{ "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" : "

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
" }, "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" } }