{ "resourceType" : "Bundle", "id" : "MedicationDispense-Response", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-medication-dispense-bundle"] }, "type" : "collection", "entry" : [{ "fullUrl" : "urn:uuid:bbb11122-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "Patient", "id" : "NgPatient-Disp-001", "meta" : { "lastUpdated" : "2025-10-29T09:00:00+01:00", "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient NgPatient-Disp-001

Last updated: 2025-10-29 09:00:00+0100

Profile: NG Patient

Ibrahim Musa Male, DoB: 1968-08-25 ( mobile: 08067890123)

Active:true
Contact Detail45 Wellness Street Kano KN
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/patient-identifier-cs", "code" : "MOBILE", "display" : "mobile" }] }, "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/patient-identifier-cs", "value" : "08067890123" }], "active" : true, "name" : [{ "family" : "Musa", "given" : ["Ibrahim"] }], "gender" : "male", "birthDate" : "1968-08-25", "address" : [{ "line" : ["45 Wellness Street"], "city" : "Kano", "district" : "kn-kano-municipal", "state" : "KN" }] } }, { "fullUrl" : "urn:uuid:ddd33341-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "Organization", "id" : "NgOrganization-Pharmacy-Disp-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-pharmacy-organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization NgOrganization-Pharmacy-Disp-001

Profile: NG Pharmacy Organization

identifier: https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-facility-registry/PHARM-KN-7788

active: true

type: Community Group

name: Medix Pharmacy Limited

telecom: ph: 064-123-4567, info@medixpharmacy.ng

address: 12 Pharmacy Avenue Kano KN

" }, "identifier" : [{ "system" : "https://fhir-ig.digitalhealth.gov.ng/CodeSystem/nigeria-facility-registry", "value" : "PHARM-KN-7788" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "cg", "display" : "Community Group" }] }], "name" : "Medix Pharmacy Limited", "telecom" : [{ "system" : "phone", "value" : "064-123-4567" }, { "system" : "email", "value" : "info@medixpharmacy.ng" }], "address" : [{ "line" : ["12 Pharmacy Avenue"], "city" : "Kano", "district" : "kn-kano-municipal", "state" : "KN" }] } }, { "fullUrl" : "urn:uuid:eee44455-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "Medication", "id" : "NgMedication-Metformin-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-medication"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Medication NgMedication-Metformin-001

Profile: NG Medication

code: Metformin 500mg Tablets

status: Active

manufacturer: Fidson Healthcare Plc

form: Tablet

amount: 500 mg (Details: UCUM codemg = 'mg')/1 Tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

Ingredients

-Item[x]Strength
*Metformin hydrochloride500 mg/1 Tablet

Batches

-LotNumberExpirationDate
*MET2025-10-A2026-10-31
" }, "code" : { "coding" : [{ "system" : "http://www.whocc.no/atc", "code" : "A10BA02", "display" : "Metformin" }], "text" : "Metformin 500mg Tablets" }, "status" : "active", "manufacturer" : { "display" : "Fidson Healthcare Plc" }, "form" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB", "display" : "Tablet" }] }, "amount" : { "numerator" : { "value" : 500, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "unit" : "Tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }, "ingredient" : [{ "itemCodeableConcept" : { "text" : "Metformin hydrochloride" }, "strength" : { "numerator" : { "value" : 500, "unit" : "mg" }, "denominator" : { "value" : 1, "unit" : "Tablet" } } }], "batch" : { "lotNumber" : "MET2025-10-A", "expirationDate" : "2026-10-31" } } }, { "fullUrl" : "urn:uuid:fff55566-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "Medication", "id" : "NgMedication-Atorvastatin-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-medication"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Medication NgMedication-Atorvastatin-001

Profile: NG Medication

code: Atorvastatin 20mg Tablets

status: Active

manufacturer: Emzor Pharmaceutical Industries

form: Tablet

amount: 20 mg (Details: UCUM codemg = 'mg')/1 Tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

Ingredients

-Item[x]Strength
*Atorvastatin calcium20 mg/1 Tablet

Batches

-LotNumberExpirationDate
*ATOR2025-09-B2027-09-30
" }, "code" : { "coding" : [{ "system" : "http://www.whocc.no/atc", "code" : "C10AA05", "display" : "Atorvastatin" }], "text" : "Atorvastatin 20mg Tablets" }, "status" : "active", "manufacturer" : { "display" : "Emzor Pharmaceutical Industries" }, "form" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB", "display" : "Tablet" }] }, "amount" : { "numerator" : { "value" : 20, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "unit" : "Tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }, "ingredient" : [{ "itemCodeableConcept" : { "text" : "Atorvastatin calcium" }, "strength" : { "numerator" : { "value" : 20, "unit" : "mg" }, "denominator" : { "value" : 1, "unit" : "Tablet" } } }], "batch" : { "lotNumber" : "ATOR2025-09-B", "expirationDate" : "2027-09-30" } } }, { "fullUrl" : "urn:uuid:aaa66677-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "Medication", "id" : "NgMedication-Amlodipine-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-medication"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Medication NgMedication-Amlodipine-001

Profile: NG Medication

code: Amlodipine 5mg Tablets

status: Active

manufacturer: May & Baker Nigeria Plc

form: Tablet

amount: 5 mg (Details: UCUM codemg = 'mg')/1 Tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

Ingredients

-Item[x]Strength
*Amlodipine besylate5 mg/1 Tablet

Batches

-LotNumberExpirationDate
*AML2025-08-C2027-08-31
" }, "code" : { "coding" : [{ "system" : "http://www.whocc.no/atc", "code" : "C08CA01", "display" : "Amlodipine" }], "text" : "Amlodipine 5mg Tablets" }, "status" : "active", "manufacturer" : { "display" : "May & Baker Nigeria Plc" }, "form" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB", "display" : "Tablet" }] }, "amount" : { "numerator" : { "value" : 5, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "unit" : "Tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }, "ingredient" : [{ "itemCodeableConcept" : { "text" : "Amlodipine besylate" }, "strength" : { "numerator" : { "value" : 5, "unit" : "mg" }, "denominator" : { "value" : 1, "unit" : "Tablet" } } }], "batch" : { "lotNumber" : "AML2025-08-C", "expirationDate" : "2027-08-31" } } }, { "fullUrl" : "urn:uuid:ddd99900-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "MedicationRequest", "id" : "NgMedicationRequest-Amlodipine-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-medication-request"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest NgMedicationRequest-Amlodipine-001

Profile: NG MedicationRequest

status: Active

intent: Order

medication: Medication Amlodipine

subject: Ibrahim Musa Male, DoB: 1968-08-25 ( mobile: 08067890123)

authoredOn: 2025-10-29 08:00:00+0100

requester: Organization Medix Pharmacy Limited

reasonCode: Hypertension

dosageInstruction

text: Take 1 tablet once daily in the morning for 90 days

timing: Duration 90days , Morning, Once per 1 day

route: Oral route

DoseAndRates

-Dose[x]
*1 Tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

dispenseRequest

validityPeriod: 2025-10-29 --> 2026-01-29

numberOfRepeatsAllowed: 3

quantity: 90 Tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

ExpectedSupplyDurations

-ValueUnitSystemCode
*90dayshttp://unitsofmeasure.orgd
" }, "status" : "active", "intent" : "order", "medicationReference" : { "reference" : "urn:uuid:aaa66677-f6e5-4789-b234-567890bcdef1" }, "subject" : { "reference" : "urn:uuid:bbb11122-f6e5-4789-b234-567890bcdef1" }, "authoredOn" : "2025-10-29T08:00:00+01:00", "requester" : { "reference" : "urn:uuid:ddd33341-f6e5-4789-b234-567890bcdef1" }, "reasonCode" : [{ "text" : "Hypertension" }], "dosageInstruction" : [{ "text" : "Take 1 tablet once daily in the morning for 90 days", "timing" : { "repeat" : { "duration" : 90, "durationUnit" : "d", "frequency" : 1, "period" : 1, "periodUnit" : "d", "when" : ["MORN"] } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 1, "unit" : "Tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }] }], "dispenseRequest" : { "validityPeriod" : { "start" : "2025-10-29", "end" : "2026-01-29" }, "numberOfRepeatsAllowed" : 3, "quantity" : { "value" : 90, "unit" : "Tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" }, "expectedSupplyDuration" : { "value" : 90, "unit" : "days", "system" : "http://unitsofmeasure.org", "code" : "d" } } } }, { "fullUrl" : "urn:uuid:ccc88899-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "MedicationDispense", "id" : "NgMedicationDispense-Metformin-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-medication-dispense"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationDispense NgMedicationDispense-Metformin-001

Profile: NG MedicationDispense

status: Completed

medication: Medication Metformin

subject: Ibrahim Musa Male, DoB: 1968-08-25 ( mobile: 08067890123)

Performers

-FunctionActor
*Final CheckerOrganization Medix Pharmacy Limited

authorizingPrescription: MedicationRequest: status = active; intent = order; medication[x] = ->Medication Amlodipine; authoredOn = 2025-10-29 08:00:00+0100; reasonCode =

type: First Fill

quantity: 180 Tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

daysSupply: 90 days (Details: UCUM coded = 'd')

whenPrepared: 2025-10-29 11:00:00+0100

whenHandedOver: 2025-10-29 11:30:00+0100

destination: Patient Home Address

receiver: Ibrahim Musa Male, DoB: 1968-08-25 ( mobile: 08067890123)

note:

Counseled patient on taking with meals to reduce GI upset. Advised to monitor blood glucose levels regularly.

\n

dosageInstruction

text: Take 1 tablet twice daily with meals for 90 days

timing: at meals, 2 per 1 day

route: Oral route

DoseAndRates

-Dose[x]
*1 Tablet

Substitutions

-WasSubstitutedType
*falsenone
" }, "status" : "completed", "medicationReference" : { "reference" : "urn:uuid:eee44455-f6e5-4789-b234-567890bcdef1" }, "subject" : { "reference" : "urn:uuid:bbb11122-f6e5-4789-b234-567890bcdef1" }, "performer" : [{ "function" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function", "code" : "finalchecker", "display" : "Final Checker" }] }, "actor" : { "reference" : "urn:uuid:ddd33341-f6e5-4789-b234-567890bcdef1" } }], "authorizingPrescription" : [{ "reference" : "urn:uuid:ddd99900-f6e5-4789-b234-567890bcdef1" }], "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "FF", "display" : "First Fill" }] }, "quantity" : { "value" : 180, "unit" : "Tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" }, "daysSupply" : { "value" : 90, "unit" : "days", "system" : "http://unitsofmeasure.org", "code" : "d" }, "whenPrepared" : "2025-10-29T11:00:00+01:00", "whenHandedOver" : "2025-10-29T11:30:00+01:00", "destination" : { "display" : "Patient Home Address" }, "receiver" : [{ "reference" : "urn:uuid:bbb11122-f6e5-4789-b234-567890bcdef1" }], "note" : [{ "text" : "Counseled patient on taking with meals to reduce GI upset. Advised to monitor blood glucose levels regularly." }], "dosageInstruction" : [{ "text" : "Take 1 tablet twice daily with meals for 90 days", "timing" : { "repeat" : { "frequency" : 2, "period" : 1, "periodUnit" : "d", "when" : ["C"] } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 1, "unit" : "Tablet" } }] }], "substitution" : { "wasSubstituted" : false, "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution", "code" : "N", "display" : "none" }] } } } }, { "fullUrl" : "urn:uuid:ddd99901-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "MedicationDispense", "id" : "NgMedicationDispense-Atorvastatin-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-medication-dispense"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationDispense NgMedicationDispense-Atorvastatin-001

Profile: NG MedicationDispense

status: Completed

medication: Medication Atorvastatin

subject: Ibrahim Musa Male, DoB: 1968-08-25 ( mobile: 08067890123)

Performers

-FunctionActor
*Final CheckerOrganization Medix Pharmacy Limited

authorizingPrescription: MedicationRequest: status = active; intent = order; medication[x] = ->Medication Amlodipine; authoredOn = 2025-10-29 08:00:00+0100; reasonCode =

type: First Fill

quantity: 90 Tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

daysSupply: 90 days (Details: UCUM coded = 'd')

whenPrepared: 2025-10-29 11:05:00+0100

whenHandedOver: 2025-10-29 11:30:00+0100

destination: Patient Home Address

receiver: Ibrahim Musa Male, DoB: 1968-08-25 ( mobile: 08067890123)

note:

Counseled patient on taking at bedtime. Advised to report any muscle pain or weakness immediately. Avoid grapefruit juice.

\n

dosageInstruction

text: Take 1 tablet once daily at bedtime for 90 days

timing: before sleeping, Once per 1 day

route: Oral route

DoseAndRates

-Dose[x]
*1 Tablet

Substitutions

-WasSubstitutedType
*falsenone
" }, "status" : "completed", "medicationReference" : { "reference" : "urn:uuid:fff55566-f6e5-4789-b234-567890bcdef1" }, "subject" : { "reference" : "urn:uuid:bbb11122-f6e5-4789-b234-567890bcdef1" }, "performer" : [{ "function" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function", "code" : "finalchecker", "display" : "Final Checker" }] }, "actor" : { "reference" : "urn:uuid:ddd33341-f6e5-4789-b234-567890bcdef1" } }], "authorizingPrescription" : [{ "reference" : "urn:uuid:ddd99900-f6e5-4789-b234-567890bcdef1" }], "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "FF", "display" : "First Fill" }] }, "quantity" : { "value" : 90, "unit" : "Tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" }, "daysSupply" : { "value" : 90, "unit" : "days", "system" : "http://unitsofmeasure.org", "code" : "d" }, "whenPrepared" : "2025-10-29T11:05:00+01:00", "whenHandedOver" : "2025-10-29T11:30:00+01:00", "destination" : { "display" : "Patient Home Address" }, "receiver" : [{ "reference" : "urn:uuid:bbb11122-f6e5-4789-b234-567890bcdef1" }], "note" : [{ "text" : "Counseled patient on taking at bedtime. Advised to report any muscle pain or weakness immediately. Avoid grapefruit juice." }], "dosageInstruction" : [{ "text" : "Take 1 tablet once daily at bedtime for 90 days", "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d", "when" : ["HS"] } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 1, "unit" : "Tablet" } }] }], "substitution" : { "wasSubstituted" : false, "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution", "code" : "N", "display" : "none" }] } } } }, { "fullUrl" : "urn:uuid:aaa22233-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "MedicationDispense", "id" : "NgMedicationDispense-Amlodipine-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-medication-dispense"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationDispense NgMedicationDispense-Amlodipine-001

Profile: NG MedicationDispense

status: Completed

medication: Medication Amlodipine

subject: Ibrahim Musa Male, DoB: 1968-08-25 ( mobile: 08067890123)

Performers

-FunctionActor
*Final CheckerOrganization Medix Pharmacy Limited

authorizingPrescription: MedicationRequest: status = active; intent = order; medication[x] = ->Medication Amlodipine; authoredOn = 2025-10-29 08:00:00+0100; reasonCode =

type: First Fill

quantity: 90 Tablet (Details: Orderable Drug Form codeTAB = 'Tablet')

daysSupply: 90 days (Details: UCUM coded = 'd')

whenPrepared: 2025-10-29 11:10:00+0100

whenHandedOver: 2025-10-29 11:30:00+0100

destination: Patient Home Address

receiver: Ibrahim Musa Male, DoB: 1968-08-25 ( mobile: 08067890123)

note:

Counseled patient on taking in the morning. Advised to monitor blood pressure regularly. May cause ankle swelling; report if severe.

\n

dosageInstruction

text: Take 1 tablet once daily in the morning for 90 days

timing: Morning, Once per 1 day

route: Oral route

DoseAndRates

-Dose[x]
*1 Tablet

Substitutions

-WasSubstitutedType
*falsenone
" }, "status" : "completed", "medicationReference" : { "reference" : "urn:uuid:aaa66677-f6e5-4789-b234-567890bcdef1" }, "subject" : { "reference" : "urn:uuid:bbb11122-f6e5-4789-b234-567890bcdef1" }, "performer" : [{ "function" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function", "code" : "finalchecker", "display" : "Final Checker" }] }, "actor" : { "reference" : "urn:uuid:ddd33341-f6e5-4789-b234-567890bcdef1" } }], "authorizingPrescription" : [{ "reference" : "urn:uuid:ddd99900-f6e5-4789-b234-567890bcdef1" }], "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "FF", "display" : "First Fill" }] }, "quantity" : { "value" : 90, "unit" : "Tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" }, "daysSupply" : { "value" : 90, "unit" : "days", "system" : "http://unitsofmeasure.org", "code" : "d" }, "whenPrepared" : "2025-10-29T11:10:00+01:00", "whenHandedOver" : "2025-10-29T11:30:00+01:00", "destination" : { "display" : "Patient Home Address" }, "receiver" : [{ "reference" : "urn:uuid:bbb11122-f6e5-4789-b234-567890bcdef1" }], "note" : [{ "text" : "Counseled patient on taking in the morning. Advised to monitor blood pressure regularly. May cause ankle swelling; report if severe." }], "dosageInstruction" : [{ "text" : "Take 1 tablet once daily in the morning for 90 days", "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d", "when" : ["MORN"] } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 1, "unit" : "Tablet" } }] }], "substitution" : { "wasSubstituted" : false, "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution", "code" : "N", "display" : "none" }] } } } }, { "fullUrl" : "urn:uuid:bbb33344-f6e5-4789-b234-567890bcdef1", "resource" : { "resourceType" : "Invoice", "id" : "NgInvoice-Disp-001", "meta" : { "profile" : ["https://fhir-ig.digitalhealth.gov.ng/StructureDefinition/ng-invoice"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Invoice NgInvoice-Disp-001

Profile: NG Invoice

status: balanced

type: Rx compound invoice

subject: Ibrahim Musa Male, DoB: 1968-08-25 ( mobile: 08067890123)

date: 2025-10-29

Participants

-RoleActor
*performerOrganization Medix Pharmacy Limited

issuer: Organization Medix Pharmacy Limited

lineItem

sequence: 1

chargeItem: Metformin 500mg x 180 tablets

priceComponent

type: base price

code: Metformin 500mg x 180 tablets

factor: 180

Amounts

-ValueCurrency
*35Nigerian naira

lineItem

sequence: 2

chargeItem: Atorvastatin 20mg x 90 tablets

priceComponent

type: base price

code: Atorvastatin 20mg x 90 tablets

factor: 90

Amounts

-ValueCurrency
*85Nigerian naira

lineItem

sequence: 3

chargeItem: Amlodipine 5mg x 90 tablets

priceComponent

type: base price

code: Amlodipine 5mg x 90 tablets

factor: 90

Amounts

-ValueCurrency
*45Nigerian naira

lineItem

sequence: 4

chargeItem: Professional dispensing fee

priceComponent

type: base price

code: Professional dispensing fee

factor: 1

Amounts

-ValueCurrency
*500Nigerian naira

totalPriceComponent

type: base price

code: Subtotal

Amounts

-ValueCurrency
*14800Nigerian naira

totalPriceComponent

type: tax

code: VAT (7.5%)

Amounts

-ValueCurrency
*1110Nigerian naira

TotalNets

-ValueCurrency
*15910Nigerian naira

TotalGrosses

-ValueCurrency
*15910Nigerian naira

paymentTerms:

Payment due at time of dispensing. HMO/Insurance coverage subject to verification.

\n

note:

Insurance claim submitted to HMO for reimbursement. Patient co-pay: ₦2,500. HMO covered: ₦13,410.

\n
" }, "status" : "balanced", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "RXCINV", "display" : "Rx compound invoice" }] }, "subject" : { "reference" : "urn:uuid:bbb11122-f6e5-4789-b234-567890bcdef1" }, "date" : "2025-10-29", "participant" : [{ "role" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "PRF", "display" : "performer" }] }, "actor" : { "reference" : "urn:uuid:ddd33341-f6e5-4789-b234-567890bcdef1" } }], "issuer" : { "reference" : "urn:uuid:ddd33341-f6e5-4789-b234-567890bcdef1" }, "lineItem" : [{ "sequence" : 1, "chargeItemCodeableConcept" : { "coding" : [{ "system" : "http://www.whocc.no/atc", "code" : "A10BA02", "display" : "Metformin" }], "text" : "Metformin 500mg x 180 tablets" }, "priceComponent" : [{ "type" : "base", "code" : { "text" : "Metformin 500mg x 180 tablets" }, "factor" : 180, "amount" : { "value" : 35, "currency" : "NGN" } }] }, { "sequence" : 2, "chargeItemCodeableConcept" : { "coding" : [{ "system" : "http://www.whocc.no/atc", "code" : "C10AA05", "display" : "Atorvastatin" }], "text" : "Atorvastatin 20mg x 90 tablets" }, "priceComponent" : [{ "type" : "base", "code" : { "text" : "Atorvastatin 20mg x 90 tablets" }, "factor" : 90, "amount" : { "value" : 85, "currency" : "NGN" } }] }, { "sequence" : 3, "chargeItemCodeableConcept" : { "coding" : [{ "system" : "http://www.whocc.no/atc", "code" : "C08CA01", "display" : "Amlodipine" }], "text" : "Amlodipine 5mg x 90 tablets" }, "priceComponent" : [{ "type" : "base", "code" : { "text" : "Amlodipine 5mg x 90 tablets" }, "factor" : 90, "amount" : { "value" : 45, "currency" : "NGN" } }] }, { "sequence" : 4, "chargeItemCodeableConcept" : { "coding" : [{ "system" : "http://www.whocc.no/atc", "code" : "C05AA04", "display" : "prednisolone" }], "text" : "Professional dispensing fee" }, "priceComponent" : [{ "type" : "base", "code" : { "text" : "Professional dispensing fee" }, "factor" : 1, "amount" : { "value" : 500, "currency" : "NGN" } }] }], "totalPriceComponent" : [{ "type" : "base", "code" : { "text" : "Subtotal" }, "amount" : { "value" : 14800, "currency" : "NGN" } }, { "type" : "tax", "code" : { "text" : "VAT (7.5%)" }, "amount" : { "value" : 1110, "currency" : "NGN" } }], "totalNet" : { "value" : 15910, "currency" : "NGN" }, "totalGross" : { "value" : 15910, "currency" : "NGN" }, "paymentTerms" : "Payment due at time of dispensing. HMO/Insurance coverage subject to verification.", "note" : [{ "text" : "Insurance claim submitted to HMO for reimbursement. Patient co-pay: ₦2,500. HMO covered: ₦13,410." }] } }] }