{
  "resourceType": "ExplanationOfBenefit",
  "id": "explanationofbenefit-mbs-example-02",
  "meta": {
    "profile": [
      "http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: explanationofbenefit-mbs-example-02</p><p><b>meta</b>: </p><p><b>identifier</b>: 0000123</p><p><b>type</b>: Pharmacy <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/ex-claimtype code 'pharmacy' = 'Pharmacy)</span></p><p><b>subType</b>: mbs <span style=\"background: LightGoldenRodYellow\">(Details : {https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1 code 'mbs' = 'mbs)</span></p><p><b>patient</b>: </p><p><b>created</b>: 04/12/2017</p><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>Palmar or plantar warts (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies (Anaes.) <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:1.2.36.1.2001.1005.21 code '30185' = '30185', given as 'Palmar or plantar warts (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies (Anaes.)'})</span></td><td>16/06/2016</td></tr></table></div>"
  },
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "0000123"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/ex-claimtype",
        "code": "pharmacy"
      }
    ]
  },
  "subType": [
    {
      "coding": [
        {
          "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1",
          "code": "mbs"
        }
      ]
    }
  ],
  "patient": {
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0203",
            "code": "NI",
            "display": "National unique individual identifier"
          }
        ]
      },
      "system": "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
      "value": "8003608166690503"
    }
  },
  "created": "2017-12-04",
  "item": [
    {
      "sequence": 1,
      "service": {
        "coding": [
          {
            "system": "urn:oid:1.2.36.1.2001.1005.21",
            "code": "30185",
            "display": "Palmar or plantar warts (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies (Anaes.)"
          }
        ]
      },
      "servicedDate": "2016-06-16"
    }
  ]
}