{ "resourceType" : "Bundle", "id" : "sa-example-response-bundle-declined", "meta" : { "profile" : ["https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-response-bundle"] }, "type" : "collection", "timestamp" : "2026-10-14T10:35:07+13:00", "entry" : [{ "fullUrl" : "https://api.example.health.nz/fhir/ClaimResponse/sa-example-cr-declined", "resource" : { "resourceType" : "ClaimResponse", "id" : "sa-example-cr-declined", "meta" : { "profile" : ["https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-application-claimresponse"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: ClaimResponse sa-example-cr-declined

Profile: SA Application ClaimResponse

Application Status

Existing Approval

status: Active

type: Pharmacy

use: Preauthorization

patient: Aroha Parata (official) (no stated gender), DoB: 1968-03-14 ( https://standards.digital.health.nz/ns/nhi-id#NHI#ZZZ0016\u00a0(use:\u00a0official))

created: 2026-10-14 10:35:07+1300

insurer: Health New Zealand | Te Whatu Ora

requestor: Jane Smith (official) (https://standards.digital.health.nz/ns/hpi-person-id#HPIProvider#99ZZZZ\u00a0(use:\u00a0official))

request: Identifier: SAApplicationNumber/000123457

outcome: Processing Complete

disposition: An approval already exists for this patient and form.

Errors

-Code
*URNSA011
" }, "extension" : [{ "extension" : [{ "url" : "status", "valueCode" : "DONE" }, { "url" : "outcome", "valueCode" : "DECLINED" }, { "url" : "outcomeCode", "valueCoding" : { "system" : "https://fhir-ig.digital.health.nz/special-authority/CodeSystem/sa-outcome-code", "code" : "URNSA011" } }, { "url" : "outcomeReason", "valueString" : "An approval already exists for this patient and form." }], "url" : "https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/application-status" }, { "extension" : [{ "url" : "approvalType", "valueCode" : "CHEM" }, { "url" : "approvalNumber", "valueIdentifier" : { "system" : "https://fhir-ig.digital.health.nz/special-authority/ns/approval-number", "value" : "25SA0001234" } }, { "url" : "effectiveDate", "valueDate" : "2026-02-01" }, { "url" : "expiryDate", "valueDate" : "2027-02-01" }], "url" : "https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/existing-approval" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/claim-type", "code" : "pharmacy" }] }, "use" : "preauthorization", "patient" : { "reference" : "Patient/sa-example-patient" }, "created" : "2026-10-14T10:35:07+13:00", "insurer" : { "display" : "Health New Zealand | Te Whatu Ora" }, "requestor" : { "reference" : "Practitioner/sa-example-applicant" }, "request" : { "identifier" : { "system" : "https://fhir-ig.digital.health.nz/special-authority/ns/application-number", "value" : "000123457" } }, "outcome" : "complete", "disposition" : "An approval already exists for this patient and form.", "error" : [{ "code" : { "coding" : [{ "system" : "https://fhir-ig.digital.health.nz/special-authority/CodeSystem/sa-outcome-code", "code" : "URNSA011" }] } }] } }, { "fullUrl" : "urn:uuid:7d9c6b1e-3c55-4a7a-9f4e-2b8d3a1c9e01", "resource" : { "resourceType" : "OperationOutcome", "id" : "sa-example-outcome-declined", "meta" : { "profile" : ["https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-outcome-operationoutcome"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: OperationOutcome sa-example-outcome-declined

Profile: SA Outcome OperationOutcome

Issues

-SeverityCodeDetailsDiagnostics
*ErrorBusiness Rule ViolationURNSA011An approval already exists for this patient and form.
" }, "issue" : [{ "severity" : "error", "code" : "business-rule", "details" : { "coding" : [{ "system" : "https://fhir-ig.digital.health.nz/special-authority/CodeSystem/sa-outcome-code", "code" : "URNSA011" }] }, "diagnostics" : "An approval already exists for this patient and form." }] } }, { "fullUrl" : "https://api.example.health.nz/fhir/Patient/sa-example-patient", "resource" : { "resourceType" : "Patient", "id" : "sa-example-patient", "meta" : { "profile" : ["https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-patient"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Patient sa-example-patient

Profile: SA Patient

Aroha Parata (official) (no stated gender), DoB: 1968-03-14 ( https://standards.digital.health.nz/ns/nhi-id#NHI#ZZZ0016\u00a0(use:\u00a0official))

Contact Detail12 Kowhai Street Waikanae 5036 NZ (home) (NZ Suburb: Waikanae Beach)
" }, "identifier" : [{ "use" : "official", "system" : "https://standards.digital.health.nz/ns/nhi-id", "value" : "ZZZ0016" }], "name" : [{ "use" : "official", "family" : "Parata", "given" : ["Aroha"], "prefix" : ["Ms"] }], "birthDate" : "1968-03-14", "address" : [{ "extension" : [{ "url" : "http://hl7.org.nz/fhir/StructureDefinition/suburb", "valueString" : "Waikanae Beach" }], "use" : "home", "line" : ["12 Kowhai Street"], "city" : "Waikanae", "postalCode" : "5036", "country" : "NZ" }] } }, { "fullUrl" : "https://api.example.health.nz/fhir/Practitioner/sa-example-applicant", "resource" : { "resourceType" : "Practitioner", "id" : "sa-example-applicant", "meta" : { "profile" : ["https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-practitioner"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner sa-example-applicant

Profile: SA Practitioner

Jane Smith (official) (https://standards.digital.health.nz/ns/hpi-person-id#HPIProvider#99ZZZZ\u00a0(use:\u00a0official))

Other Id:NZMC/12345\u00a0(use:\u00a0secondary)
Contact Detail1 Main Highway Otaki 5512 NZ (work)
" }, "identifier" : [{ "use" : "official", "system" : "https://standards.digital.health.nz/ns/hpi-person-id", "value" : "99ZZZZ" }, { "use" : "secondary", "system" : "https://standards.digital.health.nz/ns/medical-council-id", "value" : "12345" }], "name" : [{ "use" : "official", "family" : "Smith", "given" : ["Jane"], "prefix" : ["Dr"] }], "address" : [{ "use" : "work", "line" : ["1 Main Highway"], "city" : "Otaki", "postalCode" : "5512", "country" : "NZ" }] } }] }