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

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: ZHSFAuthorizationToClaimResponse - JSON Representation

Active as of 2025-12-12

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{
  "resourceType" : "StructureMap",
  "id" : "ZHSFAuthorizationToClaimResponse",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap ZHSFAuthorizationToClaimResponse</b></p><a name=\"ZHSFAuthorizationToClaimResponse\"> </a><a name=\"hcZHSFAuthorizationToClaimResponse\"> </a><pre class=\"fml\">\r\n<span style=\"color: #cc00cc\">/// <b>url</b> = </span><span style=\"color: blue\">'http://moh.tz/fhir/StructureMap/ZHSFAuthorizationToClaimResponse'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ZHSFAuthorizationToClaimResponse'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'active'</span>\r\n\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"StructureDefinition-zhsf-authorization-payload.html\" title=\"ZHSF Authorization API Payload\">http://moh.tz/fhir/StructureDefinition/zhsf-authorization-payload</a><span style=\"color: navy\">&quot; </span><b>alias </b>src <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/claimresponse.html\" title=\"ClaimResponse\">http://hl7.org/fhir/StructureDefinition/ClaimResponse</a><span style=\"color: navy\">&quot; </span><b>alias </b>resp <b>as </b><b>target</b>\r\n\r\n<b>group </b>main<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span><span style=\"color: navy\"> : </span>ZHSFAuthorizationPayload, <b>target</b> <span style=\"color: maroon\">resp</span><span style=\"color: navy\"> : </span>ClaimResponse<span style=\"color: navy\">)</span><b> &lt;&lt;type+&gt;&gt;</b><span style=\"color: navy\"> {\r\n</span>  src.authorizationNo<b> as </b><span style=\"color: maroon\">aNo</span><span style=\"color: navy\"><b> -&gt; </b></span>resp.preAuthRef = <span style=\"color: maroon\">aNo</span> <i>&quot;setPreAuthRef&quot;</i><span style=\"color: navy\">;</span>\r\n  src.authorizationStatus<b> as </b><span style=\"color: maroon\">st</span><span style=\"color: navy\"><b> -&gt; </b></span>resp.item[0].reviewOutcome.decision.text = <span style=\"color: maroon\">st</span> <i>&quot;setDecision&quot;</i><span style=\"color: navy\">;</span>\r\n  src.rejectionReasonID<b> as </b><span style=\"color: maroon\">rr</span><span style=\"color: navy\"><b> -&gt; </b></span>resp.item[0].reviewOutcome.reason.text = <span style=\"color: maroon\">rr</span> <i>&quot;setReason&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
  },
  "url" : "http://moh.tz/fhir/StructureMap/ZHSFAuthorizationToClaimResponse",
  "version" : "0.1.0",
  "name" : "ZHSFAuthorizationToClaimResponse",
  "status" : "active",
  "date" : "2025-12-12T06:14:16+00:00",
  "publisher" : "Ministry of Health – Tanzania",
  "contact" : [
    {
      "name" : "Ministry of Health – Tanzania",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://moh.go.tz"
        },
        {
          "system" : "email",
          "value" : "info@moh.go.tz"
        }
      ]
    },
    {
      "name" : "Tanzania Digital Health Team",
      "telecom" : [
        {
          "system" : "email",
          "value" : "contact@speedykom.org",
          "use" : "work"
        }
      ]
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "834",
          "display" : "Tanzania"
        }
      ]
    }
  ],
  "structure" : [
    {
      "url" : "http://moh.tz/fhir/StructureDefinition/zhsf-authorization-payload",
      "mode" : "source",
      "alias" : "src"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
      "mode" : "target",
      "alias" : "resp"
    }
  ],
  "group" : [
    {
      "name" : "main",
      "typeMode" : "type-and-types",
      "input" : [
        {
          "name" : "src",
          "type" : "ZHSFAuthorizationPayload",
          "mode" : "source"
        },
        {
          "name" : "resp",
          "type" : "ClaimResponse",
          "mode" : "target"
        }
      ],
      "rule" : [
        {
          "name" : "setPreAuthRef",
          "source" : [
            {
              "context" : "src",
              "element" : "authorizationNo",
              "variable" : "aNo"
            }
          ],
          "target" : [
            {
              "context" : "resp",
              "element" : "preAuthRef",
              "transform" : "copy",
              "parameter" : [
                {
                  "valueId" : "aNo"
                }
              ]
            }
          ]
        },
        {
          "name" : "setDecision",
          "source" : [
            {
              "context" : "src",
              "element" : "authorizationStatus",
              "variable" : "st"
            }
          ],
          "target" : [
            {
              "context" : "resp",
              "element" : "item[0].reviewOutcome.decision.text",
              "transform" : "copy",
              "parameter" : [
                {
                  "valueId" : "st"
                }
              ]
            }
          ]
        },
        {
          "name" : "setReason",
          "source" : [
            {
              "context" : "src",
              "element" : "rejectionReasonID",
              "variable" : "rr"
            }
          ],
          "target" : [
            {
              "context" : "resp",
              "element" : "item[0].reviewOutcome.reason.text",
              "transform" : "copy",
              "parameter" : [
                {
                  "valueId" : "rr"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}