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

## ValueSet: Pharmacy Adjudication Category

Official URL: https://fhir-ig.digital.health.nz/shared-care/ValueSet/pharmacy-adjudication-category | Version: 0.4.5
Active as of 2026-03-03 | Computable Name: PharmacyAdjudicationCategoryValueSet

Categories for pharmacy claim adjudication amounts

References

- New Zealand Pharmacy Claim Response

### Logical Definition (CLD)

- Include all codes defined in `https://standards.digital.health.nz/ns/pharmacy-adjudication-category`

### Expansion

Expansion performed internally based on codesystem Pharmacy Adjudication Category Code System v0.4.5 (CodeSystem)

This value set contains 7 concepts

Code | System | Display | Definition
drugcost | https://standards.digital.health.nz/ns/pharmacy-adjudication-category | Drug Cost | Cost of the pharmaceutical drug
markups | https://standards.digital.health.nz/ns/pharmacy-adjudication-category | Markups | Markup amounts applied
pharmaceuticalsubsidy | https://standards.digital.health.nz/ns/pharmacy-adjudication-category | Pharmaceutical Subsidy | Government pharmaceutical subsidy amount
copay | https://standards.digital.health.nz/ns/pharmacy-adjudication-category | Co-payment | Patient co-payment amount
professionalfees | https://standards.digital.health.nz/ns/pharmacy-adjudication-category | Professional Fees | Professional service fees
amountpaid | https://standards.digital.health.nz/ns/pharmacy-adjudication-category | Amount Paid | Total amount paid
packsize | https://standards.digital.health.nz/ns/pharmacy-adjudication-category | Pack Size | Package size information

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code