{
  "resourceType" : "Claim",
  "meta" : {
    "source" : "https://standards.digital.health.nz/ns/hpi-facility-id/F12345-A",
    "profile" : ["https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/SharedCareClaim"],
    "tag" : [{
      "system" : "https://hub.services.digital.health.nz/ns/correlation-id",
      "code" : "aaaaaaaa-aaaa-aaaa-aaaa-aaaaaaaaaaaa"
    }]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim NzTelehealthClaimExample</b></p><a name=\"NzTelehealthClaimExample\"> </a><a name=\"hcNzTelehealthClaimExample\"> </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\">Information Source: <a href=\"https://standards.digital.health.nz/ns/hpi-facility-id/F12345-A\">https://standards.digital.health.nz/ns/hpi-facility-id/F12345-A</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-SharedCareClaim.html\">NZ SharedCare Claim</a></p><p style=\"margin-bottom: 0px\">Tag: aaaaaaaa-aaaa-aaaa-aaaa-aaaaaaaaaaaa (Details: correlation-id code aaaaaaaa-aaaa-aaaa-aaaa-aaaaaaaaaaaa)</p></div><p><b>Shared Care Agreement Number</b>: AGRS-202sdfg4-00121</p><p><b>Shared Care Claim Trace Number</b>: <code>https://example.org/fhir/trace-number</code>/7890</p><p><b>identifier</b>: <code>https://standards.digital.health.nz/ns/claim-identifier</code>/C123456\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>subType</b>: <span title=\"Codes:{https://fhir-ig.digital.health.nz/shared-care/CodeSystem/nz-claim-subtype-cs telehealth}\">Telehealth</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: Mr Test Patient | Male | 2001-01-01 (Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-nhi.html\" title=\"NHI number\">NHI</a>/ZZZ0008)</p><p><b>billablePeriod</b>: 2025-01-01 --&gt; 2025-01-01</p><p><b>created</b>: 2025-01-01 00:00:00+1300</p><p><b>provider</b>: Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-hpiOrganization.html\" title=\"HPI organizations\">HPIOrganization</a>/GZZ999-9\u00a0(use:\u00a0official,\u00a0)</p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><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>false</td><td>Identifier: <code>https://standards.digital.health.nz/ns/coverage-identifier</code>/INC123456</td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>ProductOrService</b></td><td><b>Serviced[x]</b></td><td><b>Location[x]</b></td><td><b>Quantity</b></td><td><b>Encounter</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>1</td><td><span title=\"Codes:{https://standards.digital.health.nz/ns/purchase-unit PU1234}\">PU1234</span></td><td>2025-01-01 10:00:00+1300 --&gt; 2025-01-01 10:17:00+1300</td><td>Example Telehealth Facility (Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-hpiFacility.html\" title=\"HPI facilities\">HPIFacility</a>/F12345-A)</td><td>1</td><td><a href=\"Encounter-NzTelehealthEncounterExample.html\">Encounter: extension = true,false,enrolled,Ambulance (arrivalMode#A); identifier = https://standards.digital.health.nz/ns/telehealth-token#TH123456789\u00a0(use:\u00a0secondary,\u00a0); status = finished; class = Virtual (ActCode#VR); type = Telephone encounter; priority = Category 3; period = 2025-01-01 10:00:00+1300 --&gt; 2025-01-01 10:17:00+1300; reasonCode = Transport problem (finding)</a></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-agreement-number",
    "valueString" : "AGRS-202sdfg4-00121"
  },
  {
    "url" : "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-trace-number",
    "valueIdentifier" : {
      "system" : "https://example.org/fhir/trace-number",
      "value" : "7890"
    }
  }],
  "identifier" : [{
    "use" : "official",
    "system" : "https://standards.digital.health.nz/ns/claim-identifier",
    "value" : "C123456"
  }],
  "status" : "active",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
      "code" : "professional"
    }]
  },
  "subType" : {
    "coding" : [{
      "system" : "https://fhir-ig.digital.health.nz/shared-care/CodeSystem/nz-claim-subtype-cs",
      "code" : "telehealth"
    }]
  },
  "use" : "claim",
  "patient" : {
    "type" : "Patient",
    "identifier" : {
      "system" : "https://standards.digital.health.nz/ns/nhi-id",
      "value" : "ZZZ0008"
    },
    "display" : "Mr Test Patient | Male | 2001-01-01"
  },
  "billablePeriod" : {
    "start" : "2025-01-01",
    "end" : "2025-01-01"
  },
  "created" : "2025-01-01T00:00:00+13:00",
  "provider" : {
    "type" : "Organization",
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/hpi-organisation-id",
      "value" : "GZZ999-9"
    }
  },
  "priority" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
      "code" : "normal"
    }]
  },
  "insurance" : [{
    "sequence" : 1,
    "focal" : false,
    "coverage" : {
      "identifier" : {
        "system" : "https://standards.digital.health.nz/ns/coverage-identifier",
        "value" : "INC123456"
      }
    }
  }],
  "item" : [{
    "extension" : [{
      "url" : "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-patient-copayment",
      "valueMoney" : {
        "value" : 20,
        "currency" : "NZD"
      }
    }],
    "sequence" : 1,
    "productOrService" : {
      "coding" : [{
        "system" : "https://standards.digital.health.nz/ns/purchase-unit",
        "code" : "PU1234"
      }]
    },
    "servicedPeriod" : {
      "start" : "2025-01-01T10:00:00+13:00",
      "end" : "2025-01-01T10:17:00+13:00"
    },
    "locationReference" : {
      "type" : "Location",
      "identifier" : {
        "system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
        "value" : "F12345-A"
      },
      "display" : "Example Telehealth Facility"
    },
    "quantity" : {
      "value" : 1
    },
    "encounter" : [{
      "reference" : "Encounter/NzTelehealthEncounterExample"
    }]
  }]
}