claim example 2
{
{
},
}
}
],
{
],
{
{
}
]
}
],
},
},
},
]
},
{
],
{
"17 Austhorpe Road",
"Crossgates",
"Leeds"
],
}
],
{
{
}
]
}
],
]
}
],
{
}
],
{
}
]
},
},
},
]
},
{
},
}
}
],
{
}
]
},
}
},
{
{
}
},
{
}
}
]
}
],
},
{
{
}
}
],
},
{
{
}
]
},
{
{
}
]
}
],
{
{
}
},
{
}
}
}
],
{
}
]
},
{
{
}
]
}
],
{
{
}
]
},
{
{
}
]
}
],
},
{
{
}
]
},
}
}
]
},
{
{
}
},
{
}
}
}
],
{
}
]
},
{
{
}
]
}
],
{
{
}
]
},
{
{
}
]
}
],
}
}
]
}
]
}
<PractitionerRole>
</identifier>
</identifier>
</practitioner>
</organization>
</coding>
</code>
</telecom>
</PractitionerRole>
</contained>
<Organization>
</identifier>
</coding>
</type>
</telecom>
</address>
</Organization>
</contained>
</identifier>
</valueReference>
</extension>
</identifier>
</coding>
</type>
</identifier>
</patient>
</provider>
</coding>
</priority>
</valueIdentifier>
</extension>
</valueIdentifier>
</extension>
</extension>
</prescription>
</coding>
</type>
</party>
</payee>
</identifier>
</coverage>
</insurance>
</valueCoding>
</extension>
</coding>
</productOrService>
</coding>
</programCode>
</coding>
</programCode>
</valueIdentifier>
</extension>
</identifier>
</valueReference>
</extension>
</coding>
</productOrService>
</coding>
</modifier>
</coding>
</programCode>
</coding>
</programCode>
</quantity>
</coding>
</productOrService>
</quantity>
</subDetail>
</detail>
</valueIdentifier>
</extension>
</identifier>
</valueReference>
</extension>
</coding>
</productOrService>
</coding>
</modifier>
</coding>
</programCode>
</coding>
</programCode>
</quantity>
</detail>
</item>
</Claim>
| Claim |
| id : a76599c5-bbdd-4581-bb4d-377b348dd1e4 |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-Provenance-agent |
| value |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 7654321 |
| display : Mr Peter Potion |
| contained |
| id : provider |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-role-profile-id |
| value : 454567759542 |
| code |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode |
| code : S0030:G0100:R0620 |
| practitioner |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 7654321 |
| display : Mr Peter Potion |
| organization |
| reference : #organisation |
| telecom |
| system : phone |
| use : work |
| value : 01234567890 |
| contained |
| id : organisation |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : VNE51 |
| address |
| city : West Yorkshire |
| use : work |
| line : 17 Austhorpe Road |
| line : Crossgates |
| line : Leeds |
| postalCode : LS15 8BA |
| active : True |
| type |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/organisation-role |
| code : 182 |
| display : PHARMACY |
| name : The Simple Pharmacy |
| telecom |
| system : phone |
| use : work |
| value : 0113 3180277 |
| created : 2021-11-24T09:54:07.246Z |
| identifier |
| system : https://tools.ietf.org/html/rfc4122 |
| value : 737dcf8d-fc7a-436d-b692-7d3c4f258083 |
| status : active |
| type |
| coding |
| system : http://terminology.hl7.org/CodeSystem/claim-type |
| code : pharmacy |
| display : Pharmacy |
| use : claim |
| patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449304130 |
| provider |
| reference : #provider |
| priority |
| coding |
| system : http://terminology.hl7.org/CodeSystem/processpriority |
| code : normal |
| insurance |
| sequence : 1 |
| focal : True |
| coverage |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : T1450 |
| display : NHS BUSINESS SERVICES AUTHORITY |
| payee |
| type |
| coding |
| system : http://terminology.hl7.org/CodeSystem/payeetype |
| code : provider |
| display : Provider |
| party |
| reference : #organisation |
| prescription |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier |
| extension |
| url : shortForm |
| value |
| system : https://fhir.nhs.uk/Id/prescription-order-number |
| value : 6C804A-A83008-0F81DA |
| extension |
| url : UUID |
| value |
| system : https://fhir.nhs.uk/Id/prescription |
| value : 461e4d5e-b5b5-4fcb-8f28-306cbe698bc9 |
| display : A prescription order |
| item |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus |
| value |
| code : 0006 |
| system : https://fhir.nhs.uk/CodeSystem/EPS-task-business-status |
| display : Dispensed |
| sequence : 1 |
| productOrService |
| coding |
| system : http://snomed.info/sct |
| code : 16076005 |
| display : Prescription |
| programCode |
| coding |
| code : 0001 |
| system : https://fhir.nhs.uk/CodeSystem/prescription-charge-exemption |
| display : Patient has paid appropriate charges |
| programCode |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/DM-exemption-evidence |
| code : no-evidence-seen |
| display : No Evidence Seen |
| detail |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier |
| value |
| system : https://fhir.nhs.uk/Id/claim-sequence-identifier |
| value : be948cf8-5db1-4c39-8f9b-c7e049d55acb |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference |
| value |
| identifier |
| system : https://fhir.nhs.uk/Id/prescription-order-item-number |
| value : 8ec3e2fc-2761-42d9-b8d5-b57453f0ea27 |
| sequence : 1 |
| productOrService |
| coding |
| system : http://snomed.info/sct |
| code : 39720311000001101 |
| display : Paracetamol 500mg soluble tablets |
| modifier |
| coding |
| code : 0002 |
| system : https://fhir.nhs.uk/CodeSystem/medicationdispense-type |
| display : Item not dispensed |
| programCode |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/DM-prescription-charge |
| code : not-paid |
| display : Not Paid |
| programCode |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement |
| code : NDEC |
| display : No Dispenser Endorsement Code |
| quantity |
| value : 100 |
| unit : tablet |
| system : http://snomed.info/sct |
| code : 428673006 |
| subDetail |
| sequence : 1 |
| productOrService |
| coding |
| system : http://snomed.info/sct |
| code : 39720311000001101 |
| display : Paracetamol 500mg soluble tablets |
| quantity |
| value : 0 |
| unit : tablet |
| system : http://snomed.info/sct |
| code : 428673006 |
| detail |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier |
| value |
| system : https://fhir.nhs.uk/Id/claim-sequence-identifier |
| value : b001a051-b597-4c8d-9ea5-7dc2a56861ea |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference |
| value |
| identifier |
| system : https://fhir.nhs.uk/Id/prescription-order-item-number |
| value : 5962ea5f-d1e9-4a17-af12-e11b009603cf |
| sequence : 2 |
| productOrService |
| coding |
| system : http://snomed.info/sct |
| code : 39113611000001102 |
| display : Salbutamol 100micrograms/dose inhaler CFC free |
| modifier |
| coding |
| code : 0001 |
| system : https://fhir.nhs.uk/CodeSystem/medicationdispense-type |
| display : Item fully dispensed |
| programCode |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/DM-prescription-charge |
| code : paid-once |
| display : Paid Once |
| programCode |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement |
| code : NDEC |
| display : No Dispenser Endorsement Code |
| quantity |
| value : 200 |
| unit : dose |
| system : http://snomed.info/sct |
| code : 3317411000001100 |