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-pbs-02

Formats: Narrative, XML, JSON, Turtle

Raw xml

<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
  <id value="pbs-02"/>
  <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="pbs-02"> </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;pbs-02&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>: Pharmacy <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>#pharmacy)</span></p><p><b>subType</b>: pbs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (australian-benefit-payment-category-1#pbs)</span></p><p><b>patient</b>: <span/></p><p><b>created</b>: 2017-01-16</p><p><b>prescription</b>: <a name="medreq"> </a></p><blockquote><p/><p><a name="medreq"> </a></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href="#med">#med</a></p><p><b>subject</b>: <span/></p><p><b>authoredOn</b>: 2017-01-15</p><h3>DispenseRequests</h3><table class="grid"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>100 tablet</td></tr></table></blockquote><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>cephalexin 500 mg capsule, 20 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#03119E)</span></td><td>2017-01-16</td></tr></table><hr/><blockquote><p><b>Generated Narrative: Organization #Organization2</b><a name="Organization2"> </a></p><p><b>identifier</b>: id: MM</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication #med</b><a name="med"> </a></p><p><b>code</b>: 03119E <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#03119E)</span></p><p><b>manufacturer</b>: <a href="#Organization2">#Organization2</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: MedicationRequest #medreq</b><a name="medreq"> </a></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href="#med">#med</a></p><p><b>subject</b>: <span/></p><p><b>authoredOn</b>: 2017-01-15</p><h3>DispenseRequests</h3><table class="grid"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>100 tablet</td></tr></table></blockquote></div>
  </text>
  <contained>
    <Organization>
      <id value="Organization2"/>
      <identifier>
        <system value="http://pbs.gov.au/code/manufacturer"/>
        <value value="MM"/>
      </identifier>
    </Organization>
  </contained>
  <contained>
    <Medication>
      <id value="med"/>
      <code>
        <coding>
          <system value="urn:oid:1.2.36.1.2001.1005.22"/>
          <code value="03119E"/>
        </coding>
      </code>
      <manufacturer>
        <reference value="#Organization2"/>
      </manufacturer>
    </Medication>
  </contained>
  <contained>
    <MedicationRequest>
      <id value="medreq"/>
      <meta>
        <profile
                 value="http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/medicationrequest-pbs"/>
      </meta>
      <status value="active"/>
      <intent value="order"/>
      <medicationReference>
        <reference value="#med"/>
      </medicationReference>
      <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>
      <authoredOn value="2017-01-15"/>
      <dispenseRequest>
        <quantity>
          <value value="100"/>
          <unit value="tablet"/>
        </quantity>
      </dispenseRequest>
    </MedicationRequest>
  </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="pharmacy"/>
    </coding>
  </type>
  <subType>
    <coding>
      <system
              value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1"/>
      <code value="pbs"/>
    </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="2017-01-16"/>
  <prescription>
    <reference value="#medreq"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <service>
      <coding>
        <system value="urn:oid:1.2.36.1.2001.1005.22"/>
        <code value="03119E"/>
        <display value="cephalexin 500 mg capsule, 20"/>
      </coding>
    </service>
    <servicedDate value="2017-01-16"/>
  </item>
</ExplanationOfBenefit>