FHIR Implementation Guide for ABDM
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This page is part of the FHIR Implementation Guide for ABDM (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). 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><b>Generated Narrative: Invoice</b><a name=\"Pharmacy-example-01\"> </a></p><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\">Resource Invoice &quot;Pharmacy-example-01&quot; Version &quot;1&quot; Updated &quot;2023-08-23 17:02:00+0530&quot; </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>: Pharmacy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-billing-codes.html\">Billing Codes</a>#01)</span></p><p><b>subject</b>: <a href=\"Patient-example-01.html\">Patient/example-01</a> &quot;&quot;</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/example-01</a> &quot;&quot;</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/Medication-Paracetamol-example-01</a></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base</p><p><b>code</b>: Rate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#01)</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>80.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: informational</p><p><b>code</b>: MRP <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#00)</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>100.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: discount</p><p><b>code</b>: Discount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#02)</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>0.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: CGST <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#03)</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>6.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: SGST <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#04)</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>6.00</td><td>INR</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/Medication-Sulfalene-example-01</a></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base</p><p><b>code</b>: Rate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#01)</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>120.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: informational</p><p><b>code</b>: MRP <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#00)</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>150.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: discount</p><p><b>code</b>: Discount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#02)</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>10.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: CGST <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#03)</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>8.40</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: SGST <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#04)</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>8.40</td><td>INR</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/Medication-Aspirin-example-01</a></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base</p><p><b>code</b>: Rate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#01)</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>30.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: informational</p><p><b>code</b>: MRP <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#00)</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>50.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: discount</p><p><b>code</b>: Discount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#02)</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>5.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: CGST <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#03)</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>2.70</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: SGST <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#04)</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>2.70</td><td>INR</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/Medication-Eye-Gel-example-01</a></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base</p><p><b>code</b>: Rate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#01)</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>350.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: informational</p><p><b>code</b>: MRP <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#00)</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>410.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: discount</p><p><b>code</b>: Discount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#02)</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>10.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: CGST <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#03)</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>24.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: tax</p><p><b>code</b>: SGST <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-price-components.html\">Price Component</a>#04)</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>24.00</td><td>INR</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>INR</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>2575.00</td><td>INR</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" : 80.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "informational",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "00",
                "display" : "MRP"
              }
            ]
          },
          "amount" : {
            "value" : 100.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "discount",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "02",
                "display" : "Discount"
              }
            ]
          },
          "amount" : {
            "value" : 0.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "03",
                "display" : "CGST"
              }
            ]
          },
          "amount" : {
            "value" : 6.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "04",
                "display" : "SGST"
              }
            ]
          },
          "amount" : {
            "value" : 6.00,
            "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" : 120.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "informational",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "00",
                "display" : "MRP"
              }
            ]
          },
          "amount" : {
            "value" : 150.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "discount",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "02",
                "display" : "Discount"
              }
            ]
          },
          "amount" : {
            "value" : 10.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "03",
                "display" : "CGST"
              }
            ]
          },
          "amount" : {
            "value" : 8.40,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "04",
                "display" : "SGST"
              }
            ]
          },
          "amount" : {
            "value" : 8.40,
            "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" : 30.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "informational",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "00",
                "display" : "MRP"
              }
            ]
          },
          "amount" : {
            "value" : 50.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "discount",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "02",
                "display" : "Discount"
              }
            ]
          },
          "amount" : {
            "value" : 5.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "03",
                "display" : "CGST"
              }
            ]
          },
          "amount" : {
            "value" : 2.70,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "04",
                "display" : "SGST"
              }
            ]
          },
          "amount" : {
            "value" : 2.70,
            "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" : 350.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "informational",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "00",
                "display" : "MRP"
              }
            ]
          },
          "amount" : {
            "value" : 410.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "discount",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "02",
                "display" : "Discount"
              }
            ]
          },
          "amount" : {
            "value" : 10.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "03",
                "display" : "CGST"
              }
            ]
          },
          "amount" : {
            "value" : 24.00,
            "currency" : "INR"
          }
        },
        {
          "type" : "tax",
          "code" : {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components",
                "code" : "04",
                "display" : "SGST"
              }
            ]
          },
          "amount" : {
            "value" : 24.00,
            "currency" : "INR"
          }
        }
      ]
    }
  ],
  "totalNet" : {
    "value" : 2752.2,
    "currency" : "INR"
  },
  "totalGross" : {
    "value" : 2575.00,
    "currency" : "INR"
  }
}