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

## Example ClaimResponse: NZ Telehealth Claim Response Example

Information Source: https://standards.digital.health.nz/ns/hpi-facility-id/F12345-A

Profile: NZ SharedCare Claim Response

Tag: xxxxxxxx-xxxx-xxxx-xxxx-xxxxxxxxxxxx (Details: correlation-id code xxxxxxxx-xxxx-xxxx-xxxx-xxxxxxxxxxxx)

identifier: `https://standards.digital.health.nz/ns/claim-response-identifier`/a1b2c3d4-e5f6-7890-abcd-ef1234567890 (use: official, )

status: Active

type: Professional

subType: Telehealth

use: Claim

patient: Identifier: NHI/ZZZ0008

created: 2025-01-15 10:30:00+0000

insurer: Identifier: HPIOrganization/G0K357-H

requestor: Identifier: HPIOrganization/GZZ999-J (use: official, )

request: 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 --> 2025-01-02 00:00:00+1300; created = 2025-01-01 00:00:00+1300; priority = Normal

outcome: Processing Complete

> item

> Shared Care Product Or Service: COGP0068

> Shared Care Claim Trace Number: `https://standards.digital.health.nz/ns/claim-response-item-identifier`/cd7b6e0d-c554-4786-a52d-3efd1c187c1a

> > Shared Care Review Outcome

> > - decision: Approved
> > - reason: Record of encounter was found in our system.

> itemSequence: 1

> > adjudication

> > category: Benefit Amount

> > reason: policy

> > ### Amounts

> > - | Value | Currency
> > * | 100 | New Zealand dollar

> > value: 1

> total

> category: Benefit Amount

> ### Amounts

> - | Value | Currency
> * | 100 | New Zealand dollar

> payment

> type: Complete

> date: 2025-01-01

> ### Amounts

> - | Value | Currency
> * | 100 | New Zealand dollar

### Errors

- | Code
* | Claim validation failed: Missing required service date