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Packageke.fhir.eclaims
Resource TypeCodeSystem
IdCodeSystem-coverage-plan-type-cs.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/IntelliSOFT-Consulting/Kenya-eClaims-FHIR-IG/CodeSystem-coverage-plan-type-cs.html
URLhttps://fhir.dha.go.ke/ig/eclaims/CodeSystem/coverage-plan-type-cs
Version0.1.0
Statusactive
Date2026-08-07T13:06:49+00:00
NameCoveragePlanTypeCS
TitleCoverage Plan Type Code System
DescriptionCodes for types of coverage plan (MOH-Kenya OCL: COVERAGE-PLAN-TYPE)
Contentcomplete

Resources that use this resource

ValueSet
ke.fhir.eclaims#currenteclaims-coverage-plan-type-vsCoverage Plan Type ValueSet

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem coverage-plan-type-cs

This case-sensitive code system https://fhir.dha.go.ke/ig/eclaims/CodeSystem/coverage-plan-type-cs defines the following codes:

CodeDisplay
HMO Health Maintenance Organization
PPO Preferred Provider Organization
POS Point of Service
EPO Exclusive Provider Organization
INDEMNITY Indemnity
TPA Third Party Administrator

Source1

{
  "resourceType": "CodeSystem",
  "id": "coverage-plan-type-cs",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.dha.go.ke/ig/eclaims/CodeSystem/coverage-plan-type-cs",
  "version": "0.1.0",
  "name": "CoveragePlanTypeCS",
  "title": "Coverage Plan Type Code System",
  "status": "active",
  "experimental": false,
  "date": "2026-08-07T13:06:49+00:00",
  "publisher": "Digital Health Agency (DHA), Kenya",
  "contact": [
    {
      "name": "Digital Health Agency (DHA), Kenya",
      "telecom": [
        {
          "system": "url",
          "value": "https://dha.go.ke"
        },
        {
          "system": "email",
          "value": "interoperability@dha.go.ke"
        }
      ]
    },
    {
      "name": "eClaims Technical Working Group",
      "telecom": [
        {
          "system": "email",
          "value": "interoperability@dha.go.ke",
          "use": "work"
        },
        {
          "system": "url",
          "value": "https://dha.go.ke",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Codes for types of coverage plan (MOH-Kenya OCL: COVERAGE-PLAN-TYPE)",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "KE",
          "display": "Kenya"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "content": "complete",
  "count": 6,
  "concept": [
    {
      "code": "HMO",
      "display": "Health Maintenance Organization"
    },
    {
      "code": "PPO",
      "display": "Preferred Provider Organization"
    },
    {
      "code": "POS",
      "display": "Point of Service"
    },
    {
      "code": "EPO",
      "display": "Exclusive Provider Organization"
    },
    {
      "code": "INDEMNITY",
      "display": "Indemnity"
    },
    {
      "code": "TPA",
      "display": "Third Party Administrator"
    }
  ]
}