Australian Digital Health Agency Medicare Records FHIR Implementation Guide. The current version which supersedes this version is 2.2.0. It is based on FHIR® version 3.0.2. See the Directory of published versions for a list of available versions.

Example: ExplanationOfBenefit-mbs-01

Formats: Narrative, XML, JSON, Turtle

Raw ttl

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ExplanationOfBenefit;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "mbs-01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare";
       fhir:index 0     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ExplanationOfBenefit</b><a name=\"mbs-01\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ExplanationOfBenefit &quot;mbs-01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-explanationofbenefit-medicare.html\">ADHA Medicare ExplanationOfBenefit</a></p></div><p><b>identifier</b>: id: urn:oid:2.25.129844986816735724544008039950138526110</p><p><b>type</b>: Professional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/STU3/codesystem-claim-type.html\">Example Claim Type Codes</a>#professional)</span></p><p><b>subType</b>: mbs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (australian-benefit-payment-category-1#mbs)</span></p><p><b>patient</b>: <span/></p><p><b>created</b>: 2016-06-21</p><p><b>provider</b>: <a name=\"Practitioner1\"> </a></p><blockquote><p/><p><a name=\"Practitioner1\"> </a></p><p><b>identifier</b>: HPI-I: 8003610833334085</p></blockquote><p><b>referral</b>: <a name=\"ReferralRequest1\"> </a></p><blockquote><p/><p><a name=\"ReferralRequest1\"> </a></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>subject</b>: <span/></p><h3>Requesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Agent</b></td></tr><tr><td>*</td><td><a href=\"#Practitioner2\">#Practitioner2</a></td></tr></table></blockquote><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Service</b></td><td><b>Serviced[x]</b></td><td><b>Location[x]</b></td></tr><tr><td>*</td><td>1</td><td>MBS <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (australian-benefit-payment-category-1#mbs)</span></td><td>Radiation oncology treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#15275)</span></td><td>2016-06-16</td><td>Inpatient Hospital <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/STU3/codesystem-service-place.html\">Example Service Place Codes</a>#21)</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: ReferralRequest #ReferralRequest1</b><a name=\"ReferralRequest1\"> </a></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>subject</b>: <span/></p><h3>Requesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Agent</b></td></tr><tr><td>*</td><td><a href=\"#Practitioner2\">#Practitioner2</a></td></tr></table></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #Practitioner1</b><a name=\"Practitioner1\"> </a></p><p><b>identifier</b>: HPI-I: 8003610833334085</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #Practitioner2</b><a name=\"Practitioner2\"> </a></p><p><b>identifier</b>: Prescriber Number: 453221</p><p><b>name</b>: Fab Good </p></blockquote></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:ReferralRequest;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "ReferralRequest1" ];
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/referralrequest-mbsdva";
         fhir:index 0       ]     ];
     fhir:ReferralRequest.status [ fhir:value "completed" ];
     fhir:ReferralRequest.intent [ fhir:value "order" ];
     fhir:ReferralRequest.subject [
       fhir:Reference.identifier [
         fhir:Identifier.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v2/0203" ];
             fhir:Coding.code [ fhir:value "NI" ];
             fhir:Coding.display [ fhir:value "National unique individual identifier" ]           ]         ];
         fhir:Identifier.system [ fhir:value "http://ns.electronichealth.net.au/id/hi/ihi/1.0" ];
         fhir:Identifier.value [ fhir:value "8003608166690503" ]       ]     ];
     fhir:ReferralRequest.requester [
       fhir:ReferralRequest.requester.agent [
         fhir:Reference.reference [ fhir:value "#Practitioner2" ]       ]     ]
  ], [
     a fhir:Practitioner;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "Practitioner1" ];
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://hl7.org.au/fhir/StructureDefinition/au-practitioner";
         fhir:index 0       ]     ];
     fhir:Practitioner.identifier [
       fhir:index 0;
       fhir:Identifier.type [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v2/0203" ];
           fhir:Coding.code [ fhir:value "NPI" ];
           fhir:Coding.display [ fhir:value "National provider identifier" ]         ];
         fhir:CodeableConcept.text [ fhir:value "HPI-I" ]       ];
       fhir:Identifier.system [ fhir:value "http://ns.electronichealth.net.au/id/hi/hpii/1.0" ];
       fhir:Identifier.value [ fhir:value "8003610833334085" ]     ]
  ], [
     a fhir:Practitioner;
     fhir:index 2;
     fhir:Resource.id [ fhir:value "Practitioner2" ];
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://hl7.org.au/fhir/StructureDefinition/au-practitioner";
         fhir:index 0       ]     ];
     fhir:Practitioner.identifier [
       fhir:index 0;
       fhir:Identifier.type [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org.au/fhir/v2/0203" ];
           fhir:Coding.code [ fhir:value "PRES" ];
           fhir:Coding.display [ fhir:value "Prescriber Number" ]         ];
         fhir:CodeableConcept.text [ fhir:value "Prescriber Number" ]       ];
       fhir:Identifier.system [ fhir:value "http://ns.electronichealth.net.au/id/prescriber-number" ];
       fhir:Identifier.value [ fhir:value "453221" ]     ];
     fhir:Practitioner.name [
       fhir:index 0;
       fhir:HumanName.family [ fhir:value "Good" ];
       fhir:HumanName.given [
         fhir:value "Fab";
         fhir:index 0       ];
       fhir:HumanName.prefix [
         fhir:value "Dr";
         fhir:index 0       ]     ]
  ];
  fhir:ExplanationOfBenefit.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.25.129844986816735724544008039950138526110" ]
  ];
  fhir:ExplanationOfBenefit.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/ex-claimtype" ];
       fhir:Coding.code [ fhir:value "professional" ]     ]
  ];
  fhir:ExplanationOfBenefit.subType [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1" ];
       fhir:Coding.code [ fhir:value "mbs" ]     ]
  ];
  fhir:ExplanationOfBenefit.patient [
     fhir:Reference.identifier [
       fhir:Identifier.type [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v2/0203" ];
           fhir:Coding.code [ fhir:value "NI" ];
           fhir:Coding.display [ fhir:value "National unique individual identifier" ]         ]       ];
       fhir:Identifier.system [ fhir:value "http://ns.electronichealth.net.au/id/hi/ihi/1.0" ];
       fhir:Identifier.value [ fhir:value "8003608166690503" ]     ]
  ];
  fhir:ExplanationOfBenefit.created [ fhir:value "2016-06-21"^^xsd:date];
  fhir:ExplanationOfBenefit.provider [
     fhir:Reference.reference [ fhir:value "#Practitioner1" ]
  ];
  fhir:ExplanationOfBenefit.referral [
     fhir:Reference.reference [ fhir:value "#ReferralRequest1" ]
  ];
  fhir:ExplanationOfBenefit.item [
     fhir:index 0;
     fhir:ExplanationOfBenefit.item.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:ExplanationOfBenefit.item.category [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1" ];
         fhir:Coding.code [ fhir:value "mbs" ];
         fhir:Coding.display [ fhir:value "MBS" ]       ]     ];
     fhir:ExplanationOfBenefit.item.service [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:1.2.36.1.2001.1005.21" ];
         fhir:Coding.code [ fhir:value "15275" ];
         fhir:Coding.display [ fhir:value "Radiation oncology treatment" ]       ]     ];
     fhir:ExplanationOfBenefit.item.servicedDate [ fhir:value "2016-06-16"^^xsd:date ];
     fhir:ExplanationOfBenefit.item.locationCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/ex-serviceplace" ];
         fhir:Coding.code [ fhir:value "21" ];
         fhir:Coding.display [ fhir:value "Inpatient Hospital" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.