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

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

ValueSet: NZ Claim Types

Official URL: https://fhir-ig.digital.health.nz/shared-care/ValueSet/nz-claim-types Version: 0.4.3
Draft as of 2025-11-13 Computable Name: NzClaimTypes

Types of claims in New Zealand

References

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/claim-type
    CodeDisplayDefinition
    professionalProfessional claim for practitioner servicesTypically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
    pharmacyPharmacy claim for medication dispensingPharmacy claims for goods and services.
    oralShould be used for HSAAP dental claims including CDA, low-income dental, etc.Dental, Denture and Hygiene claims.

 

Expansion

Expansion performed internally based on codesystem Claim Type Codes v1.0.1 (CodeSystem)

This value set contains 3 concepts

CodeSystemDisplayDefinition
  professionalhttp://terminology.hl7.org/CodeSystem/claim-typeProfessional claim for practitioner servicesTypically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
  pharmacyhttp://terminology.hl7.org/CodeSystem/claim-typePharmacy claim for medication dispensingPharmacy claims for goods and services.
  oralhttp://terminology.hl7.org/CodeSystem/claim-typeShould be used for HSAAP dental claims including CDA, low-income dental, etc.Dental, Denture and Hygiene claims.

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