My Health Record FHIR IG - Local Development build (v1.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example ExplanationOfBenefit: Record of Claim against PBS for 03119E cephalexin 500 mg capsule, 20 for Ms. Sally Field 16 FEB 2020

Profile: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-pbs-1

identifier: Uniform Resource Identifier (URI)/urn:uuid:296dcbd7-d763-4ecf-aa78-523bcc11ecda

status: Active

type: Pharmacy

subType: PBS

use: Claim

patient: Identifier: IHI/8003608833357361

created: 2020-01-16

insurer: Australian Government Department of Health

provider: Mr. Representative Pharmacist at Test Org -DigitalHealth 6 Pharmacy (Identifier: HPI-I/8003611566708354)

prescription: MedicationRequest: status = unknown; intent = order; medication[x] = ->Medication cephalexin 500 mg capsule, 20; authoredOn = 2020-01-15

outcome: Processing Complete

Insurances

-FocalCoverage
*trueIdentifier: Medicare Number/3951032981

Items

-SequenceCategoryProductOrServiceServiced[x]
*1PBScephalexin 500 mg capsule, 202020-01-16

Generated Narrative: MedicationRequest #claim-pbs-01

status: Unknown

intent: Order

medication: Medication cephalexin 500 mg capsule, 20

subject: Identifier: IHI/8003608833357361

authoredOn: 2020-01-15

requester: ?rref?

DispenseRequests

-NumberOfRepeatsAllowedQuantity
*120 capsule

Generated Narrative: Medication #cephalexin-01

code: cephalexin 500 mg capsule, 20

manufacturer: Identifier: http://pbs.gov.au/code/manufacturer/MM