Example: ExplanationOfBenefit-explanationofbenefit-mbs-example-02

Formats: Narrative,XML, JSON, Turtle

Raw json

{
  "resourceType" : "ExplanationOfBenefit",
  "id" : "explanationofbenefit-mbs-example-02",
  "meta" : {
    "profile" : [
      "http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: explanationofbenefit-mbs-example-02</p><p><b>meta</b>: </p><p><b>identifier</b>: 0000123</p><p><b>type</b>: Pharmacy <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/ex-claimtype code 'pharmacy' = 'Pharmacy)</span></p><p><b>subType</b>: mbs <span style="background: LightGoldenRodYellow">(Details : {https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1 code 'mbs' = 'mbs)</span></p><p><b>patient</b>: </p><p><b>created</b>: 04/12/2017</p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Service</b></td><td><b>Serviced[x]</b></td></tr><tr><td>*</td><td>1</td><td>Palmar or plantar warts (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies (Anaes.) <span style="background: LightGoldenRodYellow">(Details : {urn:oid:1.2.36.1.2001.1005.21 code '30185' = '30185', given as 'Palmar or plantar warts (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies (Anaes.)'})</span></td><td>16/06/2016</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "0000123"
    }
  ],
  "type" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/ex-claimtype",
        "code" : "pharmacy"
      }
    ]
  },
  "subType" : [
    {
      "coding" : [
        {
          "system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1",
          "code" : "mbs"
        }
      ]
    }
  ],
  "patient" : {
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/v2/0203",
            "code" : "NI",
            "display" : "National unique individual identifier"
          }
        ]
      },
      "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
      "value" : "8003608166690503"
    }
  },
  "created" : "2017-12-04",
  "item" : [
    {
      "sequence" : 1,
      "service" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.36.1.2001.1005.21",
            "code" : "30185",
            "display" : "Palmar or plantar warts (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies (Anaes.)"
          }
        ]
      },
      "servicedDate" : "2016-06-16"
    }
  ]
}