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.STELG CodeSystem for Site Eligibility - JSON Representation

Draft as of 2024-09-06

Raw json | Download


{
  "resourceType" : "CodeSystem",
  "id" : "KNHTS.STELG",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem KNHTS.STELG</b></p><a name=\"KNHTS.STELG\"> </a><a name=\"hcKNHTS.STELG\"> </a><a name=\"KNHTS.STELG-en-US\"> </a><p>This case-insensitive code system <code>https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.STELG</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\">STGELG01<a name=\"KNHTS.STELG-STGELG01\"> </a></td><td>ELIGIBLE</td><td>Eligible</td></tr><tr><td style=\"white-space:nowrap\">STGELG02<a name=\"KNHTS.STELG-STGELG02\"> </a></td><td>NOT_ACTIVE</td><td>Member's insurance policy is not active</td></tr><tr><td style=\"white-space:nowrap\">STGELG03<a name=\"KNHTS.STELG-STGELG03\"> </a></td><td>NOT_COVERED</td><td>Policy does not cover the requested services</td></tr><tr><td style=\"white-space:nowrap\">STGELG04<a name=\"KNHTS.STELG-STGELG04\"> </a></td><td>NOT_DIRECT_BILLING</td><td>Patient is not covered on direct billing basis</td></tr><tr><td style=\"white-space:nowrap\">STGELG05<a name=\"KNHTS.STELG-STGELG05\"> </a></td><td>OUT_NETWORK</td><td>Provider outside member Network</td></tr><tr><td style=\"white-space:nowrap\">STGELG06<a name=\"KNHTS.STELG-STGELG06\"> </a></td><td>LIMIT_EXHAUSTED</td><td>Patient policy/benefit limit is exhausted</td></tr><tr><td style=\"white-space:nowrap\">STGELG07<a name=\"KNHTS.STELG-STGELG07\"> </a></td><td>COVERAGE_SUSPENDED</td><td>Patient coverage is suspended </td></tr><tr><td style=\"white-space:nowrap\">STGELG08<a name=\"KNHTS.STELG-STGELG08\"> </a></td><td>PROVIDER_CONTRACT_SUSPENDED</td><td>Provider contract is suspended</td></tr></table></div>"
  },
  "url" : "https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.STELG",
  "version" : "0.1.0",
  "name" : "KNHTS_SITE_ELIGIBILITY",
  "title" : "KNHTS.STELG CodeSystem for Site Eligibility",
  "status" : "draft",
  "experimental" : false,
  "date" : "2024-09-06T09:59:02+00:00",
  "publisher" : "intellisoftkenya",
  "contact" : [
    {
      "name" : "intellisoftkenya",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://example.org/example-publisher"
        }
      ]
    }
  ],
  "description" : "CodeSystem for KNHTS Site Eligibility",
  "caseSensitive" : false,
  "content" : "complete",
  "count" : 8,
  "concept" : [
    {
      "code" : "STGELG01",
      "display" : "ELIGIBLE",
      "definition" : "Eligible"
    },
    {
      "code" : "STGELG02",
      "display" : "NOT_ACTIVE",
      "definition" : "Member's insurance policy is not active"
    },
    {
      "code" : "STGELG03",
      "display" : "NOT_COVERED",
      "definition" : "Policy does not cover the requested services"
    },
    {
      "code" : "STGELG04",
      "display" : "NOT_DIRECT_BILLING",
      "definition" : "Patient is not covered on direct billing basis"
    },
    {
      "code" : "STGELG05",
      "display" : "OUT_NETWORK",
      "definition" : "Provider outside member Network"
    },
    {
      "code" : "STGELG06",
      "display" : "LIMIT_EXHAUSTED",
      "definition" : "Patient policy/benefit limit is exhausted"
    },
    {
      "code" : "STGELG07",
      "display" : "COVERAGE_SUSPENDED",
      "definition" : "Patient coverage is suspended "
    },
    {
      "code" : "STGELG08",
      "display" : "PROVIDER_CONTRACT_SUSPENDED",
      "definition" : "Provider contract is suspended"
    }
  ]
}