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 - XML Representation

Draft as of 2024-09-06

Raw xml | Download



<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="KNHTS.STELG"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="https://shr.tiberbuapps.com/fhir/CodeSystem/KNHTS.STELG"/>
  <version value="0.1.0"/>
  <name value="KNHTS_SITE_ELIGIBILITY"/>
  <title value="KNHTS.STELG CodeSystem for Site Eligibility"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2024-09-06T09:59:02+00:00"/>
  <publisher value="intellisoftkenya"/>
  <contact>
    <name value="intellisoftkenya"/>
    <telecom>
      <system value="url"/>
      <value value="http://example.org/example-publisher"/>
    </telecom>
  </contact>
  <description value="CodeSystem for KNHTS Site Eligibility"/>
  <caseSensitive value="false"/>
  <content value="complete"/>
  <count value="8"/>
  <concept>
    <code value="STGELG01"/>
    <display value="ELIGIBLE"/>
    <definition value="Eligible"/>
  </concept>
  <concept>
    <code value="STGELG02"/>
    <display value="NOT_ACTIVE"/>
    <definition value="Member's insurance policy is not active"/>
  </concept>
  <concept>
    <code value="STGELG03"/>
    <display value="NOT_COVERED"/>
    <definition value="Policy does not cover the requested services"/>
  </concept>
  <concept>
    <code value="STGELG04"/>
    <display value="NOT_DIRECT_BILLING"/>
    <definition value="Patient is not covered on direct billing basis"/>
  </concept>
  <concept>
    <code value="STGELG05"/>
    <display value="OUT_NETWORK"/>
    <definition value="Provider outside member Network"/>
  </concept>
  <concept>
    <code value="STGELG06"/>
    <display value="LIMIT_EXHAUSTED"/>
    <definition value="Patient policy/benefit limit is exhausted"/>
  </concept>
  <concept>
    <code value="STGELG07"/>
    <display value="COVERAGE_SUSPENDED"/>
    <definition value="Patient coverage is suspended "/>
  </concept>
  <concept>
    <code value="STGELG08"/>
    <display value="PROVIDER_CONTRACT_SUSPENDED"/>
    <definition value="Provider contract is suspended"/>
  </concept>
</CodeSystem>