FHIR Implementation Guide for ABDM
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This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Invoice/Pharmacy-example-01 - JSON Representation

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{
  "resourceType" : "Invoice",
  "id" : "Pharmacy-example-01",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2023-08-23T17:02:00.181+05:30",
    "profile" : [
      🔗 "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Invoice"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Invoice Pharmacy-example-01</b></p><a name=\"Pharmacy-example-01\"> </a><a name=\"hcPharmacy-example-01\"> </a><a name=\"Pharmacy-example-01-hi-IN\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2023-08-23 17:02:00+0530</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Invoice.html\">Invoice</a></p></div><p><b>identifier</b>: CA/5842</p><p><b>status</b>: issued</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-billing-codes 01}\">Pharmacy</span></p><p><b>subject</b>: <a href=\"Patient-example-01.html\">ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)</a></p><p><b>date</b>: 2023-05-01 10:00:00+0530</p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-example-01.html\">Practitioner Dr. DEF</a></td></tr></table><blockquote><p><b>lineItem</b></p><p><b>sequence</b>: 1</p><p><b>chargeItem</b>: <a href=\"ChargeItem-Medication-Paracetamol-example-01.html\">ChargeItem Medicines</a></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base price</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 01}\">Rate</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>80</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: informational</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 00}\">MRP</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>100</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: discount</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 02}\">Discount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>0</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 03}\">CGST</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>6</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 04}\">SGST</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>6</td><td>Indian rupee</td></tr></table></blockquote></blockquote><blockquote><p><b>lineItem</b></p><p><b>sequence</b>: 2</p><p><b>chargeItem</b>: <a href=\"ChargeItem-Medication-Sulfalene-example-01.html\">ChargeItem Medicines</a></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base price</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 01}\">Rate</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>120</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: informational</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 00}\">MRP</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>150</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: discount</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 02}\">Discount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 03}\">CGST</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>8.4</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 04}\">SGST</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>8.4</td><td>Indian rupee</td></tr></table></blockquote></blockquote><blockquote><p><b>lineItem</b></p><p><b>sequence</b>: 3</p><p><b>chargeItem</b>: <a href=\"ChargeItem-Medication-Aspirin-example-01.html\">ChargeItem Medicines</a></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base price</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 01}\">Rate</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>30</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: informational</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 00}\">MRP</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>50</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: discount</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 02}\">Discount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>5</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 03}\">CGST</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>2.7</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 04}\">SGST</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>2.7</td><td>Indian rupee</td></tr></table></blockquote></blockquote><blockquote><p><b>lineItem</b></p><p><b>sequence</b>: 4</p><p><b>chargeItem</b>: <a href=\"ChargeItem-Medication-Eye-Gel-example-01.html\">ChargeItem Medicines</a></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base price</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 01}\">Rate</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>350</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: informational</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 00}\">MRP</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>410</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: discount</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 02}\">Discount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 03}\">CGST</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>24</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components 04}\">SGST</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>24</td><td>Indian rupee</td></tr></table></blockquote></blockquote><h3>TotalNets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>2752.2</td><td>Indian rupee</td></tr></table><h3>TotalGrosses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>2575</td><td>Indian rupee</td></tr></table></div>"
  },
  "identifier" : [
    {
      "value" : "CA/5842"
    }
  ],
  "status" : "issued",
  "type" : {
    "coding" : [
      {
        "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-billing-codes",
        "code" : "01",
        "display" : "Pharmacy"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-01"
  },
  "date" : "2023-05-01T10:00:00.181+05:30",
  "participant" : [
    {
      "actor" : {
        🔗 "reference" : "Practitioner/example-01"
      }
    }
  ],
  "lineItem" : [
    {
      "sequence" : 1,
      "chargeItemReference" : {
        🔗 "reference" : "ChargeItem/Medication-Paracetamol-example-01"
      },
      "priceComponent" : [
        {
          "type" : "base",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "01",
                "display" : "Rate"
              }
            ]
          },
          "amount" : {
            "value" : 80,
            "currency" : "INR"
          }
        },
        {
          "type" : "informational",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "00",
                "display" : "MRP"
              }
            ]
          },
          "amount" : {
            "value" : 100,
            "currency" : "INR"
          }
        },
        {
          "type" : "discount",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "02",
                "display" : "Discount"
              }
            ]
          },
          "amount" : {
            "value" : 0,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "03",
                "display" : "CGST"
              }
            ]
          },
          "amount" : {
            "value" : 6,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "04",
                "display" : "SGST"
              }
            ]
          },
          "amount" : {
            "value" : 6,
            "currency" : "INR"
          }
        }
      ]
    },
    {
      "sequence" : 2,
      "chargeItemReference" : {
        🔗 "reference" : "ChargeItem/Medication-Sulfalene-example-01"
      },
      "priceComponent" : [
        {
          "type" : "base",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "01",
                "display" : "Rate"
              }
            ]
          },
          "amount" : {
            "value" : 120,
            "currency" : "INR"
          }
        },
        {
          "type" : "informational",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "00",
                "display" : "MRP"
              }
            ]
          },
          "amount" : {
            "value" : 150,
            "currency" : "INR"
          }
        },
        {
          "type" : "discount",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "02",
                "display" : "Discount"
              }
            ]
          },
          "amount" : {
            "value" : 10,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "03",
                "display" : "CGST"
              }
            ]
          },
          "amount" : {
            "value" : 8.4,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "04",
                "display" : "SGST"
              }
            ]
          },
          "amount" : {
            "value" : 8.4,
            "currency" : "INR"
          }
        }
      ]
    },
    {
      "sequence" : 3,
      "chargeItemReference" : {
        🔗 "reference" : "ChargeItem/Medication-Aspirin-example-01"
      },
      "priceComponent" : [
        {
          "type" : "base",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "01",
                "display" : "Rate"
              }
            ]
          },
          "amount" : {
            "value" : 30,
            "currency" : "INR"
          }
        },
        {
          "type" : "informational",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "00",
                "display" : "MRP"
              }
            ]
          },
          "amount" : {
            "value" : 50,
            "currency" : "INR"
          }
        },
        {
          "type" : "discount",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "02",
                "display" : "Discount"
              }
            ]
          },
          "amount" : {
            "value" : 5,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "03",
                "display" : "CGST"
              }
            ]
          },
          "amount" : {
            "value" : 2.7,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "04",
                "display" : "SGST"
              }
            ]
          },
          "amount" : {
            "value" : 2.7,
            "currency" : "INR"
          }
        }
      ]
    },
    {
      "sequence" : 4,
      "chargeItemReference" : {
        🔗 "reference" : "ChargeItem/Medication-Eye-Gel-example-01"
      },
      "priceComponent" : [
        {
          "type" : "base",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "01",
                "display" : "Rate"
              }
            ]
          },
          "amount" : {
            "value" : 350,
            "currency" : "INR"
          }
        },
        {
          "type" : "informational",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "00",
                "display" : "MRP"
              }
            ]
          },
          "amount" : {
            "value" : 410,
            "currency" : "INR"
          }
        },
        {
          "type" : "discount",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "02",
                "display" : "Discount"
              }
            ]
          },
          "amount" : {
            "value" : 10,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "03",
                "display" : "CGST"
              }
            ]
          },
          "amount" : {
            "value" : 24,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "04",
                "display" : "SGST"
              }
            ]
          },
          "amount" : {
            "value" : 24,
            "currency" : "INR"
          }
        }
      ]
    }
  ],
  "totalNet" : {
    "value" : 2752.2,
    "currency" : "INR"
  },
  "totalGross" : {
    "value" : 2575,
    "currency" : "INR"
  }
}