Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.3 - release

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

## ValueSet: NZ Claim Types

Official URL: https://fhir-ig.digital.health.nz/shared-care/ValueSet/nz-claim-types | Version: 0.4.3
Draft as of 2025-11-25 | Computable Name: NzClaimTypes

Types of claims in New Zealand

References

- NZ SharedCare Claim
- NZ SharedCare Claim Response

### Logical Definition (CLD)

- Include these codes as defined in `http://terminology.hl7.org/CodeSystem/claim-type`

  Code | Display | Definition
  professional | Professional claim for practitioner services | Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
  pharmacy | Pharmacy claim for medication dispensing | Pharmacy claims for goods and services.
  oral | Should be used for HSAAP dental claims including CDA, low-income dental, etc. | Dental, Denture and Hygiene claims.

### Expansion

Expansion performed internally based on codesystem Claim Type Codes v1.0.1 (CodeSystem)

This value set contains 3 concepts

Code | System | Display | Definition
professional | http://terminology.hl7.org/CodeSystem/claim-type | Professional claim for practitioner services | Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
pharmacy | http://terminology.hl7.org/CodeSystem/claim-type | Pharmacy claim for medication dispensing | Pharmacy claims for goods and services.
oral | http://terminology.hl7.org/CodeSystem/claim-type | Should be used for HSAAP dental claims including CDA, low-income dental, etc. | Dental, Denture and Hygiene claims.

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code