Claim
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 |
Claim Update
{ "resourceType": "Claim", "id": "7447c471-1ce0-4f5f-9dab-5ffd758c289e", "extension": [ { "url": "https://fhir.nhs.uk/StructureDefinition/Extension-Provenance-agent", "valueReference": { "identifier": { "system": "https://fhir.nhs.uk/Id/sds-role-profile-id", "value": "884562163557" }, "display": "dummy full name" } }, { "url": "https://fhir.nhs.uk/StructureDefinition/Extension-replacementOf", "valueIdentifier": { "value": "46055273-3001-41bd-86a0-f8dba7f2161a" } } ], "contained": [ { "resourceType": "PractitionerRole", "id": "provider", "identifier": [ { "system": "https://fhir.nhs.uk/Id/sds-role-profile-id", "value": "774562163557" } ], "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": "7333654" }, "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://fhir.nhs.uk/Id/prescription-dispense-item-number", "value": "4509b70d-d8b8-ea03-1105-64557cb54a29" } ], "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" }, "display": "Mrs Chi Edinburgh" }, "created": "2004-09-16T16:30:00+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": "82D996-C81010-11DB12" } }, { "url": "UUID", "valueIdentifier": { "system": "https://fhir.nhs.uk/Id/prescription", "value": "b2fc79f0-2793-4736-9b2d-0976c21e73a5" } } ] } ], "display": "The original 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": [ { "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" } } ], "sequence": 1, "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": "18fc8a8b-f7c7-4367-80ce-1f4fc84c962d" } }, { "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference", "valueReference": { "identifier": { "system": "https://fhir.nhs.uk/Id/prescription-order-item-number", "value": "299c610b-f4f1-4eac-a7d7-4fb6b0556e11" } } } ], "sequence": 1, "productOrService": { "coding": [ { "system": "http://snomed.info/sct", "code": "39720311000001101", "display": "Paracetamol 500mg soluble tablets" } ] }, "modifier": [ { "coding": [ { "system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type", "code": "0001", "display": "Item fully dispensed" } ] } ], "quantity": { "value": 100, "unit": "Tablet", "system": "http://snomed.info/sct", "code": "732936001" }, "programCode": [ { "coding": [ { "system": "https://fhir.nhs.uk/CodeSystem/DM-prescription-charge", "code": "paid-once", "display": "Paid Once" } ] }, { "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": "1858411000001101", "display": "Paracetamol 500mg soluble tablets (Alliance Healthcare (Distribution) Ltd) 60 tablet" } ] }, "quantity": { "value": 60, "unit": "tablet", "system": "http://snomed.info/sct", "code": "732936001" } }, { "sequence": 2, "productOrService": { "coding": [ { "system": "http://snomed.info/sct", "code": "915611000001105", "display": "Paracetamol 500mg soluble tablets (A A H Pharmaceuticals Ltd)" } ] }, "quantity": { "value": 24, "unit": "tablet", "system": "http://snomed.info/sct", "code": "732936001" } }, { "sequence": 3, "productOrService": { "coding": [ { "system": "http://snomed.info/sct", "code": "2274211000001101", "display": "Paracetamol 500mg soluble tablets (Kent Pharma (UK) Ltd) 16 tablet 2 x 8 tablets" } ] }, "quantity": { "value": 16, "unit": "tablet", "system": "http://snomed.info/sct", "code": "732936001" } } ] } ] } ] }
<Claim xmlns="http://hl7.org/fhir"> <id value="7447c471-1ce0-4f5f-9dab-5ffd758c289e" /> <contained> <PractitionerRole> <id value="provider" /> <identifier> <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" /> <value value="774562163557" /> </identifier> <practitioner> <identifier> <system value="https://fhir.nhs.uk/Id/sds-user-id" /> <value value="7333654" /> </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> <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-Provenance-agent"> <valueReference> <identifier> <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" /> <value value="884562163557" /> </identifier> <display value="dummy full name" /> </valueReference> </extension> <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-replacementOf"> <valueIdentifier> <value value="46055273-3001-41bd-86a0-f8dba7f2161a" /> </valueIdentifier> </extension> <identifier> <system value="https://fhir.nhs.uk/Id/prescription-dispense-item-number" /> <value value="4509b70d-d8b8-ea03-1105-64557cb54a29" /> </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> <display value="Mrs Chi Edinburgh" /> </patient> <created value="2004-09-16T16:30:00+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="82D996-C81010-11DB12" /> </valueIdentifier> </extension> <extension url="UUID"> <valueIdentifier> <system value="https://fhir.nhs.uk/Id/prescription" /> <value value="b2fc79f0-2793-4736-9b2d-0976c21e73a5" /> </valueIdentifier> </extension> </extension> <display value="The original 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="18fc8a8b-f7c7-4367-80ce-1f4fc84c962d" /> </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="299c610b-f4f1-4eac-a7d7-4fb6b0556e11" /> </identifier> </valueReference> </extension> <sequence value="1" /> <productOrService> <coding> <system value="http://snomed.info/sct" /> <code value="39720311000001101" /> <display value="Paracetamol 500mg soluble tablets" /> </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="paid-once" /> <display value="Paid Once" /> </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="100" /> <unit value="Tablet" /> <system value="http://snomed.info/sct" /> <code value="732936001" /> </quantity> <subDetail> <sequence value="1" /> <productOrService> <coding> <system value="http://snomed.info/sct" /> <code value="1858411000001101" /> <display value="Paracetamol 500mg soluble tablets (Alliance Healthcare (Distribution) Ltd) 60 tablet" /> </coding> </productOrService> <quantity> <value value="60" /> <unit value="tablet" /> <system value="http://snomed.info/sct" /> <code value="732936001" /> </quantity> </subDetail> <subDetail> <sequence value="2" /> <productOrService> <coding> <system value="http://snomed.info/sct" /> <code value="915611000001105" /> <display value="Paracetamol 500mg soluble tablets (A A H Pharmaceuticals Ltd)" /> </coding> </productOrService> <quantity> <value value="24" /> <unit value="tablet" /> <system value="http://snomed.info/sct" /> <code value="732936001" /> </quantity> </subDetail> <subDetail> <sequence value="3" /> <productOrService> <coding> <system value="http://snomed.info/sct" /> <code value="2274211000001101" /> <display value="Paracetamol 500mg soluble tablets (Kent Pharma (UK) Ltd) 16 tablet 2 x 8 tablets" /> </coding> </productOrService> <quantity> <value value="16" /> <unit value="tablet" /> <system value="http://snomed.info/sct" /> <code value="732936001" /> </quantity> </subDetail> </detail> </item> </Claim>
Claim |
id : 7447c471-1ce0-4f5f-9dab-5ffd758c289e |
extension |
url : https://fhir.nhs.uk/StructureDefinition/Extension-Provenance-agent |
value |
identifier |
system : https://fhir.nhs.uk/Id/sds-role-profile-id |
value : 884562163557 |
display : dummy full name |
extension |
url : https://fhir.nhs.uk/StructureDefinition/Extension-replacementOf |
value |
value : 46055273-3001-41bd-86a0-f8dba7f2161a |
contained |
id : provider |
identifier |
system : https://fhir.nhs.uk/Id/sds-role-profile-id |
value : 774562163557 |
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 : 7333654 |
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://fhir.nhs.uk/Id/prescription-dispense-item-number |
value : 4509b70d-d8b8-ea03-1105-64557cb54a29 |
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 |
display : Mrs Chi Edinburgh |
created : 2004-09-16T16:30:00+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 : 82D996-C81010-11DB12 |
extension |
url : UUID |
value |
system : https://fhir.nhs.uk/Id/prescription |
value : b2fc79f0-2793-4736-9b2d-0976c21e73a5 |
display : The original 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 |
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 |
sequence : 1 |
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 : 18fc8a8b-f7c7-4367-80ce-1f4fc84c962d |
extension |
url : https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference |
value |
identifier |
system : https://fhir.nhs.uk/Id/prescription-order-item-number |
value : 299c610b-f4f1-4eac-a7d7-4fb6b0556e11 |
sequence : 1 |
productOrService |
coding |
system : http://snomed.info/sct |
code : 39720311000001101 |
display : Paracetamol 500mg soluble tablets |
modifier |
coding |
system : https://fhir.nhs.uk/CodeSystem/medicationdispense-type |
code : 0001 |
display : Item fully dispensed |
quantity |
value : 100 |
unit : Tablet |
system : http://snomed.info/sct |
code : 732936001 |
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 |
subDetail |
sequence : 1 |
productOrService |
coding |
system : http://snomed.info/sct |
code : 1858411000001101 |
display : Paracetamol 500mg soluble tablets (Alliance Healthcare (Distribution) Ltd) 60 tablet |
quantity |
value : 60 |
unit : tablet |
system : http://snomed.info/sct |
code : 732936001 |
subDetail |
sequence : 2 |
productOrService |
coding |
system : http://snomed.info/sct |
code : 915611000001105 |
display : Paracetamol 500mg soluble tablets (A A H Pharmaceuticals Ltd) |
quantity |
value : 24 |
unit : tablet |
system : http://snomed.info/sct |
code : 732936001 |
subDetail |
sequence : 3 |
productOrService |
coding |
system : http://snomed.info/sct |
code : 2274211000001101 |
display : Paracetamol 500mg soluble tablets (Kent Pharma (UK) Ltd) 16 tablet 2 x 8 tablets |
quantity |
value : 16 |
unit : tablet |
system : http://snomed.info/sct |
code : 732936001 |
claim example 2
{ "resourceType": "Claim", "id": "a76599c5-bbdd-4581-bb4d-377b348dd1e4", "extension": [ { "url": "https://fhir.nhs.uk/StructureDefinition/Extension-Provenance-agent", "valueReference": { "identifier": { "system": "https://fhir.nhs.uk/Id/sds-user-id", "value": "7654321" }, "display": "Mr Peter Potion" } } ], "contained": [ { "resourceType": "PractitionerRole", "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" } ] }, { "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" } ] } ], "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", "valueIdentifier": { "system": "https://fhir.nhs.uk/Id/prescription-order-number", "value": "6C804A-A83008-0F81DA" } }, { "url": "UUID", "valueIdentifier": { "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", "valueCoding": { "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" } ] }, { "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", "valueIdentifier": { "system": "https://fhir.nhs.uk/Id/claim-sequence-identifier", "value": "be948cf8-5db1-4c39-8f9b-c7e049d55acb" } }, { "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference", "valueReference": { "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" } ] }, { "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" } } ] }, { "extension": [ { "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier", "valueIdentifier": { "system": "https://fhir.nhs.uk/Id/claim-sequence-identifier", "value": "b001a051-b597-4c8d-9ea5-7dc2a56861ea" } }, { "url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference", "valueReference": { "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" } ] }, { "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" } } ] } ] }
<Claim xmlns="http://hl7.org/fhir"> <id value="a76599c5-bbdd-4581-bb4d-377b348dd1e4" /> <contained> <PractitionerRole> <id value="provider" /> <identifier> <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" /> <value value="454567759542" /> </identifier> <practitioner> <identifier> <system value="https://fhir.nhs.uk/Id/sds-user-id" /> <value value="7654321" /> </identifier> <display value="Mr Peter Potion" /> </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> <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-Provenance-agent"> <valueReference> <identifier> <system value="https://fhir.nhs.uk/Id/sds-user-id" /> <value value="7654321" /> </identifier> <display value="Mr Peter Potion" /> </valueReference> </extension> <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="9449304130" /> </identifier> </patient> <created value="2021-11-24T09:54:07.246Z" /> <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="6C804A-A83008-0F81DA" /> </valueIdentifier> </extension> <extension url="UUID"> <valueIdentifier> <system value="https://fhir.nhs.uk/Id/prescription" /> <value value="461e4d5e-b5b5-4fcb-8f28-306cbe698bc9" /> </valueIdentifier> </extension> </extension> <display value="A prescription order" /> </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> <programCode> <coding> <system value="https://fhir.nhs.uk/CodeSystem/DM-exemption-evidence" /> <code value="no-evidence-seen" /> <display value="No Evidence Seen" /> </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="be948cf8-5db1-4c39-8f9b-c7e049d55acb" /> </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="8ec3e2fc-2761-42d9-b8d5-b57453f0ea27" /> </identifier> </valueReference> </extension> <sequence value="1" /> <productOrService> <coding> <system value="http://snomed.info/sct" /> <code value="39720311000001101" /> <display value="Paracetamol 500mg soluble tablets" /> </coding> </productOrService> <modifier> <coding> <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" /> <code value="0002" /> <display value="Item not 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="100" /> <unit value="tablet" /> <system value="http://snomed.info/sct" /> <code value="428673006" /> </quantity> <subDetail> <sequence value="1" /> <productOrService> <coding> <system value="http://snomed.info/sct" /> <code value="39720311000001101" /> <display value="Paracetamol 500mg soluble tablets" /> </coding> </productOrService> <quantity> <value value="0" /> <unit value="tablet" /> <system value="http://snomed.info/sct" /> <code value="428673006" /> </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="b001a051-b597-4c8d-9ea5-7dc2a56861ea" /> </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="5962ea5f-d1e9-4a17-af12-e11b009603cf" /> </identifier> </valueReference> </extension> <sequence value="2" /> <productOrService> <coding> <system value="http://snomed.info/sct" /> <code value="39113611000001102" /> <display value="Salbutamol 100micrograms/dose inhaler CFC free" /> </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="paid-once" /> <display value="Paid Once" /> </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="200" /> <unit value="dose" /> <system value="http://snomed.info/sct" /> <code value="3317411000001100" /> </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 |