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 NPPA Application with requested pharmaceutical - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="sa-example-claim-nppa"/>
  <meta>
    <profile
             value="https://fhir-ig.digital.health.nz/special-authority/StructureDefinition/sa-claim"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim sa-example-claim-nppa</b></p><a name="sa-example-claim-nppa"> </a><a name="hcsa-example-claim-nppa"> </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-claim.html">SA Claim</a></p></div><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 12:00:00+1300</p><p><b>provider</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>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>SupportingInfos</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{https://fhir-ig.digital.health.nz/special-authority/CodeSystem/sa-supporting-info-category questionnaire-response}">Questionnaire response</span></td><td><a href="QuestionnaireResponse-sa-example-qr.html">Response to Questionnaire '-&gt;Example Special Authority form SA9999 - Initial application' about '-&gt;Aroha Parata (official) (no stated gender), DoB: 1968-03-14 ( https://standards.digital.health.nz/ns/nhi-id#NHI#ZZZ0016 (use: official))'</a></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td>Pharmaceutical Schedule</td></tr></table><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{http://nzmt.org.nz 50002411000117100}, {https://fhir-ig.digital.health.nz/special-authority/ns/pharmacode 2000001}">Myleran 2 mg tablet: film-coated, 100 tablets, bottle</span></td></tr></table></div>
  </text>
  <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="2026-10-14T12:00:00+13:00"/>
  <provider>🔗 
    <reference value="Practitioner/sa-example-applicant"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="normal"/>
    </coding>
  </priority>
  <supportingInfo>
    <sequence value="1"/>
    <category>
      <coding>
        <system
                value="https://fhir-ig.digital.health.nz/special-authority/CodeSystem/sa-supporting-info-category"/>
        <code value="questionnaire-response"/>
      </coding>
    </category>
    <valueReference>🔗 
      <reference value="QuestionnaireResponse/sa-example-qr"/>
    </valueReference>
  </supportingInfo>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>
      <display value="Pharmaceutical Schedule"/>
    </coverage>
  </insurance>
  <item>
    <sequence value="1"/>
    <productOrService>
      <coding>
        <system value="http://nzmt.org.nz"/>
        <code value="50002411000117100"/>
        <display
                 value="Myleran 2 mg tablet: film-coated, 100 tablets, bottle"/>
      </coding>
      <coding>
        <system
                value="https://fhir-ig.digital.health.nz/special-authority/ns/pharmacode"/>
        <code value="2000001"/>
        <display value="Example medicine 10 mg tablet, 30"/>
      </coding>
    </productOrService>
  </item>
</Claim>