FHIR IG analytics| Package | uk.nhsdigital.medicines.r4.test |
| Resource Type | Claim |
| Id | example-H3.json |
| FHIR Version | R4 |
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No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Claim",
"id": "568f6a75-5b73-4534-ada8-fe2f34db313f",
"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": "7dc9dc6a-a2c7-4429-92fc-f6cf916767bd"
}
],
"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": "456874-A83008-AABB23"
}
},
{
"url": "UUID",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/prescription",
"value": "bd60c58e-0e58-47a0-83ed-a4cbaf01322d"
}
}
]
}
],
"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"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation",
"extension": [
{
"url": "numberOfRepeatsAllowed",
"valueInteger": 12
},
{
"url": "numberOfRepeatsIssued",
"valueInteger": 3
}
]
}
],
"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": "10e83323-6546-4368-8c69-87b323aa8b94"
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference",
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/prescription-order-item-number",
"value": "3cd4b8c3-0e4e-4d25-9a12-f23e762bc086"
}
}
},
{
"url": "https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation",
"extension": [
{
"url": "numberOfRepeatsAllowed",
"valueInteger": 12
},
{
"url": "numberOfRepeatsIssued",
"valueInteger": 3
}
]
}
],
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://dmd.nhs.uk",
"code": "45467011000001109",
"display": "ProSource 20 liquid (Flavour Not Specified)"
}
]
},
"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": 600,
"unit": "milliliter",
"system": "http://unitsofmeasure.org",
"code": "ml"
},
"subDetail": [
{
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://dmd.nhs.uk",
"code": "42234211000001100",
"display": "ProSource 20 liquid red berry (Nutrinovo Ltd)"
}
]
},
"quantity": {
"value": 300,
"unit": "milliliter",
"system": "http://unitsofmeasure.org",
"code": "ml"
}
},
{
"sequence": 2,
"productOrService": {
"coding": [
{
"system": "http://dmd.nhs.uk",
"code": "45467811000001103",
"display": "ProSource 20 liquid orange & pineapple (Nutrinovo Ltd)"
}
]
},
"quantity": {
"value": 300,
"unit": "milliliter",
"system": "http://unitsofmeasure.org",
"code": "ml"
}
}
]
}
]
}
]
}