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 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

Example Invoice: Invoice/Pharmacy-example-01

Generated Narrative: Invoice Pharmacy-example-01

version: 1; Last updated: 2023-08-23 17:02:00+0530

Profile: Invoice

identifier: CA/5842

status: issued

type: Pharmacy

subject: ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)

date: 2023-05-01 10:00:00+0530

Participants

-Actor
*Practitioner Dr. DEF

lineItem

sequence: 1

chargeItem: ChargeItem Medicines

priceComponent

type: base price

code: Rate

Amounts

-ValueCurrency
*80Indian rupee

priceComponent

type: informational

code: MRP

Amounts

-ValueCurrency
*100Indian rupee

priceComponent

type: discount

code: Discount

Amounts

-ValueCurrency
*0Indian rupee

priceComponent

type: tax

code: CGST

Amounts

-ValueCurrency
*6Indian rupee

priceComponent

type: tax

code: SGST

Amounts

-ValueCurrency
*6Indian rupee

lineItem

sequence: 2

chargeItem: ChargeItem Medicines

priceComponent

type: base price

code: Rate

Amounts

-ValueCurrency
*120Indian rupee

priceComponent

type: informational

code: MRP

Amounts

-ValueCurrency
*150Indian rupee

priceComponent

type: discount

code: Discount

Amounts

-ValueCurrency
*10Indian rupee

priceComponent

type: tax

code: CGST

Amounts

-ValueCurrency
*8.4Indian rupee

priceComponent

type: tax

code: SGST

Amounts

-ValueCurrency
*8.4Indian rupee

lineItem

sequence: 3

chargeItem: ChargeItem Medicines

priceComponent

type: base price

code: Rate

Amounts

-ValueCurrency
*30Indian rupee

priceComponent

type: informational

code: MRP

Amounts

-ValueCurrency
*50Indian rupee

priceComponent

type: discount

code: Discount

Amounts

-ValueCurrency
*5Indian rupee

priceComponent

type: tax

code: CGST

Amounts

-ValueCurrency
*2.7Indian rupee

priceComponent

type: tax

code: SGST

Amounts

-ValueCurrency
*2.7Indian rupee

lineItem

sequence: 4

chargeItem: ChargeItem Medicines

priceComponent

type: base price

code: Rate

Amounts

-ValueCurrency
*350Indian rupee

priceComponent

type: informational

code: MRP

Amounts

-ValueCurrency
*410Indian rupee

priceComponent

type: discount

code: Discount

Amounts

-ValueCurrency
*10Indian rupee

priceComponent

type: tax

code: CGST

Amounts

-ValueCurrency
*24Indian rupee

priceComponent

type: tax

code: SGST

Amounts

-ValueCurrency
*24Indian rupee

TotalNets

-ValueCurrency
*2752.2Indian rupee

TotalGrosses

-ValueCurrency
*2575Indian rupee