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

Document Details

Generated Narrative: Bundle Medicare Overview

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

Profile: ADHA Document Bundle

Final Document at 2017-06-21 09:00:15+1000 by My Health Record System (Identifier: PAI-D/8003640003000026) for Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = document; timestamp = 2022-03-26 11:01:00+1000


Document Subject

Generated Narrative: Patient mhr-field-sally

Sally FIELD Female, DoB: 1999-02-14 ( National unique individual identifier: AustalianIHI#8003608333563104 (use: official, ))


Australian Indigenous Statusaustralian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin

Document Content

Prescription Information - PBS and RPBS

Prescription Information - PBS and RPBS
Prescribed Supplied PBS Item Number Description Quantity Service Provider
15/01/2020 16/01/2020 03119E cephalexin 500 mg capsule, 20 500 tablets Mr. Representative Pharmacist
15/01/2020 16/02/2020 03119E cephalexin 500 mg capsule, 20 500 tablets Mr. Representative Pharmacist

Australian Immunisation Register - AIR

COVID 19 Immunisation Status: This individual has received all required COVID-19 vaccines.

Immunisation History

Date Given Immunisation Brand Name Given
14/02/1999 Hepatitis B Engerix-B (paediatric)
14/04/1999 Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib Infanrix Hexa
15/06/1999 Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib Infanrix Hexa
14/08/1999 Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib Infanrix Hexa
14/08/2000 Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib Infanrix Hexa
14/02/2003 Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib Infanrix Hexa
01/03/2020 Influenza Panvax
01/03/2021 Influenza Panvax
17/06/2021 COVID-19 Pfizer Comirnaty
01/08/2021 COVID-19 Brand Name Given
01/03/2022 Influenza Panvax
14/02/2022 COVID-19 Moderna Spikevax

Next NIP Immunisation/s due

No vaccines due.

Notice/s

Natural immunity to Measles recorded on 28 Oct 2020.

Australian Organ Donor Register - AODR

No Information Available

Medicare Services - MBS and DVA Items

Medicare Services - MBS and DVA Items
Date MBS Item Number Description Service Provider
16 December 2017 30185 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.) Dr. Jeong-Hoon Kim
16 December 2018 30191 Treatment of tumours with laser Dr. Jeong-Hoon Kim

Additional Resources Included in Document


Entry 1 - fullUrl = urn:uuid:7f001c3b-16f3-47e9-b936-f5ab5e523b0f

Resource Composition:

Generated Narrative: Composition medicare-view-doc-01

Language: en-AU

identifier: URI/urn:uuid:6c609115-94ec-40bc-b72e-3ce9e98cf2e8

status: Final

type: Medicare Overview

category: Medicare Overview

date: 2017-06-21 09:00:15+1000

author: My Health Record System (Identifier: PAI-D/8003640003000026)

title: Medicare Overview

custodian: My Health Record System Operator (Identifier: PAI-O/8003640001000036)


Entry 2 - fullUrl = urn:uuid:a08d6100-86db-41c2-a222-5680671749f4

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 Statusaustralian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin

Entry 3 - fullUrl = urn:uuid:d85721f7-df00-4c2f-b99c-5b001c94e6e5

Resource Organization:

Generated Narrative: Organization medicare-rs-operator

identifier: PAI-O/8003640001000010

name: Medicare Australia repository services operator


Entry 4 - fullUrl = urn:uuid:a1a973f5-3328-4acd-8848-6e6576ec0da3

Resource Organization:

Generated Narrative: Organization healthau

identifier: ABN/83605426759

type: Commonwealth Government Entity

name: Australian Government Department of Health

Contacts

-Telecom
*https://www.health.gov.au

Entry 5 - fullUrl = urn:uuid:22205966-3617-4fe5-837a-8f460af05363

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 = document; timestamp = 2022-03-26 11:01:00+1000

author: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = document; timestamp = 2022-03-26 11:01:00+1000


Entry 6 - fullUrl = urn:uuid:e2cefbf0-abbb-4b2d-8e11-1219cb8af43b

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 2021-06-17

primarySource: true

ProtocolApplieds

-TargetDisease
*COVID-19

Entry 7 - fullUrl = urn:uuid:35ce4478-9e93-4b74-b43b-b1f431743a31

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 2021-08-01

primarySource: true

ProtocolApplieds

-TargetDisease
*COVID-19

Entry 8 - fullUrl = urn:uuid:33795ea7-2e3b-4465-9f07-6afae3d83d85

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 2022-02-14

primarySource: true

ProtocolApplieds

-TargetDisease
*COVID-19

Entry 9 - fullUrl = urn:uuid:6836c46f-9aa3-4726-9900-075548f3cc59

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 1999-04-14

primarySource: true

protocolApplied

targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib


Entry 10 - fullUrl = urn:uuid:d0b66b89-1dfd-47bb-845f-6f066b2f3e80

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 1999-06-14

primarySource: true

protocolApplied

targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib


Entry 11 - fullUrl = urn:uuid:44dd4cef-2e9f-4a5b-bfd8-6a1833c32697

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 1999-08-14

primarySource: true

protocolApplied

targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib


Entry 12 - fullUrl = urn:uuid:d4884e30-5b0f-46fd-85b8-3c8ad0a2cef5

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 2000-08-14

primarySource: true

protocolApplied

targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib


Entry 13 - fullUrl = urn:uuid:dcf047fe-5adf-4c06-8d62-dd9e6fda5acb

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 2003-02-14

primarySource: true

protocolApplied

targetDisease: Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Hib


Entry 14 - fullUrl = urn:uuid:8fb75c37-49cf-422b-805c-233ff8b061e6

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 1999-02-14

primarySource: true

ProtocolApplieds

-TargetDisease
*Hepatitis B

Entry 15 - fullUrl = urn:uuid:ab673757-9811-47d5-9ec1-f1451c5e295b

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 2020-03-01

primarySource: true

ProtocolApplieds

-TargetDisease
*Influenza

Entry 16 - fullUrl = urn:uuid:3bdcab6e-371c-4771-9902-d077d548536c

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 2021-03-01

primarySource: true

ProtocolApplieds

-TargetDisease
*Influenza

Entry 17 - fullUrl = urn:uuid:3d2d99de-a1fd-4536-b31b-19c9be798aa0

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 = document; timestamp = 2022-03-26 11:01:00+1000

occurrence: 2022-03-01

primarySource: true

ProtocolApplieds

-TargetDisease
*Influenza

Entry 18 - fullUrl = urn:uuid:c4e2881c-59e2-4a8d-b199-0e1f03cd2c0b

Resource Observation:

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

identifier: URI/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d

status: Final

category: Immunisation program

code: Australian Immunisation Register COVID-19 Immunisation Status

subject: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = document; timestamp = 2022-03-26 11:01:00+1000

effective: 2022-02-15 01:02:00+1000

performer: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = document; timestamp = 2022-03-26 11:01:00+1000

value: This individual has received all required COVID-19 vaccines.


Entry 19 - fullUrl = urn:uuid:e821c52c-889d-4ead-89ee-99eb9561e91e

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 = document; timestamp = 2022-03-26 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

-FocalCoverage
*trueIdentifier: Medicare Number/3951032981

Items

-SequenceCategoryProductOrServiceServiced[x]
*1Medicare Benefits SchedulePalmar 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 20 - fullUrl = urn:uuid:3a3aebc9-a95c-4821-9e76-d0802f77d62c

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 = document; timestamp = 2022-03-26 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

-FocalCoverage
*trueIdentifier: Medicare Number/3951032981

Items

-SequenceCategoryProductOrServiceServiced[x]
*1MBS301912018-12-16

Entry 21 - fullUrl = urn:uuid:bdc3be54-da77-41a9-a489-58387e13c94e

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 = document; timestamp = 2022-03-26 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: MedicationRequest: status = unknown; intent = order; authoredOn = 2020-01-15

outcome: complete

Insurances

-FocalCoverage
*trueIdentifier: Medicare Number/3951032981

Items

-SequenceCategoryProductOrServiceServiced[x]
*1PBScephalexin 500 mg capsule, 202020-01-16

Generated Narrative: MedicationRequest #claim-pbs-01

status: Unknown

intent: Order

subject: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = document; timestamp = 2022-03-26 11:01:00+1000

authoredOn: 2020-01-15

DispenseRequests

-NumberOfRepeatsAllowedQuantity
*1500 tablet

Generated Narrative: Medication #cephalexin-01

code: cephalexin 500 mg capsule, 20


Entry 22 - fullUrl = urn:uuid:d8f3afee-b3f7-4768-964c-134178703836

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 = document; timestamp = 2022-03-26 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: MedicationRequest: status = unknown; intent = order; authoredOn = 2020-01-15

outcome: complete

Insurances

-FocalCoverage
*trueIdentifier: Medicare Number/3951032981

Items

-SequenceCategoryProductOrServiceServiced[x]
*1PBScephalexin 500 mg capsule, 202020-02-16

Generated Narrative: MedicationRequest #claim-pbs-02

status: Unknown

intent: Order

subject: Bundle: identifier = UUID:6c609115-94ec-40bc-b72e-3ce9e98cf2e8; type = document; timestamp = 2022-03-26 11:01:00+1000

authoredOn: 2020-01-15

DispenseRequests

-NumberOfRepeatsAllowedQuantity
*1500 tablet

Generated Narrative: Medication #cephalexin-01

code: cephalexin 500 mg capsule, 20