identifier: https://standards.digital.health.nz/ns/claim-response-identifier/CR12345 (use: official, )

status: Active

type: professional

subType: online-gp-services

use: Claim

patient: Mr Test Patient | Male | 2001-01-01

created: 2025-01-01 00:00:00+0000

insurer: Organization/GZZ000-1

request: Claim: extension = https://example.org/fhir/trace-number#7890; identifier = https://standards.digital.health.nz/ns/claim-identifier#C123456 (use: official, ); status = active; type = professional; subType = online-gp-services; use = claim; billablePeriod = 2025-01-01 --> 2025-01-01; created = 2025-01-01 00:00:00+1300; priority = Normal

outcome: Processing Complete

item

Product Or Service: PU1234

itemSequence: 1

adjudication

category: benefit

reason: ar1234

Amounts

-	Value	Currency
*	100	New Zealand dollar

value: 1

total

category: Benefit Amount

Amounts

-	Value	Currency
*	100	New Zealand dollar

payment

type: Complete

date: 2025-01-01

Amounts

-	Value	Currency
*	100	New Zealand dollar