| 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-mbs-mds

Formats: Narrative, XML, JSON, Turtle

Raw ttl

    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:ExplanationOfBenefit;
      fhir:nodeRole fhir:treeRoot;
      fhir:Resource.id [ fhir:value "mbs-mds"];
      fhir:Resource.meta [
         fhir:Meta.profile [
           fhir:value "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1";
           fhir:index 0;
           fhir:link <http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1>     ]
      ];
      fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ExplanationOfBenefit</b><a name=\"mbs-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 \"mbs-mds\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dh-explanationofbenefit-medicare-mbs-1.html\">ADHA Record of Claim against MBS or DVA</a></p></div><p><b>identifier</b>: id: urn:oid:1.2.36.1.2001.1007.11.8003640002000043.1000000000041358</p><p><b>status</b>: active</p><p><b>type</b>: Institutional <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>#institutional)</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>use</b>: claim</p><p><b>patient</b>: <span></span></p><p><b>created</b>: 2022-04-07</p><p><b>insurer</b>: <a href=\"Organization-healthau.html\">Organization/healthau</a> \"Australian Government Department of Health\"</p><p><b>provider</b>: <a name=\"mds\"> </a></p><blockquote><p></p><p><a name=\"mds\"> </a></p><p><b>identifier</b>: id: ?ngen-9?</p><p><b>practitioner</b>: <a href=\"#mmds\">#mmds</a></p><p><b>code</b>: Health Professional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (1220.0#250000)</span></p></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>Medicare Benefits Schedule <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (australian-benefit-payment-category-1#mbs \"MBS\")</span></td><td>CONSULTATION AT CONSULTING ROOMS - LEVEL 'B'. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#00023)</span></td><td>2022-04-07</td></tr></table><hr/><blockquote><p><b>Generated Narrative: PractitionerRole #mds</b><a name=\"mds\"> </a></p><p><b>identifier</b>: id: ?ngen-9?</p><p><b>practitioner</b>: <a href=\"#mmds\">#mmds</a></p><p><b>code</b>: Health Professional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (1220.0#250000)</span></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #mmds</b><a name=\"mmds\"> </a></p><p><b>name</b>: PAIN KILLER </p></blockquote></div>"
      ];
      fhir:DomainResource.contained [
         a fhir:PractitionerRole;
         fhir:index 0;
         fhir:Resource.id [ fhir:value "mds" ];
         fhir:PractitionerRole.identifier [
           fhir:index 0;
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ];
             fhir:Extension.valueCode [ fhir:value "unknown" ]       ]     ];
         fhir:PractitionerRole.practitioner [
           fhir:Reference.reference [ fhir:value "#mmds" ]     ];
         fhir:PractitionerRole.code [
           fhir:index 0;
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0" ];
             fhir:Coding.code [ fhir:value "250000" ]       ];
           fhir:CodeableConcept.text [ fhir:value "Health Professional" ]     ]
      ], [
         a fhir:Practitioner;
         fhir:index 1;
         fhir:Resource.id [ fhir:value "mmds" ];
         fhir:Practitioner.name [
           fhir:index 0;
           fhir:HumanName.use [ fhir:value "usual" ];
           fhir:HumanName.family [ fhir:value "KILLER" ];
           fhir:HumanName.given [
             fhir:value "PAIN";
             fhir:index 0       ];
           fhir:HumanName.prefix [
             fhir:value "DR";
             fhir:index 0       ]     ]
      ];
      fhir:ExplanationOfBenefit.identifier [
         fhir:index 0;
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
         fhir:Identifier.value [ fhir:value "urn:oid:1.2.36.1.2001.1007.11.8003640002000043.1000000000041358" ]
      ];
      fhir:ExplanationOfBenefit.status [ fhir:value "active"];
      fhir:ExplanationOfBenefit.type [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ];
           fhir:Coding.code [ fhir:value "institutional" ]     ]
      ];
      fhir:ExplanationOfBenefit.subType [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1" ];
           fhir:Coding.code [ fhir:value "mbs" ]     ]
      ];
      fhir:ExplanationOfBenefit.use [ fhir:value "claim"];
      fhir:ExplanationOfBenefit.patient [
         fhir:Reference.identifier [
           fhir:Identifier.type [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
               fhir:Coding.code [ fhir:value "NI" ];
               fhir:Coding.display [ fhir:value "National unique individual identifier" ]         ];
             fhir:CodeableConcept.text [ fhir:value "IHI" ]       ];
           fhir:Identifier.system [ fhir:value "http://ns.electronichealth.net.au/id/hi/ihi/1.0" ];
           fhir:Identifier.value [ fhir:value "8003608833630130" ]     ]
      ];
      fhir:ExplanationOfBenefit.created [ fhir:value "2022-04-07"^^xsd:date];
      fhir:ExplanationOfBenefit.insurer [
         fhir:Reference.reference [ fhir:value "Organization/healthau" ]
      ];
      fhir:ExplanationOfBenefit.provider [
         fhir:Reference.reference [ fhir:value "#mds" ]
      ];
      fhir:ExplanationOfBenefit.outcome [ fhir:value "complete"];
      fhir:ExplanationOfBenefit.insurance [
         fhir:index 0;
         fhir:ExplanationOfBenefit.insurance.focal [ fhir:value "true"^^xsd:boolean ];
         fhir:ExplanationOfBenefit.insurance.coverage [
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ];
             fhir:Extension.valueCode [ fhir:value "unknown" ]       ]     ]
      ];
      fhir:ExplanationOfBenefit.item [
         fhir:index 0;
         fhir:ExplanationOfBenefit.item.sequence [ fhir:value "1"^^xsd:positiveInteger ];
         fhir:ExplanationOfBenefit.item.category [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1" ];
             fhir:Coding.code [ fhir:value "mbs" ];
             fhir:Coding.display [ fhir:value "MBS" ]       ];
           fhir:CodeableConcept.text [ fhir:value "Medicare Benefits Schedule" ]     ];
         fhir:ExplanationOfBenefit.item.productOrService [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "urn:oid:1.2.36.1.2001.1005.21" ];
             fhir:Coding.code [ fhir:value "00023" ];
             fhir:Coding.display [ fhir:value "CONSULTATION AT CONSULTING ROOMS - LEVEL 'B'." ]       ]     ];
         fhir:ExplanationOfBenefit.item.servicedDate [ fhir:value "2022-04-07"^^xsd:date ]
      ].

    # - ontology header ------------------------------------------------------------

     a owl:Ontology;
      owl:imports fhir:fhir.ttl.