Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: NZ Claim Types - JSON Representation

Draft as of 2025-11-25

Raw json | Download

{
  "resourceType" : "ValueSet",
  "id" : "nz-claim-types",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet nz-claim-types</b></p><a name=\"nz-claim-types\"> </a><a name=\"hcnz-claim-types\"> </a><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html\"><code>http://terminology.hl7.org/CodeSystem/claim-type</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html#claim-type-professional\">professional</a></td><td>Professional claim for practitioner services</td><td>Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html#claim-type-pharmacy\">pharmacy</a></td><td>Pharmacy claim for medication dispensing</td><td>Pharmacy claims for goods and services.</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html#claim-type-oral\">oral</a></td><td>Should be used for HSAAP dental claims including CDA, low-income dental, etc.</td><td>Dental, Denture and Hygiene claims.</td></tr></table></li></ul></div>"
  },
  "url" : "https://fhir-ig.digital.health.nz/shared-care/ValueSet/nz-claim-types",
  "version" : "0.4.3",
  "name" : "NzClaimTypes",
  "title" : "NZ Claim Types",
  "status" : "draft",
  "date" : "2025-11-25T02:00:55+00:00",
  "publisher" : "Te Whatu Ora",
  "contact" : [
    {
      "name" : "Te Whatu Ora",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.tewhatuora.govt.nz/"
        }
      ]
    },
    {
      "name" : "Te Whatu Ora Integration Team",
      "telecom" : [
        {
          "system" : "email",
          "value" : "integration@tewhatuora.govt.nz",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Types of claims in New Zealand",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "NZ",
          "display" : "New Zealand"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "concept" : [
          {
            "code" : "professional",
            "display" : "Professional claim for practitioner services"
          },
          {
            "code" : "pharmacy",
            "display" : "Pharmacy claim for medication dispensing"
          },
          {
            "code" : "oral",
            "display" : "Should be used for HSAAP dental claims including CDA, low-income dental, etc."
          }
        ]
      }
    ]
  }
}