| Australian Digital Health Agency FHIR Implementation Guide 1.1.0

This page is part of the Australian Digital Health Agency FHIR Implementation Guide 1.1.0. It is based on FHIR® version 4.0.1. See the Directory of published versions for a list of available previous versions.

#### StructureDefinition: ADHAExplanationofBenefitMBS - Mappings

Mappings for the dh-explanationofbenefit-medicare-mbs-1 Profile.

### Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

ADHAExplanationofBenefitMBS
ExplanationOfBenefit | Event
identifier | Event.identifier
status | Event.status
type | Event.code
patient | Event.subject
created | Event.occurrence[x]
enterer | Event.performer.agent
insurer | Event.performer.agent
facility | Event.performer.location

### Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

ADHAExplanationofBenefitMBS
ExplanationOfBenefit |
identifier | FiveWs.identifier
status | FiveWs.status
type | FiveWs.class
subType | FiveWs.class
use | FiveWs.class
patient | FiveWs.subject[x], FiveWs.subject
billablePeriod | FiveWs.done[x]
created | FiveWs.recorded
enterer | FiveWs.author
insurer | FiveWs.author
provider | FiveWs.source
referral | FiveWs.cause
facility | FiveWs.where[x]
claim | FiveWs.why[x]
careTeam |
provider | FiveWs.actor
item |
serviced[x] | FiveWs.done[x]
location[x] | FiveWs.where[x]
addItem |
provider | FiveWs.source
serviced[x] | FiveWs.done[x]
location[x] | FiveWs.where[x]

### Mappings for HL7 v2 Mapping (http://hl7.org/v2)

ADHAExplanationofBenefitMBS
ExplanationOfBenefit |
priority | Request.priority
insurance | Coverage

### Mappings for RIM Mapping (http://hl7.org/v3)

ADHAExplanationofBenefitMBS
ExplanationOfBenefit | Entity. Role, or Act
text | Act.text?
contained | N/A
extension | N/A
modifierExtension | N/A
related |
id | n/a
extension | n/a
modifierExtension | N/A
payee |
id | n/a
extension | n/a
modifierExtension | N/A
careTeam |
id | n/a
extension | n/a
modifierExtension | N/A
supportingInfo |
id | n/a
extension | n/a
modifierExtension | N/A
diagnosis |
id | n/a
extension | n/a
modifierExtension | N/A
procedure |
id | n/a
extension | n/a
modifierExtension | N/A
insurance |
id | n/a
extension | n/a
modifierExtension | N/A
accident |
id | n/a
extension | n/a
modifierExtension | N/A
item |
id | n/a
extension | n/a
modifierExtension | N/A
adjudication |
id | n/a
extension | n/a
modifierExtension | N/A
detail |
id | n/a
extension | n/a
modifierExtension | N/A
subDetail |
id | n/a
extension | n/a
modifierExtension | N/A
addItem |
id | n/a
extension | n/a
modifierExtension | N/A
detail |
id | n/a
extension | n/a
modifierExtension | N/A
subDetail |
id | n/a
extension | n/a
modifierExtension | N/A
total |
id | n/a
extension | n/a
modifierExtension | N/A
payment |
id | n/a
extension | n/a
modifierExtension | N/A
processNote |
id | n/a
extension | n/a
modifierExtension | N/A
benefitBalance |
id | n/a
extension | n/a
modifierExtension | N/A
financial |
id | n/a
extension | n/a
modifierExtension | N/A