| Australian Digital Health Agency Medicare Records FHIR Implementation Guide 2.1.0

Australian Digital Health Agency Medicare Records FHIR Implementation Guide. The current version which supersedes this version is 2.2.0. It is based on FHIR® version 3.0.2. See the Directory of published versions for a list of available versions.

## Example: ExplanationOfBenefit-mbs-01

Formats: Narrative, XML, JSON, Turtle

Raw xml

    <ExplanationOfBenefit xmlns="http://hl7.org/fhir">
      <id value="mbs-01"/>
      <meta>
        <profile
                 value="http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/explanationofbenefit-medicare"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ExplanationOfBenefit</b><a name="mbs-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource ExplanationOfBenefit &quot;mbs-01&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-explanationofbenefit-medicare.html">ADHA Medicare ExplanationOfBenefit</a></p></div><p><b>identifier</b>: id: urn:oid:2.25.129844986816735724544008039950138526110</p><p><b>type</b>: Professional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/STU3/codesystem-claim-type.html">Example Claim Type Codes</a>#professional)</span></p><p><b>subType</b>: mbs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (australian-benefit-payment-category-1#mbs)</span></p><p><b>patient</b>: <span/></p><p><b>created</b>: 2016-06-21</p><p><b>provider</b>: <a name="Practitioner1"> </a></p><blockquote><p/><p><a name="Practitioner1"> </a></p><p><b>identifier</b>: HPI-I: 8003610833334085</p></blockquote><p><b>referral</b>: <a name="ReferralRequest1"> </a></p><blockquote><p/><p><a name="ReferralRequest1"> </a></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>subject</b>: <span/></p><h3>Requesters</h3><table class="grid"><tr><td>-</td><td><b>Agent</b></td></tr><tr><td>*</td><td><a href="#Practitioner2">#Practitioner2</a></td></tr></table></blockquote><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Service</b></td><td><b>Serviced[x]</b></td><td><b>Location[x]</b></td></tr><tr><td>*</td><td>1</td><td>MBS <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (australian-benefit-payment-category-1#mbs)</span></td><td>Radiation oncology treatment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#15275)</span></td><td>2016-06-16</td><td>Inpatient Hospital <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/STU3/codesystem-service-place.html">Example Service Place Codes</a>#21)</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: ReferralRequest #ReferralRequest1</b><a name="ReferralRequest1"> </a></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>subject</b>: <span/></p><h3>Requesters</h3><table class="grid"><tr><td>-</td><td><b>Agent</b></td></tr><tr><td>*</td><td><a href="#Practitioner2">#Practitioner2</a></td></tr></table></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #Practitioner1</b><a name="Practitioner1"> </a></p><p><b>identifier</b>: HPI-I: 8003610833334085</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #Practitioner2</b><a name="Practitioner2"> </a></p><p><b>identifier</b>: Prescriber Number: 453221</p><p><b>name</b>: Fab Good </p></blockquote></div>
      </text>
      <contained>
        <ReferralRequest>
          <id value="ReferralRequest1"/>
          <meta>
            <profile
                     value="http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/referralrequest-mbsdva"/>
          </meta>
          <status value="completed"/>
          <intent value="order"/>
          <subject>
            <identifier>
              <type>
                <coding>
                  <system value="http://hl7.org/fhir/v2/0203"/>
                  <code value="NI"/>
                  <display value="National unique individual identifier"/>
                </coding>
              </type>
              <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
              <value value="8003608166690503"/>
            </identifier>
          </subject>
          <requester>
            <agent>
              <reference value="#Practitioner2"/>
            </agent>
          </requester>
        </ReferralRequest>
      </contained>
      <contained>
        <Practitioner>
          <id value="Practitioner1"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/StructureDefinition/au-practitioner"/>
          </meta>
          <identifier>
            <type>
              <coding>
                <system value="http://hl7.org/fhir/v2/0203"/>
                <code value="NPI"/>
                <display value="National provider identifier"/>
              </coding>
              <text value="HPI-I"/>
            </type>
            <system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
            <value value="8003610833334085"/>
          </identifier>
        </Practitioner>
      </contained>
      <contained>
        <Practitioner>
          <id value="Practitioner2"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/StructureDefinition/au-practitioner"/>
          </meta>
          <identifier>
            <type>
              <coding>
                <system value="http://hl7.org.au/fhir/v2/0203"/>
                <code value="PRES"/>
                <display value="Prescriber Number"/>
              </coding>
              <text value="Prescriber Number"/>
            </type>
            <system
                    value="http://ns.electronichealth.net.au/id/prescriber-number"/>
            <value value="453221"/>
          </identifier>
          <name>
            <family value="Good"/>
            <given value="Fab"/>
            <prefix value="Dr"/>
          </name>
        </Practitioner>
      </contained>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.25.129844986816735724544008039950138526110"/>
      </identifier>
      <type>
        <coding>
          <system value="http://hl7.org/fhir/ex-claimtype"/>
          <code value="professional"/>
        </coding>
      </type>
      <subType>
        <coding>
          <system
                  value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1"/>
          <code value="mbs"/>
        </coding>
      </subType>
      <patient>
        <identifier>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="NI"/>
              <display value="National unique individual identifier"/>
            </coding>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
          <value value="8003608166690503"/>
        </identifier>
      </patient>
      <created value="2016-06-21"/>
      <provider>
        <reference value="#Practitioner1"/>
      </provider>
      <referral>
        <reference value="#ReferralRequest1"/>
      </referral>
      <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>
        </category>
        <service>
          <coding>
            <system value="urn:oid:1.2.36.1.2001.1005.21"/>
            <code value="15275"/>
            <display value="Radiation oncology treatment"/>
          </coding>
        </service>
        <servicedDate value="2016-06-16"/>
        <locationCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/ex-serviceplace"/>
            <code value="21"/>
            <display value="Inpatient Hospital"/>
          </coding>
        </locationCodeableConcept>
      </item>
    </ExplanationOfBenefit>