HSAAP Special Authority FHIR Implementation Guide
0.1.1 - draft New Zealand flag

HSAAP Special Authority FHIR Implementation Guide - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example Application ClaimResponse - Declined (existing Approval) - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ClaimResponse/sa-example-cr-declined> a fhir:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "sa-example-cr-declined"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-application-claimresponse" ;
       fhir:index 0 ;
       fhir:link <https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-application-claimresponse>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse sa-example-cr-declined</b></p><a name=\"sa-example-cr-declined\"> </a><a name=\"hcsa-example-cr-declined\"> </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: DECLINED</li><li>outcomeCode: <a href=\"CodeSystem-sa-outcome-code.html#sa-outcome-code-URNSA011\">SA Outcome Code: URNSA011</a> (URNSA011)</li><li>outcomeReason: An approval already exists for this patient and form.</li></ul></blockquote><blockquote><p><b>Existing Approval</b></p><ul><li>approvalType: CHEM</li><li>approvalNumber: <a href=\"NamingSystem-sa-approval-number.html\" title=\"Special Authority Approval Number. Carried on ClaimResponse.identifier and ClaimResponse.preAuthRef (D23).\">SAApprovalNumber</a>/25SA0001234</li><li>effectiveDate: 2026-02-01</li><li>expiryDate: 2027-02-01</li></ul></blockquote><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 (use: official))</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 (use: official))</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>/000123457</p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: An approval already exists for this patient and form.</p><h3>Errors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://fhir-ig.digital.health.nz/special-authority/CodeSystem/sa-outcome-code URNSA011}\">URNSA011</span></td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "status" ] ;
       fhir:Extension.valueCode [ fhir:value "DONE" ]
     ], [
       fhir:index 1 ;
       fhir:Extension.url [ fhir:value "outcome" ] ;
       fhir:Extension.valueCode [ fhir:value "DECLINED" ]
     ], [
       fhir:index 2 ;
       fhir:Extension.url [ fhir:value "outcomeCode" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "https://fhir-ig.digital.health.nz/special-authority/CodeSystem/sa-outcome-code" ] ;
         fhir:Coding.code [ fhir:value "URNSA011" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Extension.url [ fhir:value "outcomeReason" ] ;
       fhir:Extension.valueString [ fhir:value "An approval already exists for this patient and form." ]
     ] ;
     fhir:Extension.url [ fhir:value "https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/application-status" ]
  ], [
     fhir:index 1 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "approvalType" ] ;
       fhir:Extension.valueCode [ fhir:value "CHEM" ]
     ], [
       fhir:index 1 ;
       fhir:Extension.url [ fhir:value "approvalNumber" ] ;
       fhir:Extension.valueIdentifier [
         fhir:Identifier.system [ fhir:value "https://fhir-ig.digital.health.nz/special-authority/ns/approval-number" ] ;
         fhir:Identifier.value [ fhir:value "25SA0001234" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Extension.url [ fhir:value "effectiveDate" ] ;
       fhir:Extension.valueDate [ fhir:value "2026-02-01"^^xsd:date ]
     ], [
       fhir:index 3 ;
       fhir:Extension.url [ fhir:value "expiryDate" ] ;
       fhir:Extension.valueDate [ fhir:value "2027-02-01"^^xsd:date ]
     ] ;
     fhir:Extension.url [ fhir:value "https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/existing-approval" ]
  ] ;
  fhir:ClaimResponse.status [ fhir:value "active"] ;
  fhir:ClaimResponse.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
       fhir:Coding.code [ fhir:value "pharmacy" ]
     ]
  ] ;
  fhir:ClaimResponse.use [ fhir:value "preauthorization"] ;
  fhir:ClaimResponse.patient [
     fhir:link <http://hl7.org/fhir/Patient/sa-example-patient> ;
     fhir:Reference.reference [ fhir:value "Patient/sa-example-patient" ]
  ] ;
  fhir:ClaimResponse.created [ fhir:value "2026-10-14T10:35:07+13:00"^^xsd:dateTime] ;
  fhir:ClaimResponse.insurer [
     fhir:Reference.display [ fhir:value "Health New Zealand | Te Whatu Ora" ]
  ] ;
  fhir:ClaimResponse.requestor [
     fhir:link <http://hl7.org/fhir/Practitioner/sa-example-applicant> ;
     fhir:Reference.reference [ fhir:value "Practitioner/sa-example-applicant" ]
  ] ;
  fhir:ClaimResponse.request [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir-ig.digital.health.nz/special-authority/ns/application-number" ] ;
       fhir:Identifier.value [ fhir:value "000123457" ]
     ]
  ] ;
  fhir:ClaimResponse.outcome [ fhir:value "complete"] ;
  fhir:ClaimResponse.disposition [ fhir:value "An approval already exists for this patient and form."] ;
  fhir:ClaimResponse.error [
     fhir:index 0 ;
     fhir:ClaimResponse.error.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir-ig.digital.health.nz/special-authority/CodeSystem/sa-outcome-code" ] ;
         fhir:Coding.code [ fhir:value "URNSA011" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Patient/sa-example-patient> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/sa-example-applicant> a fhir:Practitioner .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ClaimResponse/sa-example-cr-declined.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ClaimResponse/sa-example-cr-declined.ttl> .