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.

ZHSF Authorization API Payload	Logical model for ZHSF /api/v1/members/authorize response.
ZHSF Claim Submission API Payload	Logical model for ZHSF /api/v1/claims/submit response.

Structures: Resource Profiles

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

Tanzania Claim Profile	Minimal Claim profile for NHIF–ZHSF claim submissions.
Tanzania ClaimResponse Profile	Minimal ClaimResponse profile for ZHSF authorization, eligibility, and claim submission responses.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

TZ Legacy Gender ValueSet

ValueSet representing legacy gender codes used in Tanzania.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

TZ Legacy Gender Codes

Legacy gender codes used in Tanzania systems (M, F, U).

Terminology: Structure Maps

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

ZHSFAuthorizationToClaimResponse

ZHSFClaimSubmissionToClaim

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

Mapping Legacy TZ Gender Codes to FHIR Administrative Gender

Maps legacy Tanzanian gender codes (M, F, U) to FHIR administrative gender codes (male, female, unknown).

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-zhsf-authorization-parameters

example-zhsf-claimsubmission-parameters

zhsf-authorization-accepted

zhsf-claim-submission