FHIR IG analytics| Package | uk.nhsdigital.medicines.r4.test |
| Resource Type | Claim |
| Id | example-H2.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Claim",
"id": "122eafa9-fad1-4bac-9a8c-34dd553eec49",
"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"
}
],
"name": "The Simple Pharmacy",
"telecom": [
{
"system": "phone",
"use": "work",
"value": "0113 3180277"
}
]
}
],
"created": "2025-10-21T13:30:00.000Z",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/prescription-dispense-item-number",
"value": "e4bd5865-f064-4e30-bf56-a620d1736d01"
}
],
"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": "234BB3-A83008-A230DE"
}
},
{
"url": "UUID",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "07812a53-1129-40a6-a21d-9a405c921d37"
}
}
]
}
],
"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"
}
]
}
],
"detail": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/claim-sequence-identifier",
"value": "f0d8f706-a0ea-48eb-94f1-cec09efff22b"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "90d7ccc3-669c-4c94-b756-620c63853cb8"
}
}
}
],
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://dmd.nhs.uk",
"code": "4072011000001101",
"display": "Liquid paraffin liquid"
}
]
},
"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"
}
]
}
],
"quantity": {
"value": 150,
"unit": "milliliter",
"system": "http://unitsofmeasure.org",
"code": "ml"
},
"subDetail": [
{
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://dmd.nhs.uk",
"code": "14775411000001103",
"display": "Liquid paraffin liquid (Bell,Sons & Co (Druggists) Ltd) 150 ml"
}
]
},
"quantity": {
"value": 150,
"unit": "milliliter",
"system": "http://unitsofmeasure.org",
"code": "ml"
}
}
]
},
{
"extension": [
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/claim-sequence-identifier",
"value": "7309cf91-93c4-41ee-a938-fcb6a7ae21c6"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "7dc0390a-f416-4d8a-9751-257bfa6294cd"
}
}
}
],
"sequence": 2,
"productOrService": {
"coding": [
{
"system": "http://dmd.nhs.uk",
"code": "41876511000001101",
"display": "Ethinylestradiol 20microgram / Desogestrel 150microgram 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": "not-paid",
"display": "Not Paid"
}
]
}
],
"quantity": {
"value": 60,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
},
"subDetail": [
{
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://dmd.nhs.uk",
"code": "29911111000001107",
"display": "Bimizza 150microgram/20microgram tablets (Morningside Healthcare Ltd) 63 tablet 3 x 21 tablets"
}
]
},
"quantity": {
"value": 63,
"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": "06c262f7-60b8-4433-bd3f-1b55e364d241"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "7dc0390a-f416-4d8a-9751-257bfa6294cd"
}
}
}
],
"sequence": 3,
"productOrService": {
"coding": [
{
"system": "http://dmd.nhs.uk",
"code": "3347911000001102",
"display": "Femoston 1/10mg tablets (Exeltis UK Ltd)"
}
]
},
"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-twice",
"display": "Paid Twice"
}
]
}
],
"quantity": {
"value": 84,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
},
"subDetail": [
{
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://dmd.nhs.uk",
"code": "3348211000001105",
"display": "Femoston 1/10mg tablets (Exeltis UK Ltd) 84 tablet 3 x (14 tablets + 14 tablets)"
}
]
},
"quantity": {
"value": 84,
"unit": "tablet",
"system": "http://snomed.info/sct",
"code": "428673006"
}
}
]
}
]
}
]
}