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 - XML Representation

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<Invoice xmlns="http://hl7.org/fhir">
  <id value="Pharmacy-example-01"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2023-08-23T17:02:00.181+05:30"/>
    <profile
             value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Invoice"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <value value="CA/5842"/>
  </identifier>
  <status value="issued"/>
  <type>
    <coding>
      <system
              value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-billing-codes"/>
      <code value="01"/>
      <display value="Pharmacy"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/example-01"/>
  </subject>
  <date value="2023-05-01T10:00:00.181+05:30"/>
  <participant>
    <actor>🔗 
      <reference value="Practitioner/example-01"/>
    </actor>
  </participant>
  <lineItem>
    <sequence value="1"/>
    <chargeItemReference>🔗 
      <reference value="ChargeItem/Medication-Paracetamol-example-01"/>
    </chargeItemReference>
    <priceComponent>
      <type value="base"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="01"/>
          <display value="Rate"/>
        </coding>
      </code>
      <amount>
        <value value="80.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="informational"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="00"/>
          <display value="MRP"/>
        </coding>
      </code>
      <amount>
        <value value="100.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="discount"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="02"/>
          <display value="Discount"/>
        </coding>
      </code>
      <amount>
        <value value="0.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="tax"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="03"/>
          <display value="CGST"/>
        </coding>
      </code>
      <amount>
        <value value="6.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="tax"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="04"/>
          <display value="SGST"/>
        </coding>
      </code>
      <amount>
        <value value="6.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
  </lineItem>
  <lineItem>
    <sequence value="2"/>
    <chargeItemReference>🔗 
      <reference value="ChargeItem/Medication-Sulfalene-example-01"/>
    </chargeItemReference>
    <priceComponent>
      <type value="base"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="01"/>
          <display value="Rate"/>
        </coding>
      </code>
      <amount>
        <value value="120.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="informational"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="00"/>
          <display value="MRP"/>
        </coding>
      </code>
      <amount>
        <value value="150.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="discount"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="02"/>
          <display value="Discount"/>
        </coding>
      </code>
      <amount>
        <value value="10.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="tax"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="03"/>
          <display value="CGST"/>
        </coding>
      </code>
      <amount>
        <value value="8.40"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="tax"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="04"/>
          <display value="SGST"/>
        </coding>
      </code>
      <amount>
        <value value="8.40"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
  </lineItem>
  <lineItem>
    <sequence value="3"/>
    <chargeItemReference>🔗 
      <reference value="ChargeItem/Medication-Aspirin-example-01"/>
    </chargeItemReference>
    <priceComponent>
      <type value="base"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="01"/>
          <display value="Rate"/>
        </coding>
      </code>
      <amount>
        <value value="30.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="informational"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="00"/>
          <display value="MRP"/>
        </coding>
      </code>
      <amount>
        <value value="50.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="discount"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="02"/>
          <display value="Discount"/>
        </coding>
      </code>
      <amount>
        <value value="5.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="tax"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="03"/>
          <display value="CGST"/>
        </coding>
      </code>
      <amount>
        <value value="2.70"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="tax"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="04"/>
          <display value="SGST"/>
        </coding>
      </code>
      <amount>
        <value value="2.70"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
  </lineItem>
  <lineItem>
    <sequence value="4"/>
    <chargeItemReference>🔗 
      <reference value="ChargeItem/Medication-Eye-Gel-example-01"/>
    </chargeItemReference>
    <priceComponent>
      <type value="base"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="01"/>
          <display value="Rate"/>
        </coding>
      </code>
      <amount>
        <value value="350.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="informational"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="00"/>
          <display value="MRP"/>
        </coding>
      </code>
      <amount>
        <value value="410.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="discount"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="02"/>
          <display value="Discount"/>
        </coding>
      </code>
      <amount>
        <value value="10.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="tax"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="03"/>
          <display value="CGST"/>
        </coding>
      </code>
      <amount>
        <value value="24.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
    <priceComponent>
      <type value="tax"/>
      <code>
        <coding>
          <system
                  value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-price-components"/>
          <code value="04"/>
          <display value="SGST"/>
        </coding>
      </code>
      <amount>
        <value value="24.00"/>
        <currency value="INR"/>
      </amount>
    </priceComponent>
  </lineItem>
  <totalNet>
    <value value="2752.2"/>
    <currency value="INR"/>
  </totalNet>
  <totalGross>
    <value value="2575.00"/>
    <currency value="INR"/>
  </totalGross>
</Invoice>