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Packageuk.nhsdigital.medicines.r4
Resource TypeClaim
IdClaim-a76599c5-bbdd-4581-bb4d-377b348dd1e4.json
FHIR VersionR4

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Source1

{
  "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"
          }
        }
      ]
    }
  ]
}