FHIR IG analytics| Package | uk.nhsdigital.medicines.r4.test |
| Resource Type | Claim |
| Id | claimExample.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"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": "2022-11-30T13:30:00.000Z",
"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": "24F5DA-A83008-7EFE6Z"
}
},
{
"url": "UUID",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "20ba5fb5-cb58-462c-923e-22d180b09356"
}
}
]
}
],
"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": "a54219b8-f741-4c47-b662-e4f8dfa49ab6"
}
}
}
],
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39732311000001104",
"display": "Amoxicillin 250mg capsules"
}
]
},
"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": 20,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
},
"subDetail": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationDispenseReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-dispense-item-number",
"value": "fd833d33-f128-4fa2-a807-1fc8a7db2658"
}
}
}
],
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "39732311000001104",
"display": "Amoxicillin 250mg capsules"
}
]
},
"quantity": {
"value": 20,
"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": "6989b7bd-8db6-428c-a593-4022e3044c00"
}
}
}
],
"sequence": 2,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "42009811000001101",
"display": "Co-codamol 30mg/500mg tablets"
}
]
},
"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": 20,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
},
"subDetail": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationDispenseReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-dispense-item-number",
"value": "06167339-9337-d030-0366-514a6a46da17"
}
}
}
],
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "42009811000001101",
"display": "Co-codamol 30mg/500mg tablets"
}
]
},
"quantity": {
"value": 20,
"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": "3131f904-5436-4365-a23d-510d079d5efb"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "2868554c-5565-4d31-b92a-c5b8dab8b90a"
}
}
}
],
"sequence": 3,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "42195711000001104",
"display": "Pseudoephedrine hydrochloride 60mg tablets"
}
]
},
"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": "BB",
"display": "Broken Bulk"
}
]
}
],
"quantity": {
"value": 30,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
},
"subDetail": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationDispenseReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-dispense-item-number",
"value": "496f4a02-a845-4f19-934e-ae1a7e12a193"
}
}
}
],
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "42195711000001104",
"display": "Pseudoephedrine hydrochloride 60mg tablets"
}
]
},
"quantity": {
"value": 15,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
}
},
{
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationDispenseReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-dispense-item-number",
"value": "95c42b8b-a13d-4227-bce6-f31dad456eda"
}
}
}
],
"sequence": 2,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "381511000001101",
"display": "Sudafed Decongestant 60mg tablets (McNeil Products Ltd)"
}
]
},
"quantity": {
"value": 15,
"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": "56d2a705-784c-493b-81b6-25c977383d17"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "5cb17f5a-11ac-4e18-825f-6470467238b3"
}
}
}
],
"sequence": 4,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "41942011000001100",
"display": "Azithromycin 250mg capsules"
}
]
},
"modifier": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
"code": "0005",
"display": "Item cancelled"
}
]
}
],
"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": 30,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
}
}
]
}
]
}