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

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : NZ Telehealth Claim Response Example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:ClaimResponse ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:meta [
    fhir:source [ fhir:v "https://standards.digital.health.nz/ns/hpi-facility-id/F12345-A"^^xsd:anyURI ] ;
        ( fhir:profile [
    fhir:v "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/SharedCareClaimResponse"^^xsd:anyURI ;
    fhir:link <https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/SharedCareClaimResponse>     ] ) ;
        ( fhir:tag [
    fhir:system [ fhir:v "https://hub.services.digital.health.nz/ns/correlation-id"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "xxxxxxxx-xxxx-xxxx-xxxx-xxxxxxxxxxxx" ]     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse NzTelehealthClaimResponseExample</b></p><a name=\"NzTelehealthClaimResponseExample\"> </a><a name=\"hcNzTelehealthClaimResponseExample\"> </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-SharedCareClaimResponse.html\">NZ SharedCare Claim Response</a></p><p style=\"margin-bottom: 0px\">Tag: xxxxxxxx-xxxx-xxxx-xxxx-xxxxxxxxxxxx (Details: correlation-id code xxxxxxxx-xxxx-xxxx-xxxx-xxxxxxxxxxxx)</p></div><p><b>identifier</b>: <code>https://standards.digital.health.nz/ns/claim-response-identifier</code>/a1b2c3d4-e5f6-7890-abcd-ef1234567890 (use: official, )</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>: Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-nhi.html\" title=\"NHI number\">NHI</a>/ZZZ0008</p><p><b>created</b>: 2025-01-15 10:30:00+0000</p><p><b>insurer</b>: Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-hpiOrganization.html\" title=\"HPI organizations\">HPIOrganization</a>/G0K357-H</p><p><b>requestor</b>: Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-hpiOrganization.html\" title=\"HPI organizations\">HPIOrganization</a>/GZZ999-J (use: official, )</p><p><b>request</b>: <a href=\"Claim-NzTelehealthClaimExample.html\">Claim: extension = AGRS-202sdfg4-00121,https://example.org/fhir/trace-number#7890; identifier = https://provider-org-name.co.nz/ns/claim-identifier#C123456 (use: official, ); status = active; type = Professional; subType = Telehealth; use = claim; billablePeriod = 2025-01-01 00:00:00+1300 --&gt; 2025-01-02 00:00:00+1300; created = 2025-01-01 00:00:00+1300; priority = Normal</a></p><p><b>outcome</b>: Processing Complete</p><blockquote><p><b>item</b></p><p><b>Shared Care Product Or Service</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/purchase-unit COGP0068}\">COGP0068</span></p><p><b>Shared Care Claim Trace Number</b>: <code>https://standards.digital.health.nz/ns/claim-response-item-identifier</code>/cd7b6e0d-c554-4786-a52d-3efd1c187c1a</p><blockquote><p><b>Shared Care Review Outcome</b></p><ul><li>decision: <span title=\"Codes:{https://fhir-ig.digital.health.nz/shared-care/CodeSystem/claim-decision-cs approved}\">Approved</span></li><li>reason: <span title=\"Codes:{https://fhir-ig.digital.health.nz/shared-care/CodeSystem/claim-decision-reason-cs DET064.001}\">Record of encounter was found in our system.</span></li></ul></blockquote><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</span></p><p><b>reason</b>: <span title=\"Codes:{https://standards.digital.health.nz/ns/adjudication-reason-code policy}\">policy</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>100</td><td>New Zealand dollar</td></tr></table><p><b>value</b>: 1</p></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication benefit}\">Benefit Amount</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>100</td><td>New Zealand dollar</td></tr></table></blockquote><blockquote><p><b>payment</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-paymenttype complete}\">Complete</span></p><p><b>date</b>: 2025-01-01</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>100</td><td>New Zealand dollar</td></tr></table></blockquote><h3>Errors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication-error a001}\">Claim validation failed: Missing required service date</span></td></tr></table></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "official" ] ;
    fhir:system [ fhir:v "https://standards.digital.health.nz/ns/claim-response-identifier"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "a1b2c3d4-e5f6-7890-abcd-ef1234567890" ]
      ] ) ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:type [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "professional" ]     ] )
      ] ; #
      fhir:subType [
        ( fhir:coding [
    fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/shared-care/CodeSystem/nz-claim-subtype-cs"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "telehealth" ]     ] )
      ] ; #
      fhir:use [ fhir:v "claim"] ; #
      fhir:patient [
    fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ;
    fhir:identifier [
    fhir:system [ fhir:v "https://standards.digital.health.nz/ns/nhi-id"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "ZZZ0008" ]     ]
      ] ; #
      fhir:created [ fhir:v "2025-01-15T10:30:00-00:00"^^xsd:dateTime] ; #
      fhir:insurer [
    fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
    fhir:identifier [
    fhir:system [ fhir:v "https://standards.digital.health.nz/ns/hpi-organisation-id"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "G0K357-H" ]     ]
      ] ; #
      fhir:requestor [
    fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
    fhir:identifier [
    fhir:use [ fhir:v "official" ] ;
    fhir:system [ fhir:v "https://standards.digital.health.nz/ns/hpi-organisation-id"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "GZZ999-J" ]     ]
      ] ; #
      fhir:request [
    fhir:reference [ fhir:v "Claim/NzTelehealthClaimExample" ]
      ] ; #
      fhir:outcome [ fhir:v "complete"] ; #
      fhir:item ( [
        ( fhir:extension [
    fhir:url [ fhir:v "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-product-or-service"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "https://standards.digital.health.nz/ns/purchase-unit"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "COGP0068" ]         ] )       ]     ] [
    fhir:url [ fhir:v "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-trace-number"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Identifier ;
    fhir:system [ fhir:v "https://standards.digital.health.nz/ns/claim-response-item-identifier"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "cd7b6e0d-c554-4786-a52d-3efd1c187c1a" ]       ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "decision"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/shared-care/CodeSystem/claim-decision-cs"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "approved" ] ;
    fhir:display [ fhir:v "Approved" ]           ] )         ]       ] [
    fhir:url [ fhir:v "reason"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/shared-care/CodeSystem/claim-decision-reason-cs"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "DET064.001" ] ;
    fhir:display [ fhir:v "Passed" ]           ] ) ;
    fhir:text [ fhir:v "Record of encounter was found in our system." ]         ]       ] ) ;
    fhir:url [ fhir:v "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-review-outcome"^^xsd:anyURI ]     ] ) ;
    fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
        ( fhir:adjudication [
    fhir:category [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "benefit" ]         ] )       ] ;
    fhir:reason [
            ( fhir:coding [
    fhir:system [ fhir:v "https://standards.digital.health.nz/ns/adjudication-reason-code"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "policy" ]         ] )       ] ;
    fhir:amount [
    fhir:value [ fhir:v "100"^^xsd:decimal ] ;
    fhir:currency [ fhir:v "NZD" ]       ] ;
    fhir:value [ fhir:v "1"^^xsd:decimal ]     ] )
      ] ) ; #
      fhir:total ( [
    fhir:category [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "benefit" ]       ] )     ] ;
    fhir:amount [
    fhir:value [ fhir:v "100"^^xsd:decimal ] ;
    fhir:currency [ fhir:v "NZD" ]     ]
      ] ) ; #
      fhir:payment [
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-paymenttype"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "complete" ]       ] )     ] ;
    fhir:date [ fhir:v "2025-01-01"^^xsd:date ] ;
    fhir:amount [
    fhir:value [ fhir:v "100"^^xsd:decimal ] ;
    fhir:currency [ fhir:v "NZD" ]     ]
      ] ; #
      fhir:error ( [
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication-error"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "a001" ] ;
    fhir:display [ fhir:v "Invalid claim" ]       ] ) ;
    fhir:text [ fhir:v "Claim validation failed: Missing required service date" ]     ]
      ] ) . #