Bundle sa-example-submission-bundle of type collection

Entry 1 - fullUrl = https://api.example.health.nz/fhir/Claim/sa-example-claim

Resource Claim:

Profile: SA Claim

status: Active

type: Pharmacy

use: Preauthorization

created: 2026-10-14 10:35:00+1300

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

priority: Normal

SupportingInfos

-	Sequence	Category	Value[x]
*	1	Questionnaire response	Response to Questionnaire '->Example Special Authority form SA9999 - Initial application' about '->Aroha Parata (official) (no stated gender), DoB: 1968-03-14 ( https://standards.digital.health.nz/ns/nhi-id#NHI#ZZZ0016 (use: official))'

Insurances

-	Sequence	Focal	Coverage
*	1	true	Pharmaceutical Schedule

Entry 2 - fullUrl = https://api.example.health.nz/fhir/QuestionnaireResponse/sa-example-qr

Resource QuestionnaireResponse:

Profile: SA QuestionnaireResponse

LinkID	Text	Definition	Answer
sa-example-qr			Questionnaire:Example Special Authority form SA9999 - Initial application
sa-example-qr / initial
sa-example-qr / initial / 00001	Patient has a confirmed diagnosis of the relevant condition		true
sa-example-qr / initial / 00002	Patient has had an inadequate response to at least 3 months of first-line treatment		true
sa-example-qr / initial / 00003	First-line treatment trialled		Example first-line medicine, 6 months
Documentation for this format

Entry 3 - fullUrl = https://api.example.health.nz/fhir/Patient/sa-example-patient

Resource Patient:

Profile: SA Patient

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

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Contact Detail

12 Kowhai Street Waikanae 5036 NZ (home) (NZ Suburb: Waikanae Beach)

Entry 4 - fullUrl = https://api.example.health.nz/fhir/Practitioner/sa-example-applicant

Resource Practitioner:

Profile: SA Practitioner

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

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Other Id:	NZMC/12345 (use: secondary)
Contact Detail	1 Main Highway Otaki 5512 NZ (work)

Entry 5 - fullUrl = https://api.example.health.nz/fhir/Practitioner/sa-example-referrer

Resource Practitioner:

Profile: SA Practitioner

Rawiri Ngata (official) (https://standards.digital.health.nz/ns/medical-council-id#NZMC#54321 (use: secondary))

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