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

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Pharmacy Submitted Claim - JSON Representation

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{
  "resourceType" : "Claim",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim PharmacySubmittedClaim</b></p><a name=\"PharmacySubmittedClaim\"> </a><a name=\"hcPharmacySubmittedClaim\"> </a><p><b>identifier</b>: <code>https://api.messaging.digital.health.nz/fileID</code>/7612345\u00a0(use:\u00a0secondary,\u00a0)</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type pharmacy}\">Pharmacy</span></p><p><b>subType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-claimsubtype ortho}\">Orthodontic Claim</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: Carey Carrington (Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-nhi.html\" title=\"NHI number\">NHI</a>/ZXP7823\u00a0(use:\u00a0official,\u00a0))</p><p><b>created</b>: 2014-08-16</p><p><b>insurer</b>: Health New Zealand (Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-hpiOrganization.html\" title=\"HPI organizations\">HPIOrganization</a>/GZZ998-A)</p><p><b>provider</b>: Wellness Pharmacy Auckland (Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-hpiOrganization.html\" title=\"HPI organizations\">HPIOrganization</a>/GZZ999-9\u00a0(use:\u00a0official,\u00a0))</p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><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>Not applicable</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 21691008}\">Alprazolam 0.25mg (Xanax)</span></p><p><b>serviced</b>: 2014-08-16</p><p><b>quantity</b>: 90 tablets<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code385055001 = 'Tablet')</span></p><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>90</td><td>New Zealand dollar</td></tr></table><blockquote><p><b>detail</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/pharmacy-claim-item-type drugcost}\">Drug Cost</span></p><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>45</td><td>New Zealand dollar</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>sequence</b>: 2</p><p><b>productOrService</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/pharmacy-claim-item-type suspension}\">Suspension</span></p><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>9</td><td>New Zealand dollar</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>sequence</b>: 3</p><p><b>productOrService</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/pharmacy-claim-item-type dispensefee}\">Dispense Fee</span></p><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>36</td><td>New Zealand dollar</td></tr></table></blockquote></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>90</td><td>New Zealand dollar</td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "secondary",
      "system" : "https://api.messaging.digital.health.nz/fileID",
      "value" : "7612345"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "pharmacy"
      }
    ]
  },
  "subType" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/ex-claimsubtype",
        "code" : "ortho",
        "display" : "Orthodontic Claim"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/nhi-id",
      "value" : "ZXP7823"
    },
    "display" : "Carey Carrington"
  },
  "created" : "2014-08-16",
  "insurer" : {
    "type" : "Organization",
    "identifier" : {
      "system" : "https://standards.digital.health.nz/ns/hpi-organisation-id",
      "value" : "GZZ998-A"
    },
    "display" : "Health New Zealand"
  },
  "provider" : {
    "type" : "Organization",
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/hpi-organisation-id",
      "value" : "GZZ999-9"
    },
    "display" : "Wellness Pharmacy Auckland"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal"
      }
    ]
  },
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-applicable"
          }
        ],
        "display" : "Not applicable"
      }
    }
  ],
  "item" : [
    {
      "sequence" : 1,
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "21691008",
            "display" : "Alprazolam"
          }
        ],
        "text" : "Alprazolam 0.25mg (Xanax)"
      },
      "servicedDate" : "2014-08-16",
      "quantity" : {
        "value" : 90,
        "unit" : "tablets",
        "system" : "http://snomed.info/sct",
        "code" : "385055001"
      },
      "net" : {
        "value" : 90,
        "currency" : "NZD"
      },
      "detail" : [
        {
          "sequence" : 1,
          "productOrService" : {
            "coding" : [
              {
                "system" : "https://standards.digital.health.nz/ns/pharmacy-claim-item-type",
                "code" : "drugcost",
                "display" : "Drug Cost"
              }
            ]
          },
          "net" : {
            "value" : 45,
            "currency" : "NZD"
          }
        },
        {
          "sequence" : 2,
          "productOrService" : {
            "coding" : [
              {
                "system" : "https://standards.digital.health.nz/ns/pharmacy-claim-item-type",
                "code" : "suspension",
                "display" : "Suspension"
              }
            ]
          },
          "net" : {
            "value" : 9,
            "currency" : "NZD"
          }
        },
        {
          "sequence" : 3,
          "productOrService" : {
            "coding" : [
              {
                "system" : "https://standards.digital.health.nz/ns/pharmacy-claim-item-type",
                "code" : "dispensefee",
                "display" : "Dispense Fee"
              }
            ]
          },
          "net" : {
            "value" : 36,
            "currency" : "NZD"
          }
        }
      ]
    }
  ],
  "total" : {
    "value" : 90,
    "currency" : "NZD"
  }
}