| 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.

## Example: ExplanationOfBenefit-pbs-mds

Formats: Narrative, XML, JSON, Turtle

Raw json

    {
      "resourceType" : "ExplanationOfBenefit",
      "id" : "pbs-mds",
      "meta" : {
        "profile" : [
          "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-pbs-1"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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 \"pbs-mds\" </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></span></p><p><b>created</b>: 2020-01-16</p><p><b>insurer</b>: <a href=\"Organization-healthau.html\">Organization/healthau</a> \"Australian Government Department of Health\"</p><p><b>provider</b>: <span></span></p><p><b>prescription</b>: <a name=\"mds\"> </a></p><blockquote><p></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></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></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></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 \"BENZYLPENICILLIN\")</span></p><p><b>manufacturer</b>: <span></span></p></blockquote></div>"
      },
      "contained" : [
        {
          "resourceType" : "MedicationRequest",
          "id" : "mds",
          "status" : "unknown",
          "intent" : "order",
          "medicationReference" : {
            "reference" : "#mmds"
          },
          "subject" : {
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "NI",
                    "display" : "National unique individual identifier"
                  }
                ],
                "text" : "IHI"
              },
              "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
              "value" : "8003608833630130"
            }
          },
          "authoredOn" : "2022-04-08",
          "dispenseRequest" : {
            "quantity" : {
              "value" : 10
            }
          }
        },
        {
          "resourceType" : "Medication",
          "id" : "mmds",
          "extension" : [
            {
              "url" : "http://hl7.org.au/fhir/StructureDefinition/medication-generic-name",
              "valueString" : "BENZYLPENICILLIN"
            },
            {
              "url" : "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name",
              "valueString" : "BENPEN"
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://pbs.gov.au/code/item",
                "version" : "v1.0",
                "code" : "02647H",
                "display" : "BENZYLPENICILLIN"
              }
            ],
            "text" : "BENZYLPENICILLIN 3G INJECTION, 1 VIAL"
          },
          "manufacturer" : {
            "identifier" : {
              "system" : "http://pbs.gov.au/code/manufacturer",
              "value" : "CS"
            }
          }
        }
      ],
      "identifier" : [
        {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:oid:1.2.36.1.2001.1007.11.8003608833630130.1000000000017396"
        }
      ],
      "status" : "active",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
            "code" : "pharmacy",
            "display" : "Pharmacy"
          }
        ]
      },
      "subType" : {
        "coding" : [
          {
            "system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1",
            "code" : "pbs"
          }
        ]
      },
      "use" : "claim",
      "patient" : {
        "identifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "NI",
                "display" : "National unique individual identifier"
              }
            ],
            "text" : "IHI"
          },
          "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
          "value" : "8003608833630130"
        }
      },
      "created" : "2020-01-16",
      "insurer" : {
        "reference" : "Organization/healthau"
      },
      "provider" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "unknown"
          }
        ]
      },
      "prescription" : {
        "reference" : "#mds"
      },
      "outcome" : "complete",
      "insurance" : [
        {
          "focal" : true,
          "coverage" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "unknown"
              }
            ]
          }
        }
      ],
      "item" : [
        {
          "sequence" : 1,
          "category" : {
            "coding" : [
              {
                "system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1",
                "code" : "pbs",
                "display" : "PBS"
              }
            ]
          },
          "productOrService" : {
            "coding" : [
              {
                "system" : "http://pbs.gov.au/code/item",
                "version" : "v1.0",
                "code" : "02647H",
                "display" : "BENZYLPENICILLIN"
              }
            ]
          },
          "servicedDate" : "2020-01-16"
        }
      ]
    }