Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.1 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: NZ Telehealth Claim Example - JSON Representation

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{
  "resourceType" : "Claim",
  "meta" : {
    "profile" : [
      🔗 "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/SharedCareClaim"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim NzTelehealthClaimExample</b></p><a name=\"NzTelehealthClaimExample\"> </a><a name=\"hcNzTelehealthClaimExample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-SharedCareClaim.html\">NZ Telehealth Claim</a></p></div><p><b>Trace Number</b>: <code>https://example.org/fhir/trace-number</code>/7890</p><p><b>identifier</b>: <code>https://standards.digital.health.nz/ns/claim-identifier</code>/C123456\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/nz-claim-type professional}\">professional</span></p><p><b>subType</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/nz-claim-subtype online-gp-services}\">online-gp-services</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&amp;canonical=http://fhir.org.nz/ig/base/Patient/ZZZ0008\">Mr Test Patient | Male | 2001-01-01</a></p><p><b>billablePeriod</b>: 2025-01-01 --&gt; 2025-01-01</p><p><b>created</b>: 2025-01-01 00:00:00+1300</p><p><b>insurer</b>: <a href=\"https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&amp;canonical=http://fhir.org.nz/ig/base/Organization/GZZ000-1\">Organization/GZZ000-1</a></p><p><b>provider</b>: <a href=\"https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&amp;canonical=http://fhir.org.nz/ig/base/Organization/GZZ999-9\">Organization/GZZ999-9</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Payees</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payeetype provider}\">Provider</span></td><td>Identifier: <code>https://standards.digital.health.nz/ns/hsaap-provider-site-id</code>/P012345\u00a0(use:\u00a0official,\u00a0)</td></tr></table><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Responsible</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&amp;canonical=http://fhir.org.nz/ig/base/Practitioner/12345\">Practitioner/12345</a></td><td>true</td><td><span title=\"Codes:{https://standards.digital.health.nz/ns/claim-careteam-role-code primary}\">primary</span></td><td><span title=\"Codes:{https://standards.digital.health.nz/ns/provider-qualification-codes S12345}\">S12345</span></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&amp;canonical=http://fhir.org.nz/ig/base/Coverage/1234567890\">Coverage/1234567890</a></td></tr></table><blockquote><p><b>item</b></p><p><b>Patient Paid Amount</b>: <span title=\"New Zealand Dollar\">$20.00</span> (NZD)</p><p><b>Item Tax</b>: <span title=\"New Zealand Dollar\">$75.00</span> (NZD)</p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/purchase-unit PU1234}\">PU1234</span></p><p><b>serviced</b>: 2025-01-01 10:00:00+1300 --&gt; 2025-01-01 10:17:00+1300</p><p><b>location</b>: Example Telehealth Facility (Identifier: HPIFacility/F12345)</p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>500</td><td>New Zealand dollar</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>500</td><td>New Zealand dollar</td></tr></table><p><b>encounter</b>: <a href=\"Encounter-NzTelehealthEncounterExample.html\">Encounter: extension = https://standards.digital.health.nz/ns/csc-id#123456789\u00a0(use:\u00a0official,\u00a0),false,enrolled,Ambulance (arrivalMode#A),3; identifier = https://standards.digital.health.nz/ns/telehealth-token#TH123456789\u00a0(use:\u00a0official,\u00a0); status = finished; class = Virtual (ActCode#VR); type = Telephone consultation; period = 2025-01-01 10:00:00+1300 --&gt; 2025-01-01 10:17:00+1300; reasonCode = Fever</a></p></blockquote><h3>Totals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>500</td><td>New Zealand dollar</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/trace-number",
      "valueIdentifier" : {
        "system" : "https://example.org/fhir/trace-number",
        "value" : "7890"
      }
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/claim-identifier",
      "value" : "C123456"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "https://standards.digital.health.nz/ns/nz-claim-type",
        "code" : "professional"
      }
    ]
  },
  "subType" : {
    "coding" : [
      {
        "system" : "https://standards.digital.health.nz/ns/nz-claim-subtype",
        "code" : "online-gp-services"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "Patient/ZZZ0008",
    "type" : "Patient",
    "identifier" : {
      "system" : "https://standards.digital.health.nz/ns/nhi-id",
      "value" : "ZZZ0008"
    },
    "display" : "Mr Test Patient | Male | 2001-01-01"
  },
  "billablePeriod" : {
    "start" : "2025-01-01",
    "end" : "2025-01-01"
  },
  "created" : "2025-01-01T00:00:00+13:00",
  "insurer" : {
    "reference" : "Organization/GZZ000-1",
    "type" : "Organization",
    "identifier" : {
      "system" : "https://standards.digital.health.nz/ns/hpi-organisation-id",
      "value" : "GZZ000-1"
    }
  },
  "provider" : {
    "reference" : "Organization/GZZ999-9",
    "type" : "Organization",
    "identifier" : {
      "use" : "secondary",
      "system" : "https://standards.digital.health.nz/ns/hpi-nzbn",
      "value" : "9876543210123"
    }
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal"
      }
    ]
  },
  "payee" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/payeetype",
          "code" : "provider"
        }
      ]
    },
    "party" : {
      "identifier" : {
        "use" : "official",
        "system" : "https://standards.digital.health.nz/ns/hsaap-provider-site-id",
        "value" : "P012345"
      }
    }
  },
  "careTeam" : [
    {
      "sequence" : 1,
      "provider" : {
        "reference" : "Practitioner/12345"
      },
      "responsible" : true,
      "role" : {
        "coding" : [
          {
            "system" : "https://standards.digital.health.nz/ns/claim-careteam-role-code",
            "code" : "primary"
          }
        ]
      },
      "qualification" : {
        "coding" : [
          {
            "system" : "https://standards.digital.health.nz/ns/provider-qualification-codes",
            "code" : "S12345"
          }
        ]
      }
    }
  ],
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        "reference" : "Coverage/1234567890"
      }
    }
  ],
  "item" : [
    {
      "extension" : [
        {
          "url" : "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-paid",
          "valueMoney" : {
            "value" : 20,
            "currency" : "NZD"
          }
        },
        {
          "url" : "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/item-tax",
          "valueMoney" : {
            "value" : 75,
            "currency" : "NZD"
          }
        }
      ],
      "sequence" : 1,
      "productOrService" : {
        "coding" : [
          {
            "system" : "https://standards.digital.health.nz/ns/purchase-unit",
            "code" : "PU1234"
          }
        ]
      },
      "servicedPeriod" : {
        "start" : "2025-01-01T10:00:00+13:00",
        "end" : "2025-01-01T10:17:00+13:00"
      },
      "locationReference" : {
        "type" : "Location",
        "identifier" : {
          "system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
          "value" : "F12345"
        },
        "display" : "Example Telehealth Facility"
      },
      "quantity" : {
        "value" : 1
      },
      "unitPrice" : {
        "value" : 500,
        "currency" : "NZD"
      },
      "net" : {
        "value" : 500,
        "currency" : "NZD"
      },
      "encounter" : [
        {
          🔗 "reference" : "Encounter/NzTelehealthEncounterExample"
        }
      ]
    }
  ],
  "total" : {
    "value" : 500,
    "currency" : "NZD"
  }
}