Australian Digital Health Agency FHIR
1.2.0-ci-build - draft
Australian Digital Health Agency FHIR, 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/mcv/ and changes regularly. See the Directory of published versions
<ExplanationOfBenefit xmlns="http://hl7.org/fhir">
<id value="mbs-mds"/>
<!-- R4 conversion of MDS test data ExplanationOfBenefit.id d46a4133-ba17-11ec-833a-b1763b0a7715 -->
<meta>
<profile
value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ExplanationOfBenefit mbs-mds</b></p><a name="mbs-mds"> </a><a name="hcmbs-mds"> </a><a name="mbs-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:1.2.36.1.2001.1007.11.8003640002000043.1000000000041358</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}">Institutional</span></p><p><b>subType</b>: <span title="Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1 mbs}">MBS</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: Identifier: IHI/8003608833630130</p><p><b>created</b>: 2022-04-07</p><p><b>insurer</b>: <a href="Organization-healthau.html">Organization Australian Government Department of Health</a></p><p><b>provider</b>: <a href="#hcmbs-mds/mds">PractitionerRole Health Professionals nfd</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 mbs}">Medicare Benefits Schedule</span></td><td><span title="Codes:{urn:oid:1.2.36.1.2001.1005.21 00023}">CONSULTATION AT CONSULTING ROOMS - LEVEL 'B'.</span></td><td>2022-04-07</td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: PractitionerRole #mds</b></p><a name="mbs-mds/mds"> </a><a name="hcmbs-mds/mds"> </a><a name="mbs-mds/mds-en-AU"> </a><p><b>identifier</b>: ?ngen-9?</p><p><b>practitioner</b>: <a href="#hcmbs-mds/mmds">Practitioner PAIN KILLER </a></p><p><b>code</b>: <span title="Codes:{http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0 250000}">Health Professional</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Practitioner #mmds</b></p><a name="mbs-mds/mmds"> </a><a name="hcmbs-mds/mmds"> </a><a name="mbs-mds/mmds-en-AU"> </a><p><b>name</b>: PAIN KILLER </p></blockquote></div>
</text>
<contained>
<PractitionerRole>
<id value="mds"/>
<identifier>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unknown"/>
</extension>
</identifier>
<practitioner>
<reference value="#mmds"/>
</practitioner>
<code>
<coding>
<system value="http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0"/>
<code value="250000"/>
</coding>
<text value="Health Professional"/>
</code>
</PractitionerRole>
</contained>
<contained>
<Practitioner>
<id value="mmds"/>
<name>
<use value="usual"/>
<family value="KILLER"/>
<given value="PAIN"/>
<prefix value="DR"/>
</name>
</Practitioner>
</contained>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value
value="urn:oid:1.2.36.1.2001.1007.11.8003640002000043.1000000000041358"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="institutional"/>
</coding>
</type>
<subType>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1"/>
<code value="mbs"/>
</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="2022-04-07"/>
<insurer>🔗
<reference value="Organization/healthau"/>
</insurer>
<provider>
<reference value="#mds"/>
</provider>
<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="mbs"/>
<display value="MBS"/>
</coding>
<text value="Medicare Benefits Schedule"/>
</category>
<productOrService>
<coding>
<system value="urn:oid:1.2.36.1.2001.1005.21"/>
<code value="00023"/>
<display value="CONSULTATION AT CONSULTING ROOMS - LEVEL 'B'."/>
</coding>
</productOrService>
<servicedDate value="2022-04-07"/>
</item>
</ExplanationOfBenefit>