Australian Digital Health Agency Medicare Records FHIR Implementation Guide. This is the current published version. 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 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 "pbs-02"];
  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=\"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>"
  ];
  fhir:DomainResource.contained [
     a fhir:Organization;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "Organization2" ];
     fhir:Organization.identifier [
       fhir:index 0;
       fhir:Identifier.system [ fhir:value "http://pbs.gov.au/code/manufacturer" ];
       fhir:Identifier.value [ fhir:value "MM" ]     ]
  ], [
     a fhir:Medication;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "med" ];
     fhir:Medication.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:1.2.36.1.2001.1005.22" ];
         fhir:Coding.code [ fhir:value "03119E" ]       ]     ];
     fhir:Medication.manufacturer [
       fhir:Reference.reference [ fhir:value "#Organization2" ]     ]
  ], [
     a fhir:MedicationRequest;
     fhir:index 2;
     fhir:Resource.id [ fhir:value "medreq" ];
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/medicationrequest-pbs";
         fhir:index 0       ]     ];
     fhir:MedicationRequest.status [ fhir:value "active" ];
     fhir:MedicationRequest.intent [ fhir:value "order" ];
     fhir:MedicationRequest.medicationReference [
       fhir:Reference.reference [ fhir:value "#med" ]     ];
     fhir:MedicationRequest.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:MedicationRequest.authoredOn [ fhir:value "2017-01-15"^^xsd:date ];
     fhir:MedicationRequest.dispenseRequest [
       fhir:MedicationRequest.dispenseRequest.quantity [
         fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "tablet" ]       ]     ]
  ];
  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 "pharmacy" ]     ]
  ];
  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 "pbs" ]     ]
  ];
  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 "2017-01-16"^^xsd:date];
  fhir:ExplanationOfBenefit.prescription [
     fhir:Reference.reference [ fhir:value "#medreq" ]
  ];
  fhir:ExplanationOfBenefit.item [
     fhir:index 0;
     fhir:ExplanationOfBenefit.item.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:ExplanationOfBenefit.item.service [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:1.2.36.1.2001.1005.22" ];
         fhir:Coding.code [ fhir:value "03119E" ];
         fhir:Coding.display [ fhir:value "cephalexin 500 mg capsule, 20" ]       ]     ];
     fhir:ExplanationOfBenefit.item.servicedDate [ fhir:value "2017-01-16"^^xsd:date ]
  ].

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

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