Electronic Prescription Service (EPS) Implementation Guide

Prescription Dispensing Claim

FHIR Exchange API endpoint FHIR Resource
FHIR RESTful POST /Claim NHSDigital-Claim

This interaction is used to submit a prescription claim to NHS BSA and submit an amended Claim.

The Claim resource requires references to a PractitionerRole and Organization resources and as this is a RESTful endpoint, these must be included within the Claim resource as contained resources.

In the event of human error, a Claim can be updated / corrected by re-posting the Claim resource. The extension:Extension-replacementOf must contain the Claim.identifier for the Claim being replaced.

The response will be an OperationOutcome resource which indicate success or failure.

image-dispenser-claim

The Claim.insurance data element is used by EPS to route the claim to the appropriate reimbursement agency using ODS organisational codes.

Country ODS Organisation Name and Code
England NHS BUSINESS SERVICES AUTHORITY (T1450)
Wales NWSSP AUDIT & ASSURANCE SERVICES (RQFZ1)
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