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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

TZ Claim Submission Error Response (ZHSF JSON)

Logical model representing an error response returned by ZHSF when a claim submission fails validation or processing.

TZ Claim Submission Request (ZHSF JSON)

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.

TZ Claim Submission Success Response (ZHSF JSON)

Logical model representing a successful ZHSF claim submission response. Returned when a claim is accepted and registered by ZHSF.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

TZ Encounter

Encounter associated with a claim.

TZ Healthcare Facility

Organization representing an NHIF/ZHSF healthcare facility.

TZ NHIF → ZHSF Claim

FHIR Claim resource representing a claim submitted from NHIF facilities to ZHSF. Used as the primary target of the facade transformation.

TZ Patient

Patient involved in a claim submission.

Terminology: Structure Maps

These define transformations to convert between data structures used by systems conforming to this implementation guide.

TZ Claim Submission → FHIR Claim

Transforms the proprietary NHIF claim submission request into a FHIR R5 Claim resource for ZHSF processing.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Example TZ Claim
Example ZHSF Claim Submission Error Response
Example ZHSF Claim Submission Request
Example ZHSF Claim Submission Success Response