description: null
package_name: uk.nhsdigital.medicines.r4
derivation: constraint
name: NHSDigitalClaim
type: Claim
elements:
  patient: {mustSupport: true, index: 5}
  insurance: {mustSupport: true, index: 22}
  item:
    mustSupport: true
    index: 23
    extensions:
      prescriptionStatus: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus', min: 0, max: 1, type: Extension, index: 25}
      prescriptionStatusReasson: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatusReason', min: 0, max: 1, type: Extension, mustSupport: true, index: 26}
    elements:
      extension:
        index: 24
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 0
          slices:
            prescriptionStatus:
              match: {url: null}
              schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus', index: 25}
              min: 0
              max: 1
            prescriptionStatusReasson:
              match: {url: null}
              schema: {type: Extension, mustSupport: true, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatusReason', index: 26}
              min: 0
              max: 1
      productOrService:
        index: 27
        elements:
          coding:
            index: 28
            elements:
              system:
                pattern: {type: Uri, value: 'http://snomed.info/sct'}
                index: 29
              code:
                pattern: {type: Code, value: '16076005'}
                index: 30
              display:
                pattern: {type: String, value: Prescription}
                index: 31
        required: [coding]
      programCode:
        short: PrescriptionChargeExemption
        binding: {strength: extensible, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-prescription-charge-exemption'}
        mustSupport: true
        index: 32
        slicing:
          rules: open
          discriminator:
          - {path: coding.system, type: value}
          min: null
          slices:
            exemptionEvidence:
              match:
                coding: {system: 'https://fhir.nhs.uk/CodeSystem/DM-exemption-evidence'}
              schema:
                binding: {strength: extensible, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-vs-exemption-evidence'}
                index: 33
                elements:
                  coding:
                    elements:
                      system:
                        pattern: {type: Uri, value: 'https://fhir.nhs.uk/CodeSystem/DM-exemption-evidence'}
                        index: 34
      detail:
        mustSupport: true
        index: 35
        extensions:
          medicationRequest: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference', min: 1, max: 1, type: Extension, mustSupport: true, index: 37}
          sequenceIdentifier: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier', min: 1, max: 1, type: Extension, mustSupport: true, index: 38}
          repeatInformation: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation', min: 0, max: 1, type: Extension, index: 39}
        elements:
          extension:
            array: true
            min: 2
            index: 36
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: 2
              slices:
                medicationRequest:
                  match: {url: null}
                  schema: {type: Extension, mustSupport: true, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationRequestReference', index: 37}
                  min: 1
                  max: 1
                sequenceIdentifier:
                  match: {url: null}
                  schema: {type: Extension, mustSupport: true, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-ClaimSequenceIdentifier', index: 38}
                  min: 1
                  max: 1
                repeatInformation:
                  match: {url: null}
                  schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation', index: 39}
                  min: 0
                  max: 1
          sequence: {mustSupport: true, index: 40}
          productOrService:
            binding: {strength: required, valueSet: 'https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode'}
            mustSupport: true
            index: 41
          modifier:
            binding: {strength: required, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-medicationdispense-type'}
            mustSupport: true
            index: 42
          programCode:
            short: PrescriptionChargeExemption
            binding: {strength: required, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-prescription-charge-exemption'}
            mustSupport: true
            index: 43
          quantity: {mustSupport: true, index: 44}
          subDetail:
            mustSupport: true
            index: 45
            extensions:
              medicationDispense: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationDispenseReference', min: 0, max: 1, type: Extension, index: 47}
              repeatInformation: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation', min: 0, max: 1, type: Extension, index: 48}
            elements:
              extension:
                index: 46
                slicing:
                  rules: open
                  discriminator:
                  - {path: url, type: value}
                  min: 0
                  slices:
                    medicationDispense:
                      match: {url: null}
                      schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-ClaimMedicationDispenseReference', index: 47}
                      min: 0
                      max: 1
                    repeatInformation:
                      match: {url: null}
                      schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-EPS-RepeatInformation', index: 48}
                      min: 0
                      max: 1
              sequence: {mustSupport: true, index: 49}
              productOrService:
                binding: {strength: required, valueSet: 'https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode'}
                mustSupport: true
                index: 50
              programCode:
                short: Dispensing Endorsement and Charge Payment
                mustSupport: true
                index: 51
                slicing:
                  rules: open
                  discriminator:
                  - {path: coding.system, type: value}
                  min: null
                  slices:
                    prescriptionCharge:
                      match:
                        coding: {system: 'https://fhir.nhs.uk/CodeSystem/DM-prescription-charge'}
                      schema:
                        binding: {strength: required, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-vs-prescription-charge'}
                        index: 52
                        elements:
                          coding:
                            elements:
                              system:
                                pattern: {type: Uri, value: 'https://fhir.nhs.uk/CodeSystem/DM-prescription-charge'}
                                index: 53
                    dispensingEndorsement:
                      match:
                        coding: {system: 'https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement'}
                      schema:
                        binding: {strength: required, valueSet: 'https://fhir.nhs.uk/ValueSet/DM-dispensing-endorsement'}
                        index: 54
                        elements:
                          coding:
                            elements:
                              system:
                                pattern: {type: Uri, value: 'https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement'}
                                index: 55
              quantity:
                mustSupport: true
                index: 56
                extensions:
                  runningTotal: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-RunningTotal', min: 0, max: 1, type: Extension, index: 58}
                elements:
                  extension:
                    index: 57
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 0
                      slices:
                        runningTotal:
                          match: {url: null}
                          schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-RunningTotal', index: 58}
                          min: 0
                          max: 1
        required: [modifier, subDetail]
    required: [detail]
  type: {mustSupport: true, index: 4}
  created: {mustSupport: true, index: 6}
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: 0
      slices:
        replacementOf:
          match: {url: null}
          schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-replacementOf', index: 1}
          min: 0
          max: 1
  status: {mustSupport: true, index: 3}
  payee:
    mustSupport: true
    index: 17
    elements:
      party:
        type: Reference
        refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization']
        index: 18
        elements:
          identifier:
            index: 19
            elements:
              system: {index: 20}
              value: {index: 21}
            required: [value, system]
        required: [identifier]
    required: [party]
  prescription:
    mustSupport: true
    index: 8
    extensions:
      groupIdentifier: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier', min: 1, max: 1, type: Extension, index: 10}
    elements:
      extension:
        index: 9
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 1
          slices:
            groupIdentifier:
              match: {url: null}
              schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier', index: 10}
              min: 1
              max: 1
      identifier:
        elements:
          system:
            pattern: {type: Uri, value: 'https://fhir.nhs.uk/Id/prescription-order-item-number'}
            index: 11
          value: {index: 12}
        required: [value, system]
    required: [extension]
  identifier: {mustSupport: true, index: 2}
  provider:
    type: Reference
    mustSupport: true
    refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-Practitioner', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole']
    index: 7
  originalPrescription:
    extensions:
      groupIdentifier: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier', min: 1, max: 1, type: Extension, index: 14}
    elements:
      extension:
        index: 13
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: 1
          slices:
            groupIdentifier:
              match: {url: null}
              schema: {type: Extension, url: 'https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier', index: 14}
              min: 1
              max: 1
      identifier:
        elements:
          system: {index: 15}
          value: {index: 16}
        required: [value, system]
    required: [extension]
package_version: 2.2.0
extensions:
  replacementOf: {url: 'https://fhir.nhs.uk/StructureDefinition/Extension-replacementOf', min: 0, max: 1, type: Extension, index: 1}
class: profile
kind: resource
url: https://fhir.nhs.uk/StructureDefinition/NHSDigital-Claim
base: http://hl7.org/fhir/StructureDefinition/Claim
version: null
required: [prescription, payee, identifier, item]