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Source1

{
  "resourceType": "CodeSystem",
  "id": "knhts-clms-sb-typs-cs",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://nshr-uat.sha.go.ke/fhir/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": "2026-06-19T10:10:16+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)"
    }
  ]
}