{
  "resourceType" : "ClaimResponse",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse HSAAPAdjudicatedClaimResponse</b></p><a name=\"HSAAPAdjudicatedClaimResponse\"> </a><a name=\"hcHSAAPAdjudicatedClaimResponse\"> </a><p><b>identifier</b>: <code>https://api.messaging.digital.health.nz/fileID</code>/7612345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claimresponse-type pharmacy}\">pharmacy</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: Carey Carrington (Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-nhi.html\" title=\"NHI number\">NHI</a>/ZXP7823\u00a0(use:\u00a0official,\u00a0))</p><p><b>created</b>: 2014-08-16</p><p><b>insurer</b>: <a href=\"Organization/43242343232\">Organization/43242343232</a></p><p><b>request</b>: <a href=\"Claim/790423052393482\">Claim/790423052393482</a></p><p><b>outcome</b>: Processing Complete</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:\">eligible</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>235.4</td><td>New Zealand dollar</td></tr></table></blockquote></blockquote><blockquote><p><b>payment</b></p><p><b>type</b>: <span title=\"Codes:{http://example.org/fhir/CodeSystem/payment-type complete}\">complete</span></p><p><b>date</b>: 2014-08-31</p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>382.32</td><td>New Zealand dollar</td></tr></table></blockquote></div>"
  },
  "identifier" : [{
    "system" : "https://api.messaging.digital.health.nz/fileID",
    "value" : "7612345"
  }],
  "status" : "active",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/claimresponse-type",
      "code" : "pharmacy"
    }]
  },
  "use" : "claim",
  "patient" : {
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/nhi-id",
      "value" : "ZXP7823"
    },
    "display" : "Carey Carrington"
  },
  "created" : "2014-08-16",
  "insurer" : {
    "reference" : "Organization/43242343232"
  },
  "request" : {
    "reference" : "Claim/790423052393482"
  },
  "outcome" : "complete",
  "item" : [{
    "itemSequence" : 1,
    "adjudication" : [{
      "category" : {
        "coding" : [{
          "code" : "eligible"
        }]
      },
      "amount" : {
        "value" : 235.4,
        "currency" : "NZD"
      }
    }]
  }],
  "payment" : {
    "type" : {
      "coding" : [{
        "system" : "http://example.org/fhir/CodeSystem/payment-type",
        "code" : "complete"
      }]
    },
    "date" : "2014-08-31",
    "amount" : {
      "value" : 382.32,
      "currency" : "NZD"
    }
  }
}