Kenya Core FHIR Implementation Guide (IG)
0.1.0 - ci-build

Kenya Core FHIR Implementation Guide (IG) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Claims status - TTL Representation

Draft as of 2025-12-09

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ClaimsStatusVS"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet ClaimsStatusVS</b></p><a name=\"ClaimsStatusVS\"> </a><a name=\"hcClaimsStatusVS\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-KNHTS.CLMSTS.html\"><code>http://example.org/CodeSystem/KNHTS.CLMSTS</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version ?0.1.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS01\">STS01</a></td><td style=\"color: #cccccc\">NEW</td><td>Active</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS02\">STS02</a></td><td style=\"color: #cccccc\">NOTIFIED</td><td>Identification done and payor notified</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS03\">STS03</a></td><td style=\"color: #cccccc\">PREAUTHORIZED</td><td>Pre-authorization done.*</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS04\">STS04</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS05\">STS05</a></td><td style=\"color: #cccccc\">CANCELLED</td><td>Cancelled at provider, before submission.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS06\">STS06</a></td><td style=\"color: #cccccc\">SUBMITTED</td><td>Submitted to payer.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS07\">STS07</a></td><td style=\"color: #cccccc\">RECEIVED</td><td>Received at payer.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS08\">STS08</a></td><td style=\"color: #cccccc\">APPROVED</td><td>Approved</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS09\">STS09</a></td><td style=\"color: #cccccc\">REJECTED</td><td>The payer has indicated that the claim will not be paid.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS10\">STS10</a></td><td style=\"color: #cccccc\">PAID</td><td>The claim has been paid and the payee should expect to receive or have received  a remittance.</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS11\">STS11</a></td><td style=\"color: #cccccc\">EXPIRED</td><td>Expired</td></tr><tr><td><a href=\"CodeSystem-KNHTS.CLMSTS.html#KNHTS.CLMSTS-STS12\">STS12</a></td><td style=\"color: #cccccc\">QA</td><td>The claim is undergoing review.</td></tr></table></li></ul></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "http://example.org/ValueSet/ClaimsStatusVS"^^xsd:anyURI ;
fhir:l <http://example.org/ValueSet/ClaimsStatusVS>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "KNHTSCLMVS"] ; # 
  fhir:title [ fhir:v "Claims status"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2025-12-09T10:36:20+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "IntelliSOFT Consulting"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "IntelliSOFT Consulting" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://.com/fhir/example-publisher" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Claims status"] ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [
fhir:v "http://example.org/CodeSystem/KNHTS.CLMSTS"^^xsd:anyURI ;
fhir:l <http://example.org/CodeSystem/KNHTS.CLMSTS>       ] ;
      ( fhir:concept [
fhir:code [ fhir:v "STS01" ]       ] [
fhir:code [ fhir:v "STS02" ]       ] [
fhir:code [ fhir:v "STS03" ]       ] [
fhir:code [ fhir:v "STS04" ]       ] [
fhir:code [ fhir:v "STS05" ]       ] [
fhir:code [ fhir:v "STS06" ]       ] [
fhir:code [ fhir:v "STS07" ]       ] [
fhir:code [ fhir:v "STS08" ]       ] [
fhir:code [ fhir:v "STS09" ]       ] [
fhir:code [ fhir:v "STS10" ]       ] [
fhir:code [ fhir:v "STS11" ]       ] [
fhir:code [ fhir:v "STS12" ]       ] )     ] )
  ] . #