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 xml

<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
  <id value="mbs-01"/>
  <meta>
    <profile
             value="http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <contained>
    <ReferralRequest>
      <id value="ReferralRequest1"/>
      <meta>
        <profile
                 value="http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/referralrequest-mbsdva"/>
      </meta>
      <status value="completed"/>
      <intent value="order"/>
      <subject>
        <identifier>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="NI"/>
              <display value="National unique individual identifier"/>
            </coding>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
          <value value="8003608166690503"/>
        </identifier>
      </subject>
      <requester>
        <agent>
          <reference value="#Practitioner2"/>
        </agent>
      </requester>
    </ReferralRequest>
  </contained>
  <contained>
    <Practitioner>
      <id value="Practitioner1"/>
      <meta>
        <profile
                 value="http://hl7.org.au/fhir/StructureDefinition/au-practitioner"/>
      </meta>
      <identifier>
        <type>
          <coding>
            <system value="http://hl7.org/fhir/v2/0203"/>
            <code value="NPI"/>
            <display value="National provider identifier"/>
          </coding>
          <text value="HPI-I"/>
        </type>
        <system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
        <value value="8003610833334085"/>
      </identifier>
    </Practitioner>
  </contained>
  <contained>
    <Practitioner>
      <id value="Practitioner2"/>
      <meta>
        <profile
                 value="http://hl7.org.au/fhir/StructureDefinition/au-practitioner"/>
      </meta>
      <identifier>
        <type>
          <coding>
            <system value="http://hl7.org.au/fhir/v2/0203"/>
            <code value="PRES"/>
            <display value="Prescriber Number"/>
          </coding>
          <text value="Prescriber Number"/>
        </type>
        <system
                value="http://ns.electronichealth.net.au/id/prescriber-number"/>
        <value value="453221"/>
      </identifier>
      <name>
        <family value="Good"/>
        <given value="Fab"/>
        <prefix value="Dr"/>
      </name>
    </Practitioner>
  </contained>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.25.129844986816735724544008039950138526110"/>
  </identifier>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/ex-claimtype"/>
      <code value="professional"/>
    </coding>
  </type>
  <subType>
    <coding>
      <system
              value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1"/>
      <code value="mbs"/>
    </coding>
  </subType>
  <patient>
    <identifier>
      <type>
        <coding>
          <system value="http://hl7.org/fhir/v2/0203"/>
          <code value="NI"/>
          <display value="National unique individual identifier"/>
        </coding>
      </type>
      <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
      <value value="8003608166690503"/>
    </identifier>
  </patient>
  <created value="2016-06-21"/>
  <provider>
    <reference value="#Practitioner1"/>
  </provider>
  <referral>
    <reference value="#ReferralRequest1"/>
  </referral>
  <item>
    <sequence value="1"/>
    <category>
      <coding>
        <system
                value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1"/>
        <code value="mbs"/>
        <display value="MBS"/>
      </coding>
    </category>
    <service>
      <coding>
        <system value="urn:oid:1.2.36.1.2001.1005.21"/>
        <code value="15275"/>
        <display value="Radiation oncology treatment"/>
      </coding>
    </service>
    <servicedDate value="2016-06-16"/>
    <locationCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/ex-serviceplace"/>
        <code value="21"/>
        <display value="Inpatient Hospital"/>
      </coding>
    </locationCodeableConcept>
  </item>
</ExplanationOfBenefit>