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS11\"> </a></td><td>SHIF_OUTPATIENT</td><td>Outpatient (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS12<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS12\"> </a></td><td>SHIF_INPATIENT</td><td>Inpatient (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS13<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS13\"> </a></td><td>SHIF_MATERNITY</td><td>Maternity (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS14<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS14\"> </a></td><td>SHIF_SURGICAL</td><td>Surgical (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS15<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS15\"> </a></td><td>SHIF_NCD</td><td>NCD Screening (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS16<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS16\"> </a></td><td>SHIF_CONGENITAL</td><td>Congenital Screening (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS17<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS17\"> </a></td><td>SHIF_REHABILITATION</td><td>Rehabilitation Services (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS18<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS18\"> </a></td><td>SHIF_CRITICAL_CARE</td><td>Critical Care Services (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS19<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS19\"> </a></td><td>SHIF_PALLIATIVE_CARE</td><td>Palliative Care Services (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS20<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS20\"> </a></td><td>SHIF_RADIOLOGY</td><td>Radiology Services (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS21<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS21\"> </a></td><td>SHIF_CANCER_MANAGEMENT</td><td>Cancer Management (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS22<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS22\"> </a></td><td>SHIF_ASSISTIVE_DEVICES</td><td>Assistive Devices (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS23<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS23\"> </a></td><td>SHIF_OVERSEAS_TREATMENT</td><td>Overseas Treatment (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS24<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS24\"> </a></td><td>SHIF_MORTUARY_FEE</td><td>Mortuary Fee (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS25<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS25\"> </a></td><td>SHIF_DIALYSIS</td><td>Dialysis Services (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS26<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS26\"> </a></td><td>SHIF_TRANSPLANT</td><td>Transplant Services (Social Health Insurance Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS29<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS29\"> </a></td><td>ECCIF_CHRONIC</td><td>Chronic Illness Fund (Chronic and Critical Illness Fund)</td></tr><tr><td style=\"white-space:nowrap\">CLMSBTPS30<a name=\"knhts-clms-sb-typs-cs-CLMSBTPS30\"> </a></td><td>ECCIF_AMBULANCE</td><td>Ambulance Services (Emergency Fund)</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://fhir.dha.go.ke/ig/patient-summary/CodeSystem/knhts-clms-sb-typs-cs"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "KNHTS_CLMS_SBTYPS"] ;
  fhir:CodeSystem.title [ fhir:value "KNHTS.CLMSTPS CodeSystem for claim Sub-types"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-08-07T13:10:11+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://www.dha.go.ke" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "interoperability@dha.go.ke" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency of Kenya – Interoperability Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "interoperability@dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "CodeSystem for KNHTS Claim Sub-types"] ;
  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.copyright [ fhir:value "Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.\n"] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "28"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS01" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_OUTPATIENT" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Outpatient Health Services (Primary Healthcare Fund)" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS02" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_EAR" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Ear Health Services (Primary Healthcare Fund)" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS03" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_EYE" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Eye Health Services (Primary Healthcare Fund)" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS04" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_MENTAL" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Mental and Behavioral Health Services (Primary Healthcare Fund)" ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS05" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_SCREENING" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Screening Services (Primary Healthcare Fund)" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS06" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_REHABILITATIVE" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Rehabilitative Services (Primary Healthcare Fund)" ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS07" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_ASSISTIVE" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Assistive Devices (Primary Healthcare Fund)" ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS08" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_MATERNITY" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Maternity Healthcare Services (Primary Healthcare Fund)" ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS09" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_INPATIENT" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Inpatient Services (Primary Healthcare Fund)" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS10" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "PHC_LAST_EXPENSE" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Last Expense (Primary Healthcare Fund)" ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS11" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_OUTPATIENT" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Outpatient (Social Health Insurance Fund)" ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS12" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_INPATIENT" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Inpatient (Social Health Insurance Fund)" ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS13" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_MATERNITY" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Maternity (Social Health Insurance Fund)" ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS14" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_SURGICAL" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Surgical (Social Health Insurance Fund)" ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS15" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_NCD" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "NCD Screening (Social Health Insurance Fund)" ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS16" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_CONGENITAL" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Congenital Screening (Social Health Insurance Fund)" ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS17" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_REHABILITATION" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Rehabilitation Services (Social Health Insurance Fund)" ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS18" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_CRITICAL_CARE" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Critical Care Services (Social Health Insurance Fund)" ]
  ], [
     fhir:index 18 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS19" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_PALLIATIVE_CARE" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Palliative Care Services (Social Health Insurance Fund)" ]
  ], [
     fhir:index 19 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS20" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_RADIOLOGY" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Radiology Services (Social Health Insurance Fund)" ]
  ], [
     fhir:index 20 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS21" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_CANCER_MANAGEMENT" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Cancer Management (Social Health Insurance Fund)" ]
  ], [
     fhir:index 21 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS22" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_ASSISTIVE_DEVICES" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Assistive Devices (Social Health Insurance Fund)" ]
  ], [
     fhir:index 22 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS23" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_OVERSEAS_TREATMENT" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Overseas Treatment (Social Health Insurance Fund)" ]
  ], [
     fhir:index 23 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS24" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_MORTUARY_FEE" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Mortuary Fee (Social Health Insurance Fund)" ]
  ], [
     fhir:index 24 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS25" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_DIALYSIS" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Dialysis Services (Social Health Insurance Fund)" ]
  ], [
     fhir:index 25 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS26" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SHIF_TRANSPLANT" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Transplant Services (Social Health Insurance Fund)" ]
  ], [
     fhir:index 26 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS29" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "ECCIF_CHRONIC" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Chronic Illness Fund (Chronic and Critical Illness Fund)" ]
  ], [
     fhir:index 27 ;
     fhir:CodeSystem.concept.code [ fhir:value "CLMSBTPS30" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "ECCIF_AMBULANCE" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance Services (Emergency Fund)" ]
  ] .

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

<http://hl7.org/fhir/CodeSystem/knhts-clms-sb-typs-cs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/knhts-clms-sb-typs-cs.ttl> .