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,£12.34,EFGH Ltd" /> </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="58338C37-00E7-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 |
| id : e8e75676-9d30-45f8-8b09-696818e7f4ca |
| contained |
| 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 |
| 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 |
| 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 |
| value |
| system : https://fhir.nhs.uk/Id/prescription-order-number |
| value : 111467-A82003-09881S |
| extension |
| url : UUID |
| value |
| 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 |
| value |
| 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 |
| value |
| system : https://fhir.nhs.uk/Id/claim-sequence-identifier |
| value : 58338C37-00E5-A577-E040-A8C016024E6D |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference |
| value |
| 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 |
| 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 |
| 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 |
| detail |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier |
| value |
| system : https://fhir.nhs.uk/Id/claim-sequence-identifier |
| value : 58338C37-00E6-A577-E040-A8C016024E6D |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference |
| value |
| 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 |
| 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 : 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 |
| detail |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier |
| value |
| system : https://fhir.nhs.uk/Id/claim-sequence-identifier |
| value : 58338C37-00E7-A577-E040-A8C016024E6D |
| extension |
| url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference |
| value |
| 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 |
| programCode |
| 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 |