My Health Record FHIR IG
1.2.0 - active Australia flag

My Health Record FHIR IG - Local Development build (v1.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: R4 conversion of STU3 PBS MDS test data (missing data asserted with data absent extension) - XML Representation

Raw xml | Download



<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
  <id value="mbs-mds"/>
  <!-- R4 conversion of MDS test data ExplanationOfBenefit.id d46a4133-ba17-11ec-833a-b1763b0a7715 -->
  <meta>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ExplanationOfBenefit mbs-mds</b></p><a name="mbs-mds"> </a><a name="hcmbs-mds"> </a><a name="mbs-mds-en-AU"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">URI</a>/urn:oid:1.2.36.1.2001.1007.11.8003640002000043.1000000000041358</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}">Institutional</span></p><p><b>subType</b>: <span title="Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1 mbs}">MBS</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: Identifier: IHI/8003608833630130</p><p><b>created</b>: 2022-04-07</p><p><b>insurer</b>: <a href="Organization-healthau.html">Organization Australian Government Department of Health</a></p><p><b>provider</b>: <a href="#hcmbs-mds/mds">PractitionerRole Health Professionals nfd</a></p><p><b>outcome</b>: Processing Complete</p><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>true</td><td>??</td></tr></table><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>ProductOrService</b></td><td><b>Serviced[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1 mbs}">Medicare Benefits Schedule</span></td><td><span title="Codes:{urn:oid:1.2.36.1.2001.1005.21 00023}">CONSULTATION AT CONSULTING ROOMS - LEVEL 'B'.</span></td><td>2022-04-07</td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: PractitionerRole  #mds</b></p><a name="mbs-mds/mds"> </a><a name="hcmbs-mds/mds"> </a><a name="mbs-mds/mds-en-AU"> </a><p><b>identifier</b>: ?ngen-9?</p><p><b>practitioner</b>: <a href="#hcmbs-mds/mmds">Practitioner PAIN KILLER </a></p><p><b>code</b>: <span title="Codes:{http://www.abs.gov.au/ausstats/[email protected]/mf/1220.0 250000}">Health Professional</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Practitioner  #mmds</b></p><a name="mbs-mds/mmds"> </a><a name="hcmbs-mds/mmds"> </a><a name="mbs-mds/mmds-en-AU"> </a><p><b>name</b>: PAIN KILLER </p></blockquote></div>
  </text>
  <contained>
    <PractitionerRole>
      <id value="mds"/>
      <identifier>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
          <valueCode value="unknown"/>
        </extension>
      </identifier>
      <practitioner>
        <reference value="#mmds"/>
      </practitioner>
      <code>
        <coding>
          <system value="http://www.abs.gov.au/ausstats/[email protected]/mf/1220.0"/>
          <code value="250000"/>
        </coding>
        <text value="Health Professional"/>
      </code>
    </PractitionerRole>
  </contained>
  <contained>
    <Practitioner>
      <id value="mmds"/>
      <name>
        <use value="usual"/>
        <family value="KILLER"/>
        <given value="PAIN"/>
        <prefix value="DR"/>
      </name>
    </Practitioner>
  </contained>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value
           value="urn:oid:1.2.36.1.2001.1007.11.8003640002000043.1000000000041358"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="institutional"/>
    </coding>
  </type>
  <subType>
    <coding>
      <system
              value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1"/>
      <code value="mbs"/>
    </coding>
  </subType>
  <use value="claim"/>
  <patient>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="NI"/>
          <display value="National unique individual identifier"/>
        </coding>
        <text value="IHI"/>
      </type>
      <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
      <value value="8003608833630130"/>
    </identifier>
  </patient>
  <created value="2022-04-07"/>
  <insurer>🔗 
    <reference value="Organization/healthau"/>
  </insurer>
  <provider>
    <reference value="#mds"/>
  </provider>
  <outcome value="complete"/>
  <insurance>
    <focal value="true"/>
    <coverage>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="unknown"/>
      </extension>
    </coverage>
  </insurance>
  <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>
      <text value="Medicare Benefits Schedule"/>
    </category>
    <productOrService>
      <coding>
        <system value="urn:oid:1.2.36.1.2001.1005.21"/>
        <code value="00023"/>
        <display value="CONSULTATION AT CONSULTING ROOMS - LEVEL 'B'."/>
      </coding>
    </productOrService>
    <servicedDate value="2022-04-07"/>
  </item>
</ExplanationOfBenefit>