Tanzania FHIR Facade Implementation Guide, published by Ministry of Health – Tanzania. 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/tz-fhir-ig/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: zhsf-claim-submission - JSON Representation

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{
  "resourceType" : "Claim",
  "id" : "zhsf-claim-submission",
  "meta" : {
    "profile" : [
      🔗 "http://moh.tz/fhir/StructureDefinition/tz-claim"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim zhsf-claim-submission</b></p><a name=\"zhsf-claim-submission\"> </a><a name=\"hczhsf-claim-submission\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-tz-claim.html\">Tanzania Claim Profile</a></p></div><p><b>identifier</b>: <code>http://moh.tz/fhir/claim-submission-no</code>/S900978360112</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: Identifier: <code>http://moh.tz/fhir/card-no</code>/10100000000</p><p><b>created</b>: 0001-01-01 00:00:00+0000</p><p><b>insurer</b>: Identifier: <code>http://moh.tz/fhir/organization</code>/ZHSF</p><p><b>facility</b>: Identifier: <code>http://moh.tz/fhir/facility</code>/06697</p><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:\">Remarks</span></td><td>Claim Received Successfully</td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td>Identifier: <code>http://moh.tz/fhir/scheme-id</code>/1001</td></tr></table><h3>Totals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>40000.00</td><td>Tanzanian shilling</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "http://moh.tz/fhir/claim-submission-no",
      "value" : "S900978360112"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "professional"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    "identifier" : {
      "system" : "http://moh.tz/fhir/card-no",
      "value" : "10100000000"
    }
  },
  "created" : "0001-01-01T00:00:00Z",
  "insurer" : {
    "identifier" : {
      "system" : "http://moh.tz/fhir/organization",
      "value" : "ZHSF"
    }
  },
  "facility" : {
    "identifier" : {
      "system" : "http://moh.tz/fhir/facility",
      "value" : "06697"
    }
  },
  "supportingInfo" : [
    {
      "sequence" : 1,
      "category" : {
        "text" : "Remarks"
      },
      "valueString" : "Claim Received Successfully"
    }
  ],
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        "identifier" : {
          "system" : "http://moh.tz/fhir/scheme-id",
          "value" : "1001"
        }
      }
    }
  ],
  "total" : {
    "value" : 40000.00,
    "currency" : "TZS"
  }
}