Kenya Patient Summary FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya Patient Summary FHIR Implementation Guide, published by Digital Health Agency of 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

: Adjudication Code System - JSON Representation

Active as of 2026-05-31

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{
  "resourceType" : "CodeSystem",
  "id" : "adjudication-cs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem adjudication-cs</b></p><a name=\"adjudication-cs\"> </a><a name=\"hcadjudication-cs\"> </a><p>This case-sensitive code system <code>http://localhost:8085/fhir/CodeSystem/adjudication-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\">submitted<a name=\"adjudication-cs-submitted\"> </a></td><td>Submitted Amount</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"adjudication-cs-copay\"> </a></td><td>CoPay</td></tr><tr><td style=\"white-space:nowrap\">eligible<a name=\"adjudication-cs-eligible\"> </a></td><td>Eligible Amount</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"adjudication-cs-deductible\"> </a></td><td>Deductible</td></tr><tr><td style=\"white-space:nowrap\">unallocdeduct<a name=\"adjudication-cs-unallocdeduct\"> </a></td><td>Unallocated Deductible</td></tr><tr><td style=\"white-space:nowrap\">eligpercent<a name=\"adjudication-cs-eligpercent\"> </a></td><td>Eligible %</td></tr><tr><td style=\"white-space:nowrap\">tax<a name=\"adjudication-cs-tax\"> </a></td><td>Tax</td></tr><tr><td style=\"white-space:nowrap\">benefit<a name=\"adjudication-cs-benefit\"> </a></td><td>Benefit Amount</td></tr></table></div>"
  },
  "url" : "http://localhost:8085/fhir/CodeSystem/adjudication-cs",
  "version" : "0.1.0",
  "name" : "AdjudicationCS",
  "title" : "Adjudication Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-31T11:35:58+00:00",
  "publisher" : "Digital Health Agency of Kenya",
  "contact" : [
    {
      "name" : "Digital Health Agency of Kenya",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.dha.go.ke"
        },
        {
          "system" : "email",
          "value" : "interoperability@dha.go.ke"
        }
      ]
    },
    {
      "name" : "Digital Health Agency of Kenya – Interoperability Team",
      "telecom" : [
        {
          "system" : "email",
          "value" : "interoperability@dha.go.ke",
          "use" : "work"
        },
        {
          "system" : "url",
          "value" : "https://www.dha.go.ke",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Codes for adjudication result categories. Codes align with FHIR adjudication.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "KE",
          "display" : "Kenya"
        }
      ]
    }
  ],
  "copyright" : "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",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 8,
  "concept" : [
    {
      "code" : "submitted",
      "display" : "Submitted Amount"
    },
    {
      "code" : "copay",
      "display" : "CoPay"
    },
    {
      "code" : "eligible",
      "display" : "Eligible Amount"
    },
    {
      "code" : "deductible",
      "display" : "Deductible"
    },
    {
      "code" : "unallocdeduct",
      "display" : "Unallocated Deductible"
    },
    {
      "code" : "eligpercent",
      "display" : "Eligible %"
    },
    {
      "code" : "tax",
      "display" : "Tax"
    },
    {
      "code" : "benefit",
      "display" : "Benefit Amount"
    }
  ]
}