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FHIR IG analytics

Packagetz.fhir.ig
Resource TypeClaim
IdClaim-zhsf-claim-submission.json
FHIR VersionR5

Resources that use this resource

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Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Claim zhsf-claim-submission

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

SupportingInfos

-SequenceCategoryValue[x]
*1RemarksClaim Received Successfully

Insurances

-SequenceFocalCoverage
*1trueIdentifier: http://moh.tz/fhir/scheme-id/1001

Totals

-ValueCurrency
*40000.00Tanzanian shilling

Source1

{
  "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"
  }
}