Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.1 - release
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
<ClaimResponse xmlns="http://hl7.org/fhir">
<meta>
<profile
value="https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/NzPharmacyClaimResponse"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ClaimResponse NzPharmacyClaimResponseExample</b></p><a name="NzPharmacyClaimResponseExample"> </a><a name="hcNzPharmacyClaimResponseExample"> </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-NzPharmacyClaimResponse.html">New Zealand Pharmacy Claim Response</a></p></div><p><b>Trace Number</b>: TRN-123456789</p><p><b>identifier</b>: 123456789123456789</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>use</b>: Claim</p><p><b>patient</b>: <a href="https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&canonical=http://fhir.org.nz/ig/base/Patient/example">Patient/example</a></p><p><b>created</b>: 2025-01-01 00:00:00+0000</p><p><b>insurer</b>: <a href="https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&canonical=http://fhir.org.nz/ig/base/Organization/pharmac">Organization/pharmac</a></p><p><b>requestor</b>: <a href="https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&canonical=http://fhir.org.nz/ig/base/Organization/pharmacy">Organization/pharmacy</a></p><p><b>request</b>: <a href="https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&canonical=http://fhir.org.nz/ig/base/Claim/123456789123456789">Claim/123456789123456789</a></p><p><b>outcome</b>: Processing Complete</p><blockquote><p><b>item</b></p><p><b>Product Or Service</b>: <span title="Codes:{https://standards.digital.health.nz/ns/purchase-unit PU1234}">PU1234</span></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title="Codes:{https://standards.digital.health.nz/ns/pharmacy-adjudication-category amountpaid}">Amount Paid</span></p><h3>Amounts</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>100</td><td>New Zealand dollar</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>detailSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title="Codes:{https://standards.digital.health.nz/ns/pharmacy-adjudication-category drugcost}">Drug Cost</span></p><h3>Amounts</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>50</td><td>New Zealand dollar</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title="Codes:{https://standards.digital.health.nz/ns/pharmacy-adjudication-category pharmaceuticalsubsidy}">Pharmaceutical Subsidy</span></p><h3>Amounts</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>30</td><td>New Zealand dollar</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title="Codes:{https://standards.digital.health.nz/ns/pharmacy-adjudication-category amountpaid}">Amount Paid</span></p><h3>Amounts</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>100</td><td>New Zealand dollar</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>payment</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/ex-paymenttype complete}">Complete</span></p><p><b>date</b>: 2025-01-01</p><h3>Amounts</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>100</td><td>New Zealand dollar</td></tr></table></blockquote><h3>Errors</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ItemSequence</b></td><td><b>DetailSequence</b></td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>1</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/adjudication-error a002}">Missing Creation Date</span></td></tr></table></div>
</text>
<extension
url="https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/trace-number">
<valueIdentifier>
<value value="TRN-123456789"/>
</valueIdentifier>
</extension>
<identifier>
<value value="123456789123456789"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="pharmacy"/>
</coding>
</type>
<use value="claim"/>
<patient>
<reference value="Patient/example"/>
</patient>
<created value="2025-01-01T00:00:00-00:00"/>
<insurer>
<reference value="Organization/pharmac"/>
</insurer>
<requestor>
<reference value="Organization/pharmacy"/>
</requestor>
<request>
<reference value="Claim/123456789123456789"/>
</request>
<outcome value="complete"/>
<item>
<extension
url="https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/product-or-service">
<valueCodeableConcept>
<coding>
<system
value="https://standards.digital.health.nz/ns/purchase-unit"/>
<code value="PU1234"/>
</coding>
</valueCodeableConcept>
</extension>
<itemSequence value="1"/>
<adjudication>
<category>
<coding>
<system
value="https://standards.digital.health.nz/ns/pharmacy-adjudication-category"/>
<code value="amountpaid"/>
</coding>
</category>
<amount>
<value value="100"/>
<currency value="NZD"/>
</amount>
</adjudication>
<detail>
<detailSequence value="1"/>
<adjudication>
<category>
<coding>
<system
value="https://standards.digital.health.nz/ns/pharmacy-adjudication-category"/>
<code value="drugcost"/>
</coding>
</category>
<amount>
<value value="50"/>
<currency value="NZD"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="https://standards.digital.health.nz/ns/pharmacy-adjudication-category"/>
<code value="pharmaceuticalsubsidy"/>
</coding>
</category>
<amount>
<value value="30"/>
<currency value="NZD"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="https://standards.digital.health.nz/ns/pharmacy-adjudication-category"/>
<code value="amountpaid"/>
</coding>
</category>
<amount>
<value value="100"/>
<currency value="NZD"/>
</amount>
</adjudication>
</detail>
</item>
<payment>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/ex-paymenttype"/>
<code value="complete"/>
</coding>
</type>
<date value="2025-01-01"/>
<amount>
<value value="100"/>
<currency value="NZD"/>
</amount>
</payment>
<error>
<itemSequence value="1"/>
<detailSequence value="1"/>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication-error"/>
<code value="a002"/>
</coding>
</code>
</error>
</ClaimResponse>