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

Usecase

Use case: Claim Submission (NHIF Facility → ZHSF)

Description

A facility submits a claim to ZHSF using the ZHSF integration API (mediated by ZHIL in the reference architecture).

Endpoint (logical)

This IG constrains the payload structure for Claim Submission, based on the client-provided ZHSF API documentation.

Request payload (ZHSF JSON)

The request is represented in this IG as a Logical Model:

• TZClaimSubmissionRequest

Response payloads (ZHSF JSON)

The success and error responses are represented as Logical Models:

• TZClaimSubmissionSuccessResponse
• TZClaimSubmissionErrorResponse

Transformation to FHIR

A StructureMap is provided to transform: TZClaimSubmissionRequest → Claim (and referenced resources if required)