NHS Digital FHIR Medicines (Retired - 2.1.14)

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

Claim mapped from HL7v3

{
    "resourceType": "Claim",
    "id": "e8e75676-9d30-45f8-8b09-696818e7f4ca",
    "contained":  [
        {
            "resourceType": "PractitionerRole",
            "id": "provider",
            "identifier":  [
                {
                    "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
                    "value": "884562163557"
                }
            ],
            "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": "7321654"
                },
                "display": "dummy full name"
            },
            "organization": {
                "reference": "#organisation"
            },
            "telecom":  [
                {
                    "system": "phone",
                    "use": "work",
                    "value": "01234567890"
                }
            ]
        },
        {
            "resourceType": "Organization",
            "id": "organisation",
            "identifier":  [
                {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "VNE51"
                }
            ],
            "address":  [
                {
                    "city": "West Yorkshire",
                    "use": "work",
                    "line":  [
                        "17 Austhorpe Road",
                        "Crossgates",
                        "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"
                }
            ]
        }
    ],
    "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": "9300992742"
        }
    },
    "created": "2011-10-25T13:45:35+00:00",
    "provider": {
        "reference": "#provider"
    },
    "priority": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/processpriority",
                "code": "normal"
            }
        ]
    },
    "prescription": {
        "extension":  [
            {
                "url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier",
                "extension":  [
                    {
                        "url": "shortForm",
                        "valueIdentifier": {
                            "system": "https://fhir.nhs.uk/Id/prescription-order-number",
                            "value": "111467-A82003-09881S"
                        }
                    },
                    {
                        "url": "UUID",
                        "valueIdentifier": {
                            "system": "https://fhir.nhs.uk/Id/prescription",
                            "value": "1DE59600-86B1-11DB-84BA-2B9204F7A7C9"
                        }
                    }
                ]
            }
        ],
        "display": "A prescription"
    },
    "payee": {
        "type": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/payeetype",
                    "code": "provider",
                    "display": "Provider"
                }
            ]
        },
        "party": {
            "reference": "#organisation"
        }
    },
    "insurance":  [
        {
            "sequence": 1,
            "focal": true,
            "coverage": {
                "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "T1450"
                },
                "display": "NHS BUSINESS SERVICES AUTHORITY"
            }
        }
    ],
    "item":  [
        {
            "sequence": 1,
            "extension":  [
                {
                    "url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus",
                    "valueCoding": {
                        "system": "https://fhir.nhs.uk/CodeSystem/EPS-task-business-status",
                        "code": "0006",
                        "display": "Dispensed"
                    }
                }
            ],
            "productOrService": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "16076005",
                        "display": "Prescription"
                    }
                ]
            },
            "programCode":  [
                {
                    "coding":  [
                        {
                            "system": "https://fhir.nhs.uk/CodeSystem/prescription-charge-exemption",
                            "code": "0001",
                            "display": "Patient has paid appropriate charges"
                        }
                    ]
                }
            ],
            "detail":  [
                {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/claim-sequence-identifier",
                                "value": "58338C37-00E5-A577-E040-A8C016024E6D"
                            }
                        },
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
                            "valueReference": {
                                "identifier": {
                                    "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                                    "value": "33560bee-bc0c-4e3b-a155-71591eee9ca5"
                                }
                            }
                        }
                    ],
                    "sequence": 1,
                    "productOrService": {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "4627711000001106",
                                "display": "Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd)"
                            }
                        ]
                    },
                    "modifier":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
                                    "code": "0001",
                                    "display": "Item fully dispensed"
                                }
                            ]
                        }
                    ],
                    "quantity": {
                        "value": 1,
                        "unit": "vial",
                        "system": "http://snomed.info/sct",
                        "code": "3319611000001107"
                    },
                    "programCode":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement",
                                    "code": "NDEC",
                                    "display": "No Dispenser Endorsement Code"
                                }
                            ]
                        },
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/DM-prescription-charge",
                                    "code": "not-paid",
                                    "display": "Not Paid"
                                }
                            ]
                        },
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement",
                                    "code": "NDEC",
                                    "display": "No Dispenser Endorsement Code"
                                }
                            ]
                        }
                    ],
                    "subDetail":  [
                        {
                            "sequence": 1,
                            "productOrService": {
                                "coding":  [
                                    {
                                        "system": "http://snomed.info/sct",
                                        "code": "4627811000001103",
                                        "display": "Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd) 1 vial"
                                    }
                                ]
                            },
                            "quantity": {
                                "value": 1,
                                "unit": "vial",
                                "system": "http://snomed.info/sct",
                                "code": "3319611000001107"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/claim-sequence-identifier",
                                "value": "58338C37-00E6-A577-E040-A8C016024E6D"
                            }
                        },
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
                            "valueReference": {
                                "identifier": {
                                    "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                                    "value": "e8e75676-9d30-45f8-8b09-696818e7f4ca"
                                }
                            }
                        }
                    ],
                    "sequence": 2,
                    "productOrService": {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "4627711000001106",
                                "display": "Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd)"
                            }
                        ]
                    },
                    "modifier":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
                                    "code": "0001",
                                    "display": "Item fully dispensed"
                                }
                            ]
                        }
                    ],
                    "quantity": {
                        "value": 1,
                        "unit": "vial",
                        "system": "http://snomed.info/sct",
                        "code": "3319611000001107"
                    },
                    "programCode":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement",
                                    "code": "BB",
                                    "display": "Broken Bulk"
                                }
                            ]
                        },
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/DM-prescription-charge",
                                    "code": "not-paid",
                                    "display": "Not Paid"
                                }
                            ]
                        },
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement",
                                    "code": "IP",
                                    "display": "Invoice Price for less common products or special items"
                                }
                            ],
                            "text": "15gram,£12.34,EFGH Ltd"
                        }
                    ],
                    "subDetail":  [
                        {
                            "sequence": 1,
                            "productOrService": {
                                "coding":  [
                                    {
                                        "system": "http://snomed.info/sct",
                                        "code": "4627811000001103",
                                        "display": "Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd) 1 vial"
                                    }
                                ]
                            },
                            "quantity": {
                                "value": 1,
                                "unit": "vial",
                                "system": "http://snomed.info/sct",
                                "code": "3319611000001107"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier",
                            "valueIdentifier": {
                                "system": "https://fhir.nhs.uk/Id/claim-sequence-identifier",
                                "value": "58338C37-00E7-A577-E040-A8C016024E6D"
                            }
                        },
                        {
                            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
                            "valueReference": {
                                "identifier": {
                                    "system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
                                    "value": "164e94fe-16e5-4105-a4aa-10c3757c07c5"
                                }
                            }
                        }
                    ],
                    "sequence": 3,
                    "productOrService": {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "4627711000001106",
                                "display": "Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd)"
                            }
                        ]
                    },
                    "modifier":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
                                    "code": "0001",
                                    "display": "Item fully dispensed"
                                }
                            ]
                        }
                    ],
                    "quantity": {
                        "value": 1,
                        "unit": "vial",
                        "system": "http://snomed.info/sct",
                        "code": "3319611000001107"
                    },
                    "programCode":  [
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/DM-prescription-charge",
                                    "code": "not-paid",
                                    "display": "Not Paid"
                                }
                            ]
                        },
                        {
                            "coding":  [
                                {
                                    "system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement",
                                    "code": "NDEC",
                                    "display": "No Dispenser Endorsement Code"
                                }
                            ]
                        }
                    ],
                    "subDetail":  [
                        {
                            "sequence": 1,
                            "productOrService": {
                                "coding":  [
                                    {
                                        "system": "http://snomed.info/sct",
                                        "code": "4627811000001103",
                                        "display": "Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd) 1 vial"
                                    }
                                ]
                            },
                            "quantity": {
                                "value": 1,
                                "unit": "vial",
                                "system": "http://snomed.info/sct",
                                "code": "3319611000001107"
                            }
                        }
                    ]
                }
            ]
        }
    ]
}
<Claim xmlns="http://hl7.org/fhir">
    <id value="e8e75676-9d30-45f8-8b09-696818e7f4ca" />
    <contained>
        <PractitionerRole>
            <id value="provider" />
            <identifier>
                <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                <value value="884562163557" />
            </identifier>
            <practitioner>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-user-id" />
                    <value value="7321654" />
                </identifier>
                <display value="dummy full name" />
            </practitioner>
            <organization>
                <reference value="#organisation" />
            </organization>
            <code>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode" />
                    <code value="S0030:G0100:R0620" />
                </coding>
            </code>
            <telecom>
                <system value="phone" />
                <value value="01234567890" />
                <use value="work" />
            </telecom>
        </PractitionerRole>
    </contained>
    <contained>
        <Organization>
            <id value="organisation" />
            <identifier>
                <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                <value value="VNE51" />
            </identifier>
            <active value="true" />
            <type>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/organisation-role" />
                    <code value="182" />
                    <display value="PHARMACY" />
                </coding>
            </type>
            <name value="The Simple Pharmacy" />
            <telecom>
                <system value="phone" />
                <value value="0113 3180277" />
                <use value="work" />
            </telecom>
            <address>
                <use value="work" />
                <line value="17 Austhorpe Road" />
                <line value="Crossgates" />
                <line value="Leeds" />
                <city value="West Yorkshire" />
                <postalCode value="LS15 8BA" />
            </address>
        </Organization>
    </contained>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="737dcf8d-fc7a-436d-b692-7d3c4f258083" />
    </identifier>
    <status value="active" />
    <type>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/claim-type" />
            <code value="pharmacy" />
            <display value="Pharmacy" />
        </coding>
    </type>
    <use value="claim" />
    <patient>
        <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number" />
            <value value="9300992742" />
        </identifier>
    </patient>
    <created value="2011-10-25T13:45:35+00:00" />
    <provider>
        <reference value="#provider" />
    </provider>
    <priority>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/processpriority" />
            <code value="normal" />
        </coding>
    </priority>
    <prescription>
        <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier">
            <extension url="shortForm">
                <valueIdentifier>
                    <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
                    <value value="111467-A82003-09881S" />
                </valueIdentifier>
            </extension>
            <extension url="UUID">
                <valueIdentifier>
                    <system value="https://fhir.nhs.uk/Id/prescription" />
                    <value value="1DE59600-86B1-11DB-84BA-2B9204F7A7C9" />
                </valueIdentifier>
            </extension>
        </extension>
        <display value="A prescription" />
    </prescription>
    <payee>
        <type>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/payeetype" />
                <code value="provider" />
                <display value="Provider" />
            </coding>
        </type>
        <party>
            <reference value="#organisation" />
        </party>
    </payee>
    <insurance>
        <sequence value="1" />
        <focal value="true" />
        <coverage>
            <identifier>
                <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                <value value="T1450" />
            </identifier>
            <display value="NHS BUSINESS SERVICES AUTHORITY" />
        </coverage>
    </insurance>
    <item>
        <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus">
            <valueCoding>
                <system value="https://fhir.nhs.uk/CodeSystem/EPS-task-business-status" />
                <code value="0006" />
                <display value="Dispensed" />
            </valueCoding>
        </extension>
        <sequence value="1" />
        <productOrService>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="16076005" />
                <display value="Prescription" />
            </coding>
        </productOrService>
        <programCode>
            <coding>
                <system value="https://fhir.nhs.uk/CodeSystem/prescription-charge-exemption" />
                <code value="0001" />
                <display value="Patient has paid appropriate charges" />
            </coding>
        </programCode>
        <detail>
            <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier">
                <valueIdentifier>
                    <system value="https://fhir.nhs.uk/Id/claim-sequence-identifier" />
                    <value value="58338C37-00E5-A577-E040-A8C016024E6D" />
                </valueIdentifier>
            </extension>
            <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference">
                <valueReference>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                        <value value="33560bee-bc0c-4e3b-a155-71591eee9ca5" />
                    </identifier>
                </valueReference>
            </extension>
            <sequence value="1" />
            <productOrService>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="4627711000001106" />
                    <display value="Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd)" />
                </coding>
            </productOrService>
            <modifier>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
                    <code value="0001" />
                    <display value="Item fully dispensed" />
                </coding>
            </modifier>
            <programCode>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement" />
                    <code value="NDEC" />
                    <display value="No Dispenser Endorsement Code" />
                </coding>
            </programCode>
            <programCode>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/DM-prescription-charge" />
                    <code value="not-paid" />
                    <display value="Not Paid" />
                </coding>
            </programCode>
            <programCode>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement" />
                    <code value="NDEC" />
                    <display value="No Dispenser Endorsement Code" />
                </coding>
            </programCode>
            <quantity>
                <value value="1" />
                <unit value="vial" />
                <system value="http://snomed.info/sct" />
                <code value="3319611000001107" />
            </quantity>
            <subDetail>
                <sequence value="1" />
                <productOrService>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="4627811000001103" />
                        <display value="Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd) 1 vial" />
                    </coding>
                </productOrService>
                <quantity>
                    <value value="1" />
                    <unit value="vial" />
                    <system value="http://snomed.info/sct" />
                    <code value="3319611000001107" />
                </quantity>
            </subDetail>
        </detail>
        <detail>
            <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier">
                <valueIdentifier>
                    <system value="https://fhir.nhs.uk/Id/claim-sequence-identifier" />
                    <value value="58338C37-00E6-A577-E040-A8C016024E6D" />
                </valueIdentifier>
            </extension>
            <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference">
                <valueReference>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                        <value value="e8e75676-9d30-45f8-8b09-696818e7f4ca" />
                    </identifier>
                </valueReference>
            </extension>
            <sequence value="2" />
            <productOrService>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="4627711000001106" />
                    <display value="Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd)" />
                </coding>
            </productOrService>
            <modifier>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
                    <code value="0001" />
                    <display value="Item fully dispensed" />
                </coding>
            </modifier>
            <programCode>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement" />
                    <code value="BB" />
                    <display value="Broken Bulk" />
                </coding>
            </programCode>
            <programCode>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/DM-prescription-charge" />
                    <code value="not-paid" />
                    <display value="Not Paid" />
                </coding>
            </programCode>
            <programCode>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement" />
                    <code value="IP" />
                    <display value="Invoice Price for less common products or special items" />
                </coding>
                <text value="15gram,&#163;12.34,EFGH Ltd" />
            </programCode>
            <quantity>
                <value value="1" />
                <unit value="vial" />
                <system value="http://snomed.info/sct" />
                <code value="3319611000001107" />
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            <subDetail>
                <sequence value="1" />
                <productOrService>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="4627811000001103" />
                        <display value="Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd) 1 vial" />
                    </coding>
                </productOrService>
                <quantity>
                    <value value="1" />
                    <unit value="vial" />
                    <system value="http://snomed.info/sct" />
                    <code value="3319611000001107" />
                </quantity>
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        </detail>
        <detail>
            <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier">
                <valueIdentifier>
                    <system value="https://fhir.nhs.uk/Id/claim-sequence-identifier" />
                    <value value="58338C37-00E7-A577-E040-A8C016024E6D" />
                </valueIdentifier>
            </extension>
            <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference">
                <valueReference>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
                        <value value="164e94fe-16e5-4105-a4aa-10c3757c07c5" />
                    </identifier>
                </valueReference>
            </extension>
            <sequence value="3" />
            <productOrService>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="4627711000001106" />
                    <display value="Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd)" />
                </coding>
            </productOrService>
            <modifier>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
                    <code value="0001" />
                    <display value="Item fully dispensed" />
                </coding>
            </modifier>
            <programCode>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/DM-prescription-charge" />
                    <code value="not-paid" />
                    <display value="Not Paid" />
                </coding>
            </programCode>
            <programCode>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement" />
                    <code value="NDEC" />
                    <display value="No Dispenser Endorsement Code" />
                </coding>
            </programCode>
            <quantity>
                <value value="1" />
                <unit value="vial" />
                <system value="http://snomed.info/sct" />
                <code value="3319611000001107" />
            </quantity>
            <subDetail>
                <sequence value="1" />
                <productOrService>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="4627811000001103" />
                        <display value="Flolan 1.5mg powder and solvent (pH10.5) for solution for infusion vials (GlaxoSmithKline UK Ltd) 1 vial" />
                    </coding>
                </productOrService>
                <quantity>
                    <value value="1" />
                    <unit value="vial" />
                    <system value="http://snomed.info/sct" />
                    <code value="3319611000001107" />
                </quantity>
            </subDetail>
        </detail>
    </item>
</Claim>
Claim
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