Payload Bundle of Medicare Overview for Sally FIELD generated by MHR system (28 MARCH 2022) - Australian Digital Health Agency FHIR Implementation Guide v1.2.0-ci-build

Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

Example Bundle: Payload Bundle of Medicare Overview for Sally FIELD generated by MHR system (28 MARCH 2022)

Generated Narrative: Bundle medicare-view-01

Last updated: 2022-03-28 11:01:00+1000

Profile: ADHA Payload Bundle

Bundle medicare-view-01 of type collection

Entry 1 - fullUrl = urn:uuid:00a15820-c576-4706-91f2-c9ea40245650

Resource Patient:

Generated Narrative: Patient mhr-field-sally

Sally FIELD Female, DoB: 1999-02-14 ( National unique individual identifier: AustalianIHI#8003608333563104 (use: official, ))
Australian Indigenous Status australian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin

Entry 2 - fullUrl = urn:uuid:706017d2-7c60-40e7-af9e-36c68ee80524

Resource Organization:

Generated Narrative: Organization medicare-rs-operator

identifier: PAI-O/8003640001000010
name: Medicare Australia repository services operator

Entry 3 - fullUrl = urn:uuid:ca633a75-23e9-48bd-8e9f-b1b347e2c6a0

Resource Flag:

Generated Narrative: Flag air-02

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Active
category: Australian Immunisation Register notice
code: Natural immunity to Measles recorded on 28 Oct 2020.
subject: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
author: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000

Entry 4 - fullUrl = urn:uuid:d9cab476-b4c3-4195-922e-f31e6d8f1fc3

Resource Immunization:

Generated Narrative: Immunization air-covid-01

Vaccine Vial Serial Number: vNo1111
identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Pfizer Comirnaty
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 2021-06-17
primarySource: true
ProtocolApplieds
- TargetDisease
* COVID-19

Entry 5 - fullUrl = urn:uuid:31384a72-1f5d-48ed-be94-213d8dfbb7ce

Resource Immunization:

Generated Narrative: Immunization air-covid-02

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Pfizer Comirnaty
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 2021-08-01
primarySource: true
ProtocolApplieds
- TargetDisease
* COVID-19

Entry 6 - fullUrl = urn:uuid:ac7e8a75-c615-48c6-8058-6b9a356494a1

Resource Immunization:

Generated Narrative: Immunization air-covid-03

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Moderna Spikevax
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 2022-02-14
primarySource: true
ProtocolApplieds
- TargetDisease
* COVID-19

Entry 7 - fullUrl = urn:uuid:75b63f15-51f4-48b7-8f25-4ae15586d6e3

Resource Immunization:

Generated Narrative: Immunization air-dip-01

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Infanrix Hexa
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 1999-04-14
primarySource: true
protocolApplied
targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib

Entry 8 - fullUrl = urn:uuid:182128f7-1e7c-4e22-8067-bb14d7dec767

Resource Immunization:

Generated Narrative: Immunization air-dip-02

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Infanrix Hexa
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 1999-06-14
primarySource: true
protocolApplied
targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib

Entry 9 - fullUrl = urn:uuid:a8f45a2d-3b86-4857-be2a-cd5518a7d6f3

Resource Immunization:

Generated Narrative: Immunization air-dip-03

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Infanrix Hexa
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 1999-08-14
primarySource: true
protocolApplied
targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib

Entry 10 - fullUrl = urn:uuid:f032839e-c4c5-454a-b1ac-f39c9fbd08b7

Resource Immunization:

Generated Narrative: Immunization air-dip-04

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Infanrix Hexa
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 2000-08-14
primarySource: true
protocolApplied
targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib

Entry 11 - fullUrl = urn:uuid:5c4588c8-c797-40a4-a692-0ed94fbabef3

Resource Immunization:

Generated Narrative: Immunization air-dip-05

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Infanrix Hexa
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 2003-02-14
primarySource: true
protocolApplied
targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib

Entry 12 - fullUrl = urn:uuid:80fa6e33-0f51-4793-bc07-a934cbbe6a20

Resource Immunization:

Generated Narrative: Immunization air-hepb-01

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Engerix-B (paediatric)
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 1999-02-14
primarySource: true
ProtocolApplieds
- TargetDisease
* Hepatitis B

Entry 13 - fullUrl = urn:uuid:099beeb3-46db-4ad3-adc9-7b76d10747e7

Resource Immunization:

Generated Narrative: Immunization air-infl-01

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Panvax
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 2020-03-01
primarySource: true
ProtocolApplieds
- TargetDisease
* Influenza

Entry 14 - fullUrl = urn:uuid:2a5451b0-aa7f-4073-89c5-c2321362c5f3

Resource Immunization:

Generated Narrative: Immunization air-infl-02

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Panvax
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 2021-03-01
primarySource: true
ProtocolApplieds
- TargetDisease
* Influenza

Entry 15 - fullUrl = urn:uuid:e5021d46-79e6-4fc6-b06a-b56f7d1940b4

Resource Immunization:

Generated Narrative: Immunization air-infl-03

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Panvax
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
occurrence: 2022-03-01
primarySource: true
ProtocolApplieds
- TargetDisease
* Influenza

Entry 16 - fullUrl = urn:uuid:c9b305d4-2eab-486e-a749-bdf01b195174

Resource Observation:

Generated Narrative: Observation air-covid-imm-status-01

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Final
code: Australian Immunisation Register COVID-19 Immunisation Status
subject: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
effective: 2022-02-15 01:02:00+1000
performer: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
value: This individual has received all required COVID-19 vaccines.

Entry 17 - fullUrl = urn:uuid:33d5a96e-459f-427e-8d92-985879b01015

Resource ExplanationOfBenefit:

Generated Narrative: ExplanationOfBenefit mbs-02

identifier: URI/urn:uuid:79a8b5a5-1631-4eec-b031-815156c9a47b
status: Active
type: Professional
subType: MBS
use: Claim
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
created: 2017-12-04
insurer: Australian Government Department of Health
provider: Dr. Jeong-Hoon Kim (Identifier: HPI-I/8003614900041243)
outcome: complete
Insurances
- Focal Coverage
* true Identifier: Medicare Number/3951032981
Items
- Sequence Category ProductOrService Serviced[x]
* 1 Medicare Benefits Schedule Palmar or plantar warts (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies (Anaes.) 2017-12-04

Entry 18 - fullUrl = urn:uuid:3f7e9769-b04d-4345-878b-acc9d7104f93

Resource ExplanationOfBenefit:

Generated Narrative: ExplanationOfBenefit mbs-03

identifier: URI/urn:uuid:fbaf3ef9-6e74-44d2-8057-3ceabb1f2bde
status: Active
type: Professional
subType: MBS
use: Claim
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
created: 2018-12-16
insurer: Australian Government Department of Health
provider: Dr. Jeong-Hoon Kim (Identifier: HPI-I/8003614900041243)
outcome: complete
Insurances
- Focal Coverage
* true Identifier: Medicare Number/3951032981
Items
- Sequence Category ProductOrService Serviced[x]
* 1 MBS 30191 2018-12-16

Entry 19 - fullUrl = urn:uuid:b6cf6ffa-7632-488b-ab88-8eb2a1f2d3a2

Resource ExplanationOfBenefit:

Generated Narrative: ExplanationOfBenefit pbs-01

identifier: URI/urn:uuid:296dcbd7-d763-4ecf-aa78-523bcc11ecda
status: Active
type: Pharmacy
subType: PBS
use: Claim
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
created: 2020-01-16
insurer: Australian Government Department of Health
provider: Mr. Representative Pharmacist at Test Org -DigitalHealth 6 Pharmacy (Identifier: HPI-I/8003611566708354)
prescription: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
outcome: complete
Insurances
- Focal Coverage
* true Identifier: Medicare Number/3951032981
Items
- Sequence Category ProductOrService Serviced[x]
* 1 PBS cephalexin 500 mg capsule, 20 2020-01-16

Entry 20 - fullUrl = urn:uuid:ae55f270-8e93-4e87-a9e2-be259c3b6383

Resource ExplanationOfBenefit:

Generated Narrative: ExplanationOfBenefit pbs-02

identifier: URI/urn:uuid:73f7a30b-add3-4673-a4e9-65b0d8670a36
status: Active
type: Pharmacy
subType: PBS
use: Claim
patient: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
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: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
outcome: 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

Entry 21 - fullUrl = urn:uuid:b9b30a40-a046-4a22-86dd-b8af58992dcd

Resource MedicationRequest:

Generated Narrative: MedicationRequest claim-pbs-01

identifier: URI/urn:uuid:296dcbd7-d763-4ecf-aa78-523bcc11ecda
status: Unknown
intent: Order
subject: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
authoredOn: 2020-01-15
DispenseRequests
- NumberOfRepeatsAllowed Quantity
* 1 500 tablet

Entry 22 - fullUrl = urn:uuid:ede131d2-9d4c-49f7-957d-5d8567739840

Resource MedicationRequest:

Generated Narrative: MedicationRequest claim-pbs-02

identifier: URI/urn:uuid:73f7a30b-add3-4673-a4e9-65b0d8670a36
status: Unknown
intent: Order
subject: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = collection; timestamp = 2022-03-28 11:01:00+1000
authoredOn: 2020-01-15
DispenseRequests
- NumberOfRepeatsAllowed Quantity
* 1 500 tablet

Entry 23 - fullUrl = urn:uuid:215ba21a-705a-4ce8-b7fb-21bcbaf97498

Resource Medication:

Generated Narrative: Medication cephalexin-01

code: cephalexin 500 mg capsule, 20

-	Sequence	Category	ProductOrService	Serviced[x]
*	1	MBS	30191	2018-12-16