{ "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" : "

Generated Narrative: Claim NzTelehealthClaimExample

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

Profile: NZ SharedCare Claim

Tag:

Shared Care Agreement Number: AGRS-202sdfg4-00121

Shared Care Claim Trace Number: https://example.org/fhir/trace-number/7890

identifier: https://provider-org-name.co.nz/ns/claim-identifier/C123456\u00a0(use:\u00a0official,\u00a0)

status: Active

type: professional

subType: Telehealth

use: Claim

patient: Identifier: NHI/ZZZ0008

billablePeriod: 2025-01-01 00:00:00+1300 --> 2025-01-02 00:00:00+1300

created: 2025-01-01 00:00:00+1300

provider: Identifier: HPIOrganization/GZZ999-9\u00a0(use:\u00a0official,\u00a0)

priority: Normal

Insurances

-SequenceFocalCoverage
*1false?rref?

Items

-ExtensionSequenceProductOrServiceServiced[x]Location[x]QuantityEncounter
*1COGP00682025-01-01 10:00:00+1300 --> 2025-01-01 10:17:00+1300Example Telehealth Facility (Identifier: HPIFacility/F12345-A)1Encounter: extension = Acute viral pharyngitis,true,enrolled; identifier = https://onlinegp-provider-name.co.nz/ns/encounter-identifier#ENC123456789\u00a0(use:\u00a0official,\u00a0); status = finished; class = virtual (ActCode#VR); type = Video consultation; period = 2025-01-01 10:00:00+1300 --> 2025-01-01 10:17:00+1300
" }, "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://provider-org-name.co.nz/ns/claim-identifier", "value" : "C123456" }], "status" : "active", "type" : { "coding" : [{ "system" : "https://fhir-ig.digital.health.nz/shared-care/CodeSystem/nz-claim-type-cs", "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" } }, "billablePeriod" : { "start" : "2025-01-01T00:00:00+13:00", "end" : "2025-01-02T00:00:00+13:00" }, "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" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode" : "not-applicable" }] } }], "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" : "COGP0068" }] }, "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/NzGpOnlineEncounterExample" }] }] }