Kenya Patient Summary FHIR Implementation Guide
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Kenya Patient Summary FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Adjudication Code System - TTL Representation

Active as of 2026-06-24

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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 "adjudication-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 adjudication-cs</b></p><a name=\"adjudication-cs\"> </a><a name=\"hcadjudication-cs\"> </a><p>This case-sensitive code system <code>https://nshr-uat.sha.go.ke/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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [ fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/adjudication-cs"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "AdjudicationCS"] ; # 
  fhir:title [ fhir:v "Adjudication Code System"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-06-24T08:25:00+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://www.dha.go.ke" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "interoperability@dha.go.ke" ]     ] )
  ] [
fhir:name [ fhir:v "Digital Health Agency of Kenya – Interoperability Team" ] ;
    ( 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://www.dha.go.ke" ] ;
fhir:use [ fhir:v "work" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Codes for adjudication result categories. Codes align with FHIR adjudication."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "KE" ] ;
fhir:display [ fhir:v "Kenya" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "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:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "8"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "submitted" ] ;
fhir:display [ fhir:v "Submitted Amount" ]
  ] [
fhir:code [ fhir:v "copay" ] ;
fhir:display [ fhir:v "CoPay" ]
  ] [
fhir:code [ fhir:v "eligible" ] ;
fhir:display [ fhir:v "Eligible Amount" ]
  ] [
fhir:code [ fhir:v "deductible" ] ;
fhir:display [ fhir:v "Deductible" ]
  ] [
fhir:code [ fhir:v "unallocdeduct" ] ;
fhir:display [ fhir:v "Unallocated Deductible" ]
  ] [
fhir:code [ fhir:v "eligpercent" ] ;
fhir:display [ fhir:v "Eligible %" ]
  ] [
fhir:code [ fhir:v "tax" ] ;
fhir:display [ fhir:v "Tax" ]
  ] [
fhir:code [ fhir:v "benefit" ] ;
fhir:display [ fhir:v "Benefit Amount" ]
  ] ) . #