FHIR IG analytics| Package | tz.fhir.ig |
| Resource Type | Claim |
| Id | Claim-zhsf-claim-submission.json |
| FHIR Version | R5 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Claim zhsf-claim-submission
Profile: Tanzania Claim Profile
identifier: http://moh.tz/fhir/claim-submission-no/S900978360112
status: Active
type: Professional
use: Claim
patient: Identifier: http://moh.tz/fhir/card-no/10100000000
created: 0001-01-01 00:00:00+0000
insurer: Identifier: http://moh.tz/fhir/organization/ZHSF
facility: Identifier: http://moh.tz/fhir/facility/06697
| Sequence | Category | Value[x] |
| 1 | Remarks | Claim Received Successfully |
| Sequence | Focal | Coverage |
| 1 | true | Identifier: http://moh.tz/fhir/scheme-id/1001 |
| Value | Currency |
| 40000.00 | Tanzanian shilling |
{
"resourceType": "Claim",
"id": "zhsf-claim-submission",
"meta": {
"profile": [
"http://moh.tz/fhir/StructureDefinition/tz-claim"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"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,
"currency": "TZS"
}
}