pbs-cont-02
type: ExplanationOfBenefit
node role: treeRoot
id:
  v: pbs-cont-02
meta:
  profile:
    v: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-pbs-1
    link: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-pbs-1
text:
  status:
    v: generated
  div: Generated Narrative: ExplanationOfBenefit pbs-cont-02 Profile: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-pbs-1 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:73f7a30b-add3-4673-a4e9-65b0d8670a36 status: Active type: Pharmacy subType: PBS use: Claim patient: Identifier: IHI/8003608833357361 created: 2020-02-16 insurer: Australian Government Department of Health provider: Mr. Representative Pharmacist at Test Org -DigitalHealth 6 Pharmacy (Identifier: HPI-I/8003611566708354) prescription: MedicationRequest: status = unknown; intent = order; medication[x] = ->Medication cephalexin 500 mg capsule, 20; authoredOn = 2020-01-15 outcome: Processing Complete Insurances - Focal Coverage * true Identifier: Medicare Number/3951032981 Items - Sequence Category ProductOrService Serviced[x] * 1 PBS cephalexin 500 mg capsule, 20 2020-02-16 Generated Narrative: MedicationRequest #claim-pbs-02 status: Unknown intent: Order medication: Medication cephalexin 500 mg capsule, 20 subject: Identifier: IHI/8003608833357361 authoredOn: 2020-01-15 requester: PractitionerRol…
contained: MedicationRequest
  id:
    v: claim-pbs-02
  status:
    v: unknown
  intent:
    v: order
  medication: Reference
    reference:
      v: #cephalexin-01
  subject:
    identifier:
      system:
        v: http://ns.electronichealth.net.au/id/hi/ihi/1.0
      value:
        v: 8003608833357361
  authored on:
    v: 2020-01-15
  requester:
    link: http://ns.electronichealth.net.au/fhir/PractitionerRole/chong-michelle-oncologist
    reference:
      v: PractitionerRole/chong-michelle-oncologist
  dispense request:
    number of repeats allowed:
      v: 1
    quantity:
      value:
        v: 500
      unit:
        v: tablet
contained: Medication
  id:
    v: cephalexin-01
  code:
    coding:
      system:
        v: http://pbs.gov.au/code/item
      code:
        v: 03119E
      display:
        v: cephalexin 500 mg capsule, 20
  manufacturer:
    identifier:
      system:
        v: http://pbs.gov.au/code/manufacturer
      value:
        v: MM
identifier:
  system:
    v: urn:ietf:rfc:3986
status:
  v: active
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/claim-type
    code:
      v: pharmacy
sub type:
  coding:
    system:
      v: https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1
    code:
      v: pbs
use:
  v: claim
patient:
  identifier:
    type:
      text:
        v: IHI
    system:
      v: http://ns.electronichealth.net.au/id/hi/ihi/1.0
    value:
      v: 8003608833357361
created:
  v: 2020-02-16
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: 8003611566708354
  display:
    v: Mr. Representative Pharmacist at Test Org -DigitalHealth 6 Pharmacy
prescription:
  reference:
    v: #claim-pbs-02
outcome:
  v: complete
insurance:
  focal:
    v: true
  coverage:
    identifier:
      system:
        v: http://ns.electronichealth.net.au/id/medicare-number
      value:
        v: 3951032981
item:
  sequence:
    v: 1
  category:
    coding:
      system:
        v: https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1
      code:
        v: pbs
      display:
        v: PBS
  product or service:
    coding:
      system:
        v: http://pbs.gov.au/code/item
      code:
        v: 03119R
      display:
        v: cephalexin 500 mg capsule, 20
  serviced: date
    v: 2020-02-16

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
code:
  v: NI
display:
  v: National unique individual identifier

v: IHI

v: NI

v: National unique individual identifier

v: XX

v: NPI

v: National provider identifier

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

v: Medicare Number