Tanzania FHIR Facade Implementation Guide
0.1.0 - ci-build Tanzania

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

: example-zhsf-claimsubmission-parameters - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "example-zhsf-claimsubmission-parameters",
  "parameter" : [
    {
      "name" : "source",
      "resource" : {
        "resourceType" : "Basic",
        "id" : "example-zhsf-claimsubmission",
        "meta" : {
          "profile" : [
            🔗 "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload"
          ]
        },
        "extension" : [
          {
            "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload#SubmissionID",
            "valueString" : "ba8f5352-55a9-4518-b804-4b84b3cf96f3"
          },
          {
            "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload#SubmissionNo",
            "valueString" : "S900978360112"
          },
          {
            "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload#FacilityCode",
            "valueString" : "06697"
          },
          {
            "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload#ClaimYear",
            "valueInteger" : 2021
          },
          {
            "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload#ClaimMonth",
            "valueInteger" : 10
          },
          {
            "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload#CardNo",
            "valueString" : "10100000000"
          },
          {
            "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload#AuthorizationNo",
            "valueString" : "951811257499"
          },
          {
            "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload#AmountClaimed",
            "valueString" : "40000.00"
          },
          {
            "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-claim-submission-payload#Remarks",
            "valueString" : "Claim Received Successfully"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://moh.tz/fhir/example-type",
              "code" : "ZHSFClaimSubmissionPayload",
              "display" : "Example ZHSF Claim Submission Logical Model"
            }
          ]
        }
      }
    }
  ]
}