My Health Record FHIR IG
1.2.0 - active

My Health Record FHIR IG - Local Development build (v1.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : R4 conversion of STU3 MBS MDS test data (missing data asserted with data absent extension) - XML Representation

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    <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="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ExplanationOfBenefit pbs-mds</b></p><a name="pbs-mds"> </a><a name="hcpbs-mds"> </a><a name="pbs-mds-en-AU"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt

    This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:

    Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

    This OID may also be used in CD.codeSystem.">URI</a>/urn:oid:1.2.36.1.2001.1007.11.8003608833630130.1000000000017396</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type pharmacy}">Pharmacy</span></p><p><b>subType</b>: <span title="Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1 pbs}">PBS</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: Identifier: IHI/8003608833630130</p><p><b>created</b>: 2020-01-16</p><p><b>insurer</b>: <a href="Organization-healthau.html">Organization Australian Government Department of Health</a></p><p><b>provider</b>: ??</p><p><b>prescription</b>: <a href="#hcpbs-mds/mds">MedicationRequest: status = unknown; intent = order; medication[x] = -&gt;Medication BENZYLPENICILLIN; authoredOn = 2022-04-08</a></p><p><b>outcome</b>: Processing Complete</p><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>true</td><td>??</td></tr></table><h3>Items</h3><table class="grid"><tr><td style="display: none">-</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 style="display: none">*</td><td>1</td><td><span title="Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1 pbs}">PBS</span></td><td><span title="Codes:{http://pbs.gov.au/code/item 02647H}">BENZYLPENICILLIN</span></td><td>2020-01-16</td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: MedicationRequest  #mds</b></p><a name="pbs-mds/mds"> </a><a name="hcpbs-mds/mds"> </a><a name="pbs-mds/mds-en-AU"> </a><p><b>status</b>: Unknown</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href="#hcpbs-mds/mmds">Medication BENZYLPENICILLIN</a></p><p><b>subject</b>: Identifier: IHI/8003608833630130</p><p><b>authoredOn</b>: 2022-04-08</p><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td>10</td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication  #mmds</b></p><a name="pbs-mds/mmds"> </a><a name="hcpbs-mds/mmds"> </a><a name="pbs-mds/mmds-en-AU"> </a><p><b>Medication Generic Drug Name</b>: BENZYLPENICILLIN</p><p><b>Medication Brand Name</b>: BENPEN</p><p><b>code</b>: <span title="Codes:{http://pbs.gov.au/code/item 02647H}">BENZYLPENICILLIN 3G INJECTION, 1 VIAL</span></p><p><b>manufacturer</b>: Identifier: <code>http://pbs.gov.au/code/manufacturer</code>/CS</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>