0.1.0 - ci-build

kenyaClaimsIG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: KNHTS.CLMS CodeSystem for claim status - TTL Representation

Draft as of 2024-09-06

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@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 "KNHTS.CLMSTS"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem KNHTS.CLMSTS</b></p><a name=\"KNHTS.CLMSTS\"> </a><a name=\"hcKNHTS.CLMSTS\"> </a><a name=\"KNHTS.CLMSTS-en-US\"> </a><p>This case-insensitive code system <code>https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.CLMSTS</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\">STS01<a name=\"KNHTS.CLMSTS-STS01\"> </a></td><td>NEW</td><td>Active</td></tr><tr><td style=\"white-space:nowrap\">STS02<a name=\"KNHTS.CLMSTS-STS02\"> </a></td><td>NOTIFIED</td><td>Identification done and payor notified</td></tr><tr><td style=\"white-space:nowrap\">STS03<a name=\"KNHTS.CLMSTS-STS03\"> </a></td><td>PREAUTHORIZED</td><td>Pre-authorization done.*</td></tr><tr><td style=\"white-space:nowrap\">STS04<a name=\"KNHTS.CLMSTS-STS04\"> </a></td><td>COMPLETE</td><td>Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge.</td></tr><tr><td style=\"white-space:nowrap\">STS05<a name=\"KNHTS.CLMSTS-STS05\"> </a></td><td>CANCELLED</td><td>Cancelled at provider, before submission.</td></tr><tr><td style=\"white-space:nowrap\">STS06<a name=\"KNHTS.CLMSTS-STS06\"> </a></td><td>SUBMITTED</td><td>Submitted to payer.</td></tr><tr><td style=\"white-space:nowrap\">STS07<a name=\"KNHTS.CLMSTS-STS07\"> </a></td><td>RECEIVED</td><td>Received at payer.</td></tr><tr><td style=\"white-space:nowrap\">STS08<a name=\"KNHTS.CLMSTS-STS08\"> </a></td><td>APPROVED</td><td>Approved</td></tr><tr><td style=\"white-space:nowrap\">STS09<a name=\"KNHTS.CLMSTS-STS09\"> </a></td><td>REJECTED</td><td>The payer has indicated that the claim will not be paid.</td></tr><tr><td style=\"white-space:nowrap\">STS10<a name=\"KNHTS.CLMSTS-STS10\"> </a></td><td>PAID</td><td>The claim has been paid and the payee should expect to receive or have received  a remittance.</td></tr><tr><td style=\"white-space:nowrap\">STS11<a name=\"KNHTS.CLMSTS-STS11\"> </a></td><td>EXPIRED</td><td>Expired</td></tr><tr><td style=\"white-space:nowrap\">STS12<a name=\"KNHTS.CLMSTS-STS12\"> </a></td><td>QA</td><td>The claim is undergoing review.</td></tr></table></div>"
  ] ; # 
  fhir:url [ fhir:v "https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.CLMSTS"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "KNHTS_CLMS"] ; # 
  fhir:title [ fhir:v "KNHTS.CLMS CodeSystem for claim status"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-09-06T09:59:02+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "intellisoftkenya"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "intellisoftkenya" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://example.org/example-publisher" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "CodeSystem for KNHTS Claim status"] ; # 
  fhir:caseSensitive [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "12"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "STS01" ] ;
fhir:display [ fhir:v "NEW" ] ;
fhir:definition [ fhir:v "Active" ]
  ] [
fhir:code [ fhir:v "STS02" ] ;
fhir:display [ fhir:v "NOTIFIED" ] ;
fhir:definition [ fhir:v "Identification done and payor notified" ]
  ] [
fhir:code [ fhir:v "STS03" ] ;
fhir:display [ fhir:v "PREAUTHORIZED" ] ;
fhir:definition [ fhir:v "Pre-authorization done.*" ]
  ] [
fhir:code [ fhir:v "STS04" ] ;
fhir:display [ fhir:v "COMPLETE" ] ;
fhir:definition [ fhir:v "Provider has checked that all requirements are met and the claim is ready for submission. Done at the end of a visit / after discharge." ]
  ] [
fhir:code [ fhir:v "STS05" ] ;
fhir:display [ fhir:v "CANCELLED" ] ;
fhir:definition [ fhir:v "Cancelled at provider, before submission." ]
  ] [
fhir:code [ fhir:v "STS06" ] ;
fhir:display [ fhir:v "SUBMITTED" ] ;
fhir:definition [ fhir:v "Submitted to payer." ]
  ] [
fhir:code [ fhir:v "STS07" ] ;
fhir:display [ fhir:v "RECEIVED" ] ;
fhir:definition [ fhir:v "Received at payer." ]
  ] [
fhir:code [ fhir:v "STS08" ] ;
fhir:display [ fhir:v "APPROVED" ] ;
fhir:definition [ fhir:v "Approved" ]
  ] [
fhir:code [ fhir:v "STS09" ] ;
fhir:display [ fhir:v "REJECTED" ] ;
fhir:definition [ fhir:v "The payer has indicated that the claim will not be paid." ]
  ] [
fhir:code [ fhir:v "STS10" ] ;
fhir:display [ fhir:v "PAID" ] ;
fhir:definition [ fhir:v "The claim has been paid and the payee should expect to receive or have received  a remittance." ]
  ] [
fhir:code [ fhir:v "STS11" ] ;
fhir:display [ fhir:v "EXPIRED" ] ;
fhir:definition [ fhir:v "Expired" ]
  ] [
fhir:code [ fhir:v "STS12" ] ;
fhir:display [ fhir:v "QA" ] ;
fhir:definition [ fhir:v "The claim is undergoing review." ]
  ] ) . #