{
  "resourceType" : "ClaimResponse",
  "id" : "sa-example-cr-approved",
  "meta" : {
    "profile" : ["https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-application-claimresponse"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse sa-example-cr-approved</b></p><a name=\"sa-example-cr-approved\"> </a><a name=\"hcsa-example-cr-approved\"> </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-sa-application-claimresponse.html\">SA Application ClaimResponse</a></p></div><blockquote><p><b>Application Status</b></p><ul><li>status: DONE</li><li>outcome: APPROVED</li></ul></blockquote><p><b>identifier</b>: <a href=\"NamingSystem-sa-approval-number.html\" title=\"Special Authority Approval Number. Carried on ClaimResponse.identifier and ClaimResponse.preAuthRef (D23).\">SAApprovalNumber</a>/26SA0004567</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>: Preauthorization</p><p><b>patient</b>: <a href=\"Patient-sa-example-patient.html\">Aroha Parata (official) (no stated gender), DoB: 1968-03-14 ( https://standards.digital.health.nz/ns/nhi-id#NHI#ZZZ0016\u00a0(use:\u00a0official))</a></p><p><b>created</b>: 2026-10-14 10:35:07+1300</p><p><b>insurer</b>: Health New Zealand | Te Whatu Ora</p><p><b>requestor</b>: <a href=\"Practitioner-sa-example-applicant.html\">Jane Smith (official) (https://standards.digital.health.nz/ns/hpi-person-id#HPIProvider#99ZZZZ\u00a0(use:\u00a0official))</a></p><p><b>request</b>: Identifier: <a href=\"NamingSystem-sa-application-number.html\" title=\"Special Authority Application Number allocated by the special-authority-application-service. The only identifier carried on Claim.identifier (D23).\">SAApplicationNumber</a>/000123456</p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Application approved</p><p><b>preAuthRef</b>: 26SA0004567</p><p><b>preAuthPeriod</b>: 2026-10-14 --&gt; 2027-10-14</p></div>"
  },
  "extension" : [{
    "extension" : [{
      "url" : "status",
      "valueCode" : "DONE"
    },
    {
      "url" : "outcome",
      "valueCode" : "APPROVED"
    }],
    "url" : "https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/application-status"
  }],
  "identifier" : [{
    "system" : "https://fhir-ig.digital.health.nz/special-authority/ns/approval-number",
    "value" : "26SA0004567"
  }],
  "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" : "000123456"
    }
  },
  "outcome" : "complete",
  "disposition" : "Application approved",
  "preAuthRef" : "26SA0004567",
  "preAuthPeriod" : {
    "start" : "2026-10-14",
    "end" : "2027-10-14"
  }
}