| Australian Digital Health Agency FHIR Implementation Guide 1.0.0

Australian Digital Health Agency FHIR Implementation Guide. This is the current published version. It is based on FHIR® version 4.0.1. See the Directory of published versions for a list of available versions.

## Example: ExplanationOfBenefit-pbs-mds

Formats: Narrative, XML, JSON, Turtle

Raw xml

    <ExplanationOfBenefit xmlns="http://hl7.org/fhir">
      <id value="pbs-mds"/>
    <!-- R4 conversion of MDS test data ExplanationOfBenefit.id 9b28d09f-ba17-11ec-833a-b1763b0a7715 -->
      <meta>
        <profile
                 value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-pbs-1"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ExplanationOfBenefit</b><a name="pbs-mds"> </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;pbs-mds&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-dh-explanationofbenefit-medicare-pbs-1.html">ADHA Record of Claim against PBS or RPBS</a></p></div><p><b>identifier</b>: id: urn:oid:1.2.36.1.2001.1007.11.8003608833630130.1000000000017396</p><p><b>status</b>: active</p><p><b>type</b>: Pharmacy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html">Claim Type Codes</a>#pharmacy)</span></p><p><b>subType</b>: pbs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (australian-benefit-payment-category-1#pbs)</span></p><p><b>use</b>: claim</p><p><b>patient</b>: <span/></p><p><b>created</b>: 2020-01-16</p><p><b>insurer</b>: <a href="Organization-healthau.html">Organization/healthau</a> &quot;Australian Government Department of Health&quot;</p><p><b>provider</b>: <span/></p><p><b>prescription</b>: <a name="mds"> </a></p><blockquote><p/><p><a name="mds"> </a></p><p><b>status</b>: unknown</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href="#mmds">#mmds</a></p><p><b>subject</b>: <span/></p><p><b>authoredOn</b>: 2022-04-08</p><h3>DispenseRequests</h3><table class="grid"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>10</td></tr></table></blockquote><p><b>outcome</b>: complete</p><h3>Insurances</h3><table class="grid"><tr><td>-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>true</td><td><span/></td></tr></table><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>ProductOrService</b></td><td><b>Serviced[x]</b></td></tr><tr><td>*</td><td>1</td><td>PBS <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (australian-benefit-payment-category-1#pbs)</span></td><td>BENZYLPENICILLIN <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (PBS Item Codes[v1.0]#02647H)</span></td><td>2020-01-16</td></tr></table><hr/><blockquote><p><b>Generated Narrative: MedicationRequest #mds</b><a name="mds"> </a></p><p><b>status</b>: unknown</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href="#mmds">#mmds</a></p><p><b>subject</b>: <span/></p><p><b>authoredOn</b>: 2022-04-08</p><h3>DispenseRequests</h3><table class="grid"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>10</td></tr></table></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication #mmds</b><a name="mmds"> </a></p><p><b>Medication Generic Drug Name</b>: BENZYLPENICILLIN</p><p><b>Medication Brand Name</b>: BENPEN</p><p><b>code</b>: BENZYLPENICILLIN 3G INJECTION, 1 VIAL <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (PBS Item Codes[v1.0]#02647H &quot;BENZYLPENICILLIN&quot;)</span></p><p><b>manufacturer</b>: <span/></p></blockquote></div>
      </text>
      <contained>
        <MedicationRequest>
          <id value="mds"/>
          <status value="unknown"/>
          <intent value="order"/>
          <medicationReference>
            <reference value="#mmds"/>
          </medicationReference>
          <subject>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="NI"/>
                  <display value="National unique individual identifier"/>
                </coding>
                <text value="IHI"/>
              </type>
              <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
              <value value="8003608833630130"/>
            </identifier>
          </subject>
          <authoredOn value="2022-04-08"/>
          <dispenseRequest>
            <quantity>
              <value value="10"/>
            </quantity>
          </dispenseRequest>
        </MedicationRequest>
      </contained>
      <contained>
        <Medication>
          <id value="mmds"/>
          <extension
                     url="http://hl7.org.au/fhir/StructureDefinition/medication-generic-name">
            <valueString value="BENZYLPENICILLIN"/>
          </extension>
          <extension
                     url="http://hl7.org.au/fhir/StructureDefinition/medication-brand-name">
            <valueString value="BENPEN"/>
          </extension>
          <code>
            <coding>
              <system value="http://pbs.gov.au/code/item"/>
              <version value="v1.0"/>
              <code value="02647H"/>
              <display value="BENZYLPENICILLIN"/>
            </coding>
          <!-- Medication form and strength (MPP Preferred Term) -->
            <text value="BENZYLPENICILLIN 3G INJECTION, 1 VIAL"/>
          </code>
          <manufacturer>
            <identifier>
              <system value="http://pbs.gov.au/code/manufacturer"/>
              <value value="CS"/>
            </identifier>
          </manufacturer>
        </Medication>
      </contained>
    <!-- identifier for the PBR record from Medicare repository -->
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value
               value="urn:oid:1.2.36.1.2001.1007.11.8003608833630130.1000000000017396"/>
      </identifier>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
          <code value="pharmacy"/>
          <display value="Pharmacy"/>
        </coding>
      </type>
      <subType>
        <coding>
          <system
                  value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1"/>
          <code value="pbs"/>
        </coding>
      </subType>
      <use value="claim"/>
      <patient>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NI"/>
              <display value="National unique individual identifier"/>
            </coding>
            <text value="IHI"/>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
          <value value="8003608833630130"/>
        </identifier>
      </patient>
      <created value="2020-01-16"/>
      <insurer>
        <reference value="Organization/healthau"/>
      </insurer>
      <provider>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
          <valueCode value="unknown"/>
        </extension>
      </provider>
      <prescription>
        <reference value="#mds"/>
      </prescription>
      <outcome value="complete"/>
      <insurance>
        <focal value="true"/>
        <coverage>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="unknown"/>
          </extension>
        </coverage>
      </insurance>
      <item>
        <sequence value="1"/>
        <category>
          <coding>
            <system
                    value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1"/>
            <code value="pbs"/>
            <display value="PBS"/>
          </coding>
        </category>
        <productOrService>
          <coding>
            <system value="http://pbs.gov.au/code/item"/>
            <version value="v1.0"/>
            <code value="02647H"/>
            <display value="BENZYLPENICILLIN"/>
          </coding>
        </productOrService>
        <servicedDate value="2020-01-16"/>
      </item>
    </ExplanationOfBenefit>