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

• Narrative Content
• JSON

: Example Application ClaimResponse - Pending review - XML Representation

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<ClaimResponse xmlns="http://hl7.org/fhir">
  <id value="sa-example-cr-pending"/>
  <meta>
    <profile
             value="https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-application-claimresponse"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ClaimResponse sa-example-cr-pending</b></p><a name="sa-example-cr-pending"> </a><a name="hcsa-example-cr-pending"> </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: PENDING_REVIEW</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 11:03:15+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>/000123458</p><p><b>outcome</b>: Queued</p></div>
  </text>
  <extension
             url="https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/application-status">
    <extension url="status">
      <valueCode value="PENDING_REVIEW"/>
    </extension>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="pharmacy"/>
    </coding>
  </type>
  <use value="preauthorization"/>
  <patient>🔗 
    <reference value="Patient/sa-example-patient"/>
  </patient>
  <created value="2026-10-14T11:03:15+13:00"/>
  <insurer>
    <display value="Health New Zealand | Te Whatu Ora"/>
  </insurer>
  <requestor>🔗 
    <reference value="Practitioner/sa-example-applicant"/>
  </requestor>
  <request>
    <identifier>
      <system
              value="https://fhir-ig.digital.health.nz/special-authority/ns/application-number"/>
      <value value="000123458"/>
    </identifier>
  </request>
  <outcome value="queued"/>
</ClaimResponse>