FHIR Implementation Guide for ABDM
6.0.0 - active
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 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 "Pharmacy-example-01" Version "1" 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>: 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> ""</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> ""</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>