Kenya Patient Summary FHIR Implementation Guide
0.1.0 - ci-build
KE
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
| Draft as of 2026-05-12 |
{
"resourceType" : "CodeSystem",
"id" : "knhts-clms-sb-typs-cs",
"text" : {
"status" : "generated",
"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/kps/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>"
},
"url" : "https://fhir.dha.go.ke/kps/CodeSystem/knhts-clms-sb-typs-cs",
"version" : "0.1.0",
"name" : "KNHTS_CLMS_SBTYPS",
"title" : "KNHTS.CLMSTPS CodeSystem for claim Sub-types",
"status" : "draft",
"experimental" : false,
"date" : "2026-05-12T08:53:32+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" : "CodeSystem for KNHTS Claim Sub-types",
"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" : false,
"content" : "complete",
"count" : 28,
"concept" : [
{
"code" : "CLMSBTPS01",
"display" : "PHC_OUTPATIENT",
"definition" : "Outpatient Health Services (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS02",
"display" : "PHC_EAR",
"definition" : "Ear Health Services (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS03",
"display" : "PHC_EYE",
"definition" : "Eye Health Services (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS04",
"display" : "PHC_MENTAL",
"definition" : "Mental and Behavioral Health Services (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS05",
"display" : "PHC_SCREENING",
"definition" : "Screening Services (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS06",
"display" : "PHC_REHABILITATIVE",
"definition" : "Rehabilitative Services (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS07",
"display" : "PHC_ASSISTIVE",
"definition" : "Assistive Devices (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS08",
"display" : "PHC_MATERNITY",
"definition" : "Maternity Healthcare Services (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS09",
"display" : "PHC_INPATIENT",
"definition" : "Inpatient Services (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS10",
"display" : "PHC_LAST_EXPENSE",
"definition" : "Last Expense (Primary Healthcare Fund)"
},
{
"code" : "CLMSBTPS11",
"display" : "SHIF_OUTPATIENT",
"definition" : "Outpatient (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS12",
"display" : "SHIF_INPATIENT",
"definition" : "Inpatient (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS13",
"display" : "SHIF_MATERNITY",
"definition" : "Maternity (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS14",
"display" : "SHIF_SURGICAL",
"definition" : "Surgical (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS15",
"display" : "SHIF_NCD",
"definition" : "NCD Screening (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS16",
"display" : "SHIF_CONGENITAL",
"definition" : "Congenital Screening (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS17",
"display" : "SHIF_REHABILITATION",
"definition" : "Rehabilitation Services (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS18",
"display" : "SHIF_CRITICAL_CARE",
"definition" : "Critical Care Services (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS19",
"display" : "SHIF_PALLIATIVE_CARE",
"definition" : "Palliative Care Services (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS20",
"display" : "SHIF_RADIOLOGY",
"definition" : "Radiology Services (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS21",
"display" : "SHIF_CANCER_MANAGEMENT",
"definition" : "Cancer Management (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS22",
"display" : "SHIF_ASSISTIVE_DEVICES",
"definition" : "Assistive Devices (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS23",
"display" : "SHIF_OVERSEAS_TREATMENT",
"definition" : "Overseas Treatment (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS24",
"display" : "SHIF_MORTUARY_FEE",
"definition" : "Mortuary Fee (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS25",
"display" : "SHIF_DIALYSIS",
"definition" : "Dialysis Services (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS26",
"display" : "SHIF_TRANSPLANT",
"definition" : "Transplant Services (Social Health Insurance Fund)"
},
{
"code" : "CLMSBTPS29",
"display" : "ECCIF_CHRONIC",
"definition" : "Chronic Illness Fund (Chronic and Critical Illness Fund)"
},
{
"code" : "CLMSBTPS30",
"display" : "ECCIF_AMBULANCE",
"definition" : "Ambulance Services (Emergency Fund)"
}
]
}