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 - 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.STELG"] ; # 
  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.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>"
  ] ; # 
  fhir:url [ fhir:v "https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.STELG"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "KNHTS_SITE_ELIGIBILITY"] ; # 
  fhir:title [ fhir:v "KNHTS.STELG CodeSystem for Site Eligibility"] ; # 
  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 Site Eligibility"] ; # 
  fhir:caseSensitive [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "8"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "STGELG01" ] ;
fhir:display [ fhir:v "ELIGIBLE" ] ;
fhir:definition [ fhir:v "Eligible" ]
  ] [
fhir:code [ fhir:v "STGELG02" ] ;
fhir:display [ fhir:v "NOT_ACTIVE" ] ;
fhir:definition [ fhir:v "Member's insurance policy is not active" ]
  ] [
fhir:code [ fhir:v "STGELG03" ] ;
fhir:display [ fhir:v "NOT_COVERED" ] ;
fhir:definition [ fhir:v "Policy does not cover the requested services" ]
  ] [
fhir:code [ fhir:v "STGELG04" ] ;
fhir:display [ fhir:v "NOT_DIRECT_BILLING" ] ;
fhir:definition [ fhir:v "Patient is not covered on direct billing basis" ]
  ] [
fhir:code [ fhir:v "STGELG05" ] ;
fhir:display [ fhir:v "OUT_NETWORK" ] ;
fhir:definition [ fhir:v "Provider outside member Network" ]
  ] [
fhir:code [ fhir:v "STGELG06" ] ;
fhir:display [ fhir:v "LIMIT_EXHAUSTED" ] ;
fhir:definition [ fhir:v "Patient policy/benefit limit is exhausted" ]
  ] [
fhir:code [ fhir:v "STGELG07" ] ;
fhir:display [ fhir:v "COVERAGE_SUSPENDED" ] ;
fhir:definition [ fhir:v "Patient coverage is suspended " ]
  ] [
fhir:code [ fhir:v "STGELG08" ] ;
fhir:display [ fhir:v "PROVIDER_CONTRACT_SUSPENDED" ] ;
fhir:definition [ fhir:v "Provider contract is suspended" ]
  ] ) . #