FHIR IG analytics| Package | uk.nhsdigital.medicines.r4.test |
| Resource Type | Claim |
| Id | dispense-claim-success.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Claim",
"id": "e8e75676-9d30-45f8-8b09-696818e7f4ca",
"contained": [
{
"resourceType": "PractitionerRole",
"id": "performer",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "555086415105"
}
],
"practitioner": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/sds-user-id",
"value": "3415870201"
},
"display": "Mr Peter Potion"
},
"organization": {
"reference": "#organization"
},
"code": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/NHSDigital-SDS-JobRoleCode",
"code": "R8000",
"display": "Clinical Practitioner Access Role"
}
]
}
],
"telecom": [
{
"system": "phone",
"use": "work",
"value": "0532567890"
}
]
},
{
"resourceType": "Organization",
"id": "organization",
"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"
}
]
}
],
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-Provenance-agent",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "555253518103"
},
"display": "Mr User Chris T"
}
}
],
"identifier": [
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "a2c05ec6-4292-4568-8200-bfac8439da04"
}
],
"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": "9990548609"
}
},
"created": "2021-09-23T13:09:56+00:00",
"provider": {
"reference": "#performer"
},
"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": "0EB38D-A99968-424EAR"
}
},
{
"url": "UUID",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "57a5aa32-7148-47c1-8efc-65ac5f625e61"
}
}
]
}
],
"display": "57a5aa32-7148-47c1-8efc-65ac5f625e61"
},
"payee": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/payeetype",
"code": "provider",
"display": "Provider"
}
]
},
"party": {
"reference": "#organization"
}
},
"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": "598bf5df-3086-4cd5-99ed-7cb0df0bacf3"
}
},
{
"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": "15517911000001104",
"display": "Methotrexate 10mg/0.2ml solution for injection pre-filled syringes"
}
]
},
"modifier": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/medicationdispense-type",
"code": "0001",
"display": "Item fully dispensed"
}
]
}
],
"quantity": {
"value": 1,
"unit": "pre-filled disposable injection",
"system": "http://snomed.info/sct",
"code": "3318611000001103"
},
"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"
}
]
}
],
"subDetail": [
{
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "15517911000001104",
"display": "Methotrexate 10mg/0.2ml solution for injection pre-filled syringes"
}
]
},
"quantity": {
"value": 1,
"unit": "pre-filled disposable injection",
"system": "http://snomed.info/sct",
"code": "3318611000001103"
}
}
]
}
]
}
]
}