<?xml version="1.0" encoding="UTF-8"?>

<ClaimResponse xmlns="http://hl7.org/fhir">
  <text>
    <status value="generated"/><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 (use: official, ))</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>
  </text>
  <identifier>
    <system value="https://api.messaging.digital.health.nz/fileID"/>
    <value value="7612345"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claimresponse-type"/>
      <code value="pharmacy"/>
    </coding>
  </type>
  <use value="claim"/>
  <patient>
    <identifier>
      <use value="official"/>
      <system value="https://standards.digital.health.nz/ns/nhi-id"/>
      <value value="ZXP7823"/>
    </identifier>
    <display value="Carey Carrington"/>
  </patient>
  <created value="2014-08-16"/>
  <insurer>
    <reference value="Organization/43242343232"/>
  </insurer>
  <request>
    <reference value="Claim/790423052393482"/>
  </request>
  <outcome value="complete"/>
  <item>
    <itemSequence value="1"/>
    <adjudication>
      <category>
        <coding>
          <code value="eligible"/>
        </coding>
      </category>
      <amount>
        <value value="235.4"/>
        <currency value="NZD"/>
      </amount>
    </adjudication>
  </item>
  <payment>
    <type>
      <coding>
        <system value="http://example.org/fhir/CodeSystem/payment-type"/>
        <code value="complete"/>
      </coding>
    </type>
    <date value="2014-08-31"/>
    <amount>
      <value value="382.32"/>
      <currency value="NZD"/>
    </amount>
  </payment>
</ClaimResponse>