explanationofbenefit-mbs-01
type: ExplanationOfBenefit
node role: treeRoot
id:
  v: explanationofbenefit-mbs-01
meta:
  profile:
    v: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-mhr-1
    link: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-mhr-1
text:
  status:
    v: generated
  div: Generated Narrative: ExplanationOfBenefit explanationofbenefit-mbs-01 Profile: MHR Explanation of Benefit identifier: <a href="http://terminology.hl7.org/6.2.0/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 #xD;#xA;#xD;#xA;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: #xD;#xA;#xD;#xA;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.#xD;#xA;#xD;#xA;This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:uuid:a7b64195-3553-4708-957e-04d571c7db92 status: Active type: Institutional subType: MBS use: Claim patient: Identifier: IHI/8003608000228437 created: 2019-02-07 insurer: Australian Government Department of Health provider: Identifier: HPI-I/8003614900041243 outcome: Processing Complete Insurances - Focal Coverage * true Identifier: Medicare Number/29533070311 Items - Sequence Category ProductOrService Serviced[x] Location[x] * 1 Medicare Benefits Schedule Radiation oncology treatment 2019-02-07 Hospital
identifier:
  system:
    v: urn:ietf:rfc:3986
status:
  v: active
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/claim-type
    code:
      v: institutional
    display:
      v: Institutional
sub type:
  coding:
    system:
      v: https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1
    code:
      v: mbs
    display:
      v: MBS
use:
  v: claim
patient:
  identifier:
    type:
      text:
        v: IHI
    system:
      v: http://ns.electronichealth.net.au/id/hi/ihi/1.0
    value:
      v: 8003608000228437
created:
  v: 2019-02-07
insurer:
  link: http://ns.electronichealth.net.au/fhir/Organization/healthau
  reference:
    v: Organization/healthau
  identifier:
    type:
      text:
        v: ABN
    system:
      v: http://hl7.org.au/id/abn
    value:
      v: 83605426759
  display:
    v: Australian Government Department of Health
provider:
  identifier:
    type:
      text:
        v: HPI-I
    system:
      v: http://ns.electronichealth.net.au/id/hi/hpii/1.0
    value:
      v: 8003614900041243
outcome:
  v: complete
insurance:
  focal:
    v: true
  coverage:
    identifier:
      system:
        v: http://ns.electronichealth.net.au/id/medicare-number
      value:
        v: 29533070311
item:
  sequence:
    v: 1
  category:
    coding:
      system:
        v: https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1
      code:
        v: mbs
      display:
        v: MBS
    text:
      v: Medicare Benefits Schedule
  product or service:
    coding:
      system:
        v: urn:oid:1.2.36.1.2001.1005.21
      code:
        v: 15275
      display:
        v: Radiation oncology treatment
  serviced: date
    v: 2019-02-07
  location: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      code:
        v: HOSP
      display:
        v: Hospital
    coding: http://snomed.info/id/22232009
      system:
        v: http://snomed.info/sct
      code:
        v: 22232009
      display:
        v: Hospital

v: NI

v: XX

v: NPI

v: National provider identifier

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
code:
  v: MC

v: Medicare Number