mbs-01
type: ExplanationOfBenefit
node role: treeRoot
resource.id:
  value: mbs-01
resource.meta:
  meta.profile:
    value: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare
    index: 0
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: ExplanationOfBenefit Resource ExplanationOfBenefit "mbs-01" Profile: ADHA Medicare ExplanationOfBenefit identifier: id: urn:oid:2.25.129844986816735724544008039950138526110 type: Professional (Example Claim Type Codes#professional) subType: mbs (australian-benefit-payment-category-1#mbs) patient: created: 2016-06-21 provider: identifier: HPI-I: 8003610833334085 referral: status: completed intent: order subject: Requesters - Agent * #Practitioner2 Items - Sequence Category Service Serviced[x] Location[x] * 1 MBS (australian-benefit-payment-category-1#mbs) Radiation oncology treatment (unknown#15275) 2016-06-16 Inpatient Hospital (Example Service Place Codes#21) Generated Narrative: ReferralRequest #ReferralRequest1 status: completed intent: order subject: Requesters - Agent * #Practitioner2 Generated Narrative: Practitioner #Practitioner1 identifier: HPI-I: 8003610833334085 Generated Narrative: Practitioner #Practitioner2 identifier: Prescriber Number: 453221 name: Fab Good
domain resource.contained: ReferralRequest
  index: 0
  resource.id:
    value: ReferralRequest1
  resource.meta:
    meta.profile:
      value: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/referralrequest-mbsdva
      index: 0
  referral request.status:
    value: completed
  referral request.intent:
    value: order
  referral request.subject:
    reference.identifier:
      identifier.system:
        value: http://ns.electronichealth.net.au/id/hi/ihi/1.0
      identifier.value:
        value: 8003608166690503
  referral request.requester:
    referral request.requester.agent:
      reference.reference:
        value: #Practitioner2
domain resource.contained: Practitioner
  index: 1
  resource.id:
    value: Practitioner1
  resource.meta:
    meta.profile:
      value: http://hl7.org.au/fhir/StructureDefinition/au-practitioner
      index: 0
  practitioner.identifier:
    index: 0
    identifier.type:
      codeable concept.coding:
        index: 0
      codeable concept.text:
        value: HPI-I
    identifier.system:
      value: http://ns.electronichealth.net.au/id/hi/hpii/1.0
    identifier.value:
      value: 8003610833334085
domain resource.contained: Practitioner
  index: 2
  resource.id:
    value: Practitioner2
  resource.meta:
    meta.profile:
      value: http://hl7.org.au/fhir/StructureDefinition/au-practitioner
      index: 0
  practitioner.identifier:
    index: 0
    identifier.type:
      codeable concept.coding:
        index: 0
      codeable concept.text:
        value: Prescriber Number
    identifier.system:
      value: http://ns.electronichealth.net.au/id/prescriber-number
    identifier.value:
      value: 453221
  practitioner.name:
    index: 0
    human name.family:
      value: Good
    human name.given:
      value: Fab
      index: 0
    human name.prefix:
      value: Dr
      index: 0
explanation of benefit.identifier:
  index: 0
  identifier.system:
    value: urn:ietf:rfc:3986
  identifier.value:
    value: urn:oid:2.25.129844986816735724544008039950138526110
explanation of benefit.type:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://hl7.org/fhir/ex-claimtype
    coding.code:
      value: professional
explanation of benefit.sub type:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1
    coding.code:
      value: mbs
explanation of benefit.patient:
  reference.identifier:
    identifier.type:
      codeable concept.coding:
        index: 0
    identifier.system:
      value: http://ns.electronichealth.net.au/id/hi/ihi/1.0
    identifier.value:
      value: 8003608166690503
explanation of benefit.created:
  value: 2016-06-21
explanation of benefit.provider:
  reference.reference:
    value: #Practitioner1
explanation of benefit.referral:
  reference.reference:
    value: #ReferralRequest1
explanation of benefit.item:
  index: 0
  explanation of benefit.item.sequence:
    value: 1
  explanation of benefit.item.category:
    codeable concept.coding:
      index: 0
      coding.system:
        value: https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1
      coding.code:
        value: mbs
      coding.display:
        value: MBS
  explanation of benefit.item.service:
    codeable concept.coding:
      index: 0
      coding.system:
        value: urn:oid:1.2.36.1.2001.1005.21
      coding.code:
        value: 15275
      coding.display:
        value: Radiation oncology treatment
  explanation of benefit.item.serviced date:
    value: 2016-06-16
  explanation of benefit.item.location codeable concept:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://hl7.org/fhir/ex-serviceplace
      coding.code:
        value: 21
      coding.display:
        value: Inpatient Hospital

index: 0
coding.system:
  value: http://hl7.org/fhir/v2/0203
coding.code:
  value: NI
coding.display:
  value: National unique individual identifier

value: NPI

value: National provider identifier

value: PRES

value: Prescriber Number

value: NI

value: National unique individual identifier