Tanzania NHIF → ZHSF Claims Submission FHIR IG
0.1.0 - ci-build Tanzania

Tanzania NHIF → ZHSF Claims Submission FHIR IG, published by Speedykom GmbH. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Speedykom/tanzania-nhif-zhsf-claims-ig/ and changes regularly. See the Directory of published versions

Logical Model: TZ Claim Submission Request (ZHSF JSON)

Official URL: https://build.fhir.org/ig/speedykom/tanzania-nhif-zhsf-claims-ig/StructureDefinition/tz-claim-submission-request Version: 0.1.0
Active as of 2026-01-12 Computable Name: TZClaimSubmissionRequest

Logical model representing the ZHSF Claim Submission JSON request payload. This model defines the facade contract and is validated before transformation to FHIR R5 resources.

Usages:

  • This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. tz-claim-submission-request 0..* Base TZ Claim Submission Request (ZHSF JSON)
... facilityCode 1..1 string Facility code
... practitionerRegistrationNo 1..1 string Practitioner registration number
... authorizationNumber 1..1 string Authorization number
... referralNo 0..1 integer Referral number
... isAdmited 1..1 boolean Is admitted
... mrn 1..1 string Medical Record Number
... claimsItems 1..* BackboneElement Claim items
.... @id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... itemCode 1..1 string Item code
.... itemQuantity 1..1 integer Item quantity
.... frequency 0..1 string Frequency
.... issuedNo 0..1 integer Issued number
... preliminaryDiagnosisCode 0..* string Preliminary diagnosis codes
... finalDiagnosisCode 0..* string Final diagnosis codes

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. tz-claim-submission-request 0..* Base TZ Claim Submission Request (ZHSF JSON)
... facilityCode 1..1 string Facility code
... practitionerRegistrationNo 1..1 string Practitioner registration number
... authorizationNumber 1..1 string Authorization number
... referralNo 0..1 integer Referral number
... isAdmited 1..1 boolean Is admitted
... mrn 1..1 string Medical Record Number
... claimsItems 1..* BackboneElement Claim items
.... itemCode 1..1 string Item code
.... itemQuantity 1..1 integer Item quantity
.... frequency 0..1 string Frequency
.... issuedNo 0..1 integer Issued number
... preliminaryDiagnosisCode 0..* string Preliminary diagnosis codes
... finalDiagnosisCode 0..* string Final diagnosis codes

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. tz-claim-submission-request 0..* Base TZ Claim Submission Request (ZHSF JSON)
... facilityCode 1..1 string Facility code
... practitionerRegistrationNo 1..1 string Practitioner registration number
... authorizationNumber 1..1 string Authorization number
... referralNo 0..1 integer Referral number
... isAdmited 1..1 boolean Is admitted
... mrn 1..1 string Medical Record Number
... claimsItems 1..* BackboneElement Claim items
.... @id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... itemCode 1..1 string Item code
.... itemQuantity 1..1 integer Item quantity
.... frequency 0..1 string Frequency
.... issuedNo 0..1 integer Issued number
... preliminaryDiagnosisCode 0..* string Preliminary diagnosis codes
... finalDiagnosisCode 0..* string Final diagnosis codes

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Base

Summary

Mandatory: 0 element(8 nested mandatory elements)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. tz-claim-submission-request 0..* Base TZ Claim Submission Request (ZHSF JSON)
... facilityCode 1..1 string Facility code
... practitionerRegistrationNo 1..1 string Practitioner registration number
... authorizationNumber 1..1 string Authorization number
... referralNo 0..1 integer Referral number
... isAdmited 1..1 boolean Is admitted
... mrn 1..1 string Medical Record Number
... claimsItems 1..* BackboneElement Claim items
.... @id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... itemCode 1..1 string Item code
.... itemQuantity 1..1 integer Item quantity
.... frequency 0..1 string Frequency
.... issuedNo 0..1 integer Issued number
... preliminaryDiagnosisCode 0..* string Preliminary diagnosis codes
... finalDiagnosisCode 0..* string Final diagnosis codes

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. tz-claim-submission-request 0..* Base TZ Claim Submission Request (ZHSF JSON)
... facilityCode 1..1 string Facility code
... practitionerRegistrationNo 1..1 string Practitioner registration number
... authorizationNumber 1..1 string Authorization number
... referralNo 0..1 integer Referral number
... isAdmited 1..1 boolean Is admitted
... mrn 1..1 string Medical Record Number
... claimsItems 1..* BackboneElement Claim items
.... itemCode 1..1 string Item code
.... itemQuantity 1..1 integer Item quantity
.... frequency 0..1 string Frequency
.... issuedNo 0..1 integer Issued number
... preliminaryDiagnosisCode 0..* string Preliminary diagnosis codes
... finalDiagnosisCode 0..* string Final diagnosis codes

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. tz-claim-submission-request 0..* Base TZ Claim Submission Request (ZHSF JSON)
... facilityCode 1..1 string Facility code
... practitionerRegistrationNo 1..1 string Practitioner registration number
... authorizationNumber 1..1 string Authorization number
... referralNo 0..1 integer Referral number
... isAdmited 1..1 boolean Is admitted
... mrn 1..1 string Medical Record Number
... claimsItems 1..* BackboneElement Claim items
.... @id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... itemCode 1..1 string Item code
.... itemQuantity 1..1 integer Item quantity
.... frequency 0..1 string Frequency
.... issuedNo 0..1 integer Issued number
... preliminaryDiagnosisCode 0..* string Preliminary diagnosis codes
... finalDiagnosisCode 0..* string Final diagnosis codes

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Base

Summary

Mandatory: 0 element(8 nested mandatory elements)

 

Other representations of profile: CSV, Excel