My Health Record FHIR IG
1.2.0 - active
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
{
"resourceType" : "ExplanationOfBenefit",
"id" : "pbs-mds",
"meta" : // R4 conversion of MDS test data ExplanationOfBenefit.id 9b28d09f-ba17-11ec-833a-b1763b0a7715
{
"profile" : [
🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-pbs-1"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ExplanationOfBenefit pbs-mds</b></p><a name=\"pbs-mds\"> </a><a name=\"hcpbs-mds\"> </a><a name=\"pbs-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 \r\n\r\nThis 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: \r\n\r\nNote 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.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:oid:1.2.36.1.2001.1007.11.8003608833630130.1000000000017396</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type pharmacy}\">Pharmacy</span></p><p><b>subType</b>: <span title=\"Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1 pbs}\">PBS</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: Identifier: IHI/8003608833630130</p><p><b>created</b>: 2020-01-16</p><p><b>insurer</b>: <a href=\"Organization-healthau.html\">Organization Australian Government Department of Health</a></p><p><b>provider</b>: ??</p><p><b>prescription</b>: <a href=\"#hcpbs-mds/mds\">MedicationRequest: status = unknown; intent = order; medication[x] = ->Medication BENZYLPENICILLIN; authoredOn = 2022-04-08</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 pbs}\">PBS</span></td><td><span title=\"Codes:{http://pbs.gov.au/code/item 02647H}\">BENZYLPENICILLIN</span></td><td>2020-01-16</td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest #mds</b></p><a name=\"pbs-mds/mds\"> </a><a name=\"hcpbs-mds/mds\"> </a><a name=\"pbs-mds/mds-en-AU\"> </a><p><b>status</b>: Unknown</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"#hcpbs-mds/mmds\">Medication BENZYLPENICILLIN</a></p><p><b>subject</b>: Identifier: IHI/8003608833630130</p><p><b>authoredOn</b>: 2022-04-08</p><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>10</td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #mmds</b></p><a name=\"pbs-mds/mmds\"> </a><a name=\"hcpbs-mds/mmds\"> </a><a name=\"pbs-mds/mmds-en-AU\"> </a><p><b>Medication Generic Drug Name</b>: BENZYLPENICILLIN</p><p><b>Medication Brand Name</b>: BENPEN</p><p><b>code</b>: <span title=\"Codes:{http://pbs.gov.au/code/item 02647H}\">BENZYLPENICILLIN 3G INJECTION, 1 VIAL</span></p><p><b>manufacturer</b>: Identifier: <code>http://pbs.gov.au/code/manufacturer</code>/CS</p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "MedicationRequest",
"id" : "mds",
"status" : "unknown",
"intent" : "order",
"medicationReference" : {
"reference" : "#mmds"
},
"subject" : {
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"display" : "National unique individual identifier"
}
],
"text" : "IHI"
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608833630130"
}
},
"authoredOn" : "2022-04-08",
"dispenseRequest" : {
"quantity" : {
"value" : 10
}
}
},
{
"resourceType" : "Medication",
"id" : "mmds",
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-generic-name",
"valueString" : "BENZYLPENICILLIN"
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name",
"valueString" : "BENPEN"
}
],
"code" : {
"coding" : [
{
"system" : "http://pbs.gov.au/code/item",
"version" : "v1.0",
"code" : "02647H",
"display" : "BENZYLPENICILLIN"
}
],
"text" : "BENZYLPENICILLIN 3G INJECTION, 1 VIAL"
},
"manufacturer" : // Medication form and strength (MPP Preferred Term)
{
"identifier" : {
"system" : "http://pbs.gov.au/code/manufacturer",
"value" : "CS"
}
}
}
],
"identifier" : [
// identifier for the PBR record from Medicare repository
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.36.1.2001.1007.11.8003608833630130.1000000000017396"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "pharmacy",
"display" : "Pharmacy"
}
]
},
"subType" : {
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1",
"code" : "pbs"
}
]
},
"use" : "claim",
"patient" : {
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"display" : "National unique individual identifier"
}
],
"text" : "IHI"
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608833630130"
}
},
"created" : "2020-01-16",
"insurer" : {
🔗 "reference" : "Organization/healthau"
},
"provider" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
},
"prescription" : {
"reference" : "#mds"
},
"outcome" : "complete",
"insurance" : [
{
"focal" : true,
"coverage" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
}
}
],
"item" : [
{
"sequence" : 1,
"category" : {
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1",
"code" : "pbs",
"display" : "PBS"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "http://pbs.gov.au/code/item",
"version" : "v1.0",
"code" : "02647H",
"display" : "BENZYLPENICILLIN"
}
]
},
"servicedDate" : "2020-01-16"
}
]
}