FHIR IG analytics| Package | uk.nhsdigital.medicines.r4 |
| Resource Type | Claim |
| Id | Claim-supplier.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Claim",
"id": "258E153F-567B-4D60-B045-BA315A6B8DB0",
"contained": [
{
"resourceType": "PractitionerRole",
"id": "provider",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "741555508105"
}
],
"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": "2344242"
},
"display": "|Bob||Buller|"
},
"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": "d1257b5f-c738-0ca3-e050-d20ae3a20464"
}
],
"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": "9446365678"
},
"display": "Dart Janelle Cori"
},
"created": "2021-11-22T10:28:02.0Z",
"provider": {
"reference": "#provider"
},
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
}
]
},
"prescription": {
"extension": [
{
"extension": [
{
"url": "shortForm",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/prescription-order-number",
"value": "222FD3-B83002-00001I"
}
},
{
"url": "UUID",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "d1257b5f-c5f3-0ca3-e050-d20ae3a20464"
}
}
],
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier"
}
],
"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": "PPA"
}
}
],
"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"
}
]
},
{
"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": "E19DBF8D-84E9-45EE-BD62-B771C9FE7022"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "d1257b5f-c738-0ca3-e050-d20ae3a20464"
}
}
}
],
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "134463001",
"display": "Telmisartan 20mg tablets"
}
]
},
"modifier": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
"code": "0001",
"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": 28,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
},
"subDetail": [
{
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "38781611000001106",
"display": "Telmisartan 20mg tablets (Ennogen Healthcare Ltd)"
}
]
},
"quantity": {
"value": 28,
"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": "B24A5B33-AEFB-4BEF-89CE-2A819C57AA2A"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "d1257b5f-c73d-0ca3-e050-d20ae3a20464"
}
}
}
],
"sequence": 2,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "318986004",
"display": "Telmisartan 40mg tablets"
}
]
},
"modifier": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
"code": "0002",
"display": "Item not 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"
}
]
}
]
}
]
}
]
}