pbs-01
type: ExplanationOfBenefit
node role: treeRoot
resource.id:
  value: pbs-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 "pbs-01" Profile: ADHA Medicare ExplanationOfBenefit identifier: id: urn:oid:2.25.129844986816735724544008039950138526110 type: Pharmacy (Example Claim Type Codes#pharmacy) patient: created: 2017-01-16 prescription: status: active intent: order medication: #med subject: authoredOn: 2017-01-15 DispenseRequests - NumberOfRepeatsAllowed Quantity * 1 500 tablet Items - Sequence Category Service Serviced[x] * 1 PBS (australian-benefit-payment-category-1#pbs) cephalexin 500 mg capsule, 20 (unknown#03119E) 2017-01-16 Generated Narrative: Medication #med code: cephalexin 500 mg capsule, 20 (unknown#03119E) Generated Narrative: MedicationRequest #medreq status: active intent: order medication: #med subject: authoredOn: 2017-01-15 DispenseRequests - NumberOfRepeatsAllowed Quantity * 1 500 tablet
domain resource.contained: Medication
  index: 0
  resource.id:
    value: med
  medication.code:
    codeable concept.coding:
      index: 0
      coding.system:
        value: urn:oid:1.2.36.1.2001.1005.22
      coding.code:
        value: 03119E
      coding.display:
        value: cephalexin 500 mg capsule, 20
domain resource.contained: MedicationRequest
  index: 1
  resource.id:
    value: medreq
  resource.meta:
    meta.profile:
      value: http://ns.electronichealth.net.au/ci/fhir/StructureDefinition/medicationrequest-pbs
      index: 0
  medication request.status:
    value: active
  medication request.intent:
    value: order
  medication request.medication reference:
    reference.reference:
      value: #med
  medication request.subject:
    reference.identifier:
      identifier.system:
        value: http://ns.electronichealth.net.au/id/hi/ihi/1.0
      identifier.value:
        value: 8003608166690503
  medication request.authored on:
    value: 2017-01-15
  medication request.dispense request:
    medication request.dispense request.number of repeats allowed:
      value: 1
    medication request.dispense request.quantity:
      quantity.value:
        value: 500
      quantity.unit:
        value: tablet
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: pharmacy
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: 2017-01-16
explanation of benefit.prescription:
  reference.reference:
    value: #medreq
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: pbs
      coding.display:
        value: PBS
  explanation of benefit.item.service:
    codeable concept.coding:
      index: 0
      coding.system:
        value: urn:oid:1.2.36.1.2001.1005.22
      coding.code:
        value: 03119E
      coding.display:
        value: cephalexin 500 mg capsule, 20
  explanation of benefit.item.serviced date:
    value: 2017-01-16

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

value: NI

value: National unique individual identifier