Australian Digital Health Agency FHIR Implementation Guide
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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

: National Cancer Screening Register (NCSR) Program Participation Information (Payload Bundle) for Cleo Moss Esq. (22 MAY 2021) - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ncsr-01"/>
  <!-- Bundle for 'data in' from NCSR to MHR -->
  <meta>
    <lastUpdated value="2021-05-22T10:01:00+10:00"/>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-payload-1"/>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-core-1"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:5a655945-c2b3-4d01-9e88-224873e32d8d"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2021-05-22T10:01:00+10:00"/>
  <!--     PATIENT     -->
  <entry>
    <fullUrl value="urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89"/>
    <resource>
      <Patient>
        <id value="hi-testdata-moss-cleo"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_hi-testdata-moss-cleo"> </a><p><b>Generated Narrative: Patient </b><a name="hi-testdata-moss-cleo"> </a><a name="hchi-testdata-moss-cleo"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePatient &quot;hi-testdata-moss-cleo&quot; </p></div><p><b>Australian Indigenous Status</b>: Neither Aboriginal nor Torres Strait Islander origin (Details: australian-indigenous-status-1 code 4  = ' Neither Aboriginal nor Torres Strait Islander origin ', stated as ' Neither Aboriginal nor Torres Strait Islander origin ')</p><p><b>identifier</b>: IHI/8003608833564735</p><p><b>name</b>: Cleo Moss </p><p><b>telecom</b>: <a href="mailto:moss@gmail.com">moss@gmail.com</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-08-23</p><p><b>address</b>: 138 Gateway Ct, CALDER, TAS, 7325(home)</p></div>
        </text>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/indigenous-status">
          <valueCoding>
            <system
                    value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1"/>
            <code value="4"/>
            <display
                     value="Neither Aboriginal nor Torres Strait Islander origin"/>
          </valueCoding>
        </extension>
        <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="8003608833564735"/>
        </identifier>
        <name>
          <family value="Moss"/>
          <given value="Cleo"/>
          <suffix value="Esq."/>
        </name>
        <telecom>
          <system value="email"/>
          <value value="moss@gmail.com"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1965-08-23"/>
        <address>
          <use value="home"/>
          <text value="138 Gateway Ct, CALDER, TAS, 7325"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <!--     ORGANIZATION NCSR    -->
  <entry>
    <fullUrl value="urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677"/>
    <resource>
      <Organization>
        <id value="ncsr-operator"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ncsr-operator"> </a><p><b>Generated Narrative: Organization </b><a name="ncsr-operator"> </a><a name="hcncsr-operator"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceOrganization &quot;ncsr-operator&quot; </p></div><p><b>identifier</b>: PAI-O/TBD</p><p><b>name</b>: National Cancer Screening Register system operator</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
              <code value="NOI"/>
              <display value="National Organisation Identifier"/>
            </coding>
            <text value="PAI-O"/>
          </type>
          <system
                  value="http://ns.electronichealth.net.au/id/pcehr/paio/1.0"/>
          <value value="TBD"/>
        </identifier>
        <name value="National Cancer Screening Register system operator"/>
      </Organization>
    </resource>
  </entry>
  <!--     OBSERVATION  -->
  <entry>
    <fullUrl value="urn:uuid:949133cb-de9a-44a7-b3d3-bd0e9d9d2faf"/>
    <resource>
      <Observation>
        <id value="ncsp-01"/>
        <!-- Scenario: Active screening, next action in 1 year (2021)
    Scenario Description: NCSR receives a Cervical result for participant on 22 May 2021. 
    Status updates to Actively Screening, and their next due date is in 1 year due to the risk category of that participant.  -->
        <!-- update to id from pcehr doc registration? -->
        <meta>
          <lastUpdated value="2021-05-22T10:01:00+10:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ncsp-01"> </a><p><b>Generated Narrative: Observation </b><a name="ncsp-01"> </a><a name="hcncsp-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceObservation &quot;ncsp-01&quot; Updated&quot;2021-05-22 10:01:00+1000&quot; </p></div><p><b>identifier</b>: <code>urn:ietf:rfc:4122</code>/28c02479-27ed-4d95-957b-d6703c2bcc97</p><p><b>status</b>: final</p><p><b>category</b>: Cancer screening program <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/hl7au/au-fhir-base/CodeSystem-au-observation-category.html">Observation Category Codes AU</a>#program &quot;Program&quot;)</span></p><p><b>code</b>: National Cervical Cancer Screening Program Participation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1602101000168102 &quot;National cervical cancer screening program participation&quot;)</span></p><p><b>subject</b>: See on this page: urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89</p><p><b>effective</b>: 2021-05-22 10:01:00+1000</p><p><b>performer</b>: See on this page: urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677</p><blockquote><p><b>component</b></p><p><b>code</b>: Participant status <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1603781000168102 &quot;Program participation status&quot;)</span></p><p><b>value</b>: Actively screening <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1602001000168101 &quot;Active participation&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Participant status period <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1603791000168104 &quot;Program participation status period&quot;)</span></p><p><b>value</b>: 2021-05-22 --&gt; (ongoing)</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Defer flag <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1603871000168108 &quot;Program participation suspension indicator&quot;)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Next screening action date <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1604051000168109 &quot;Program forecast status period&quot;)</span></p><p><b>value</b>: 2022-05-22</p></blockquote></div>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:4122"/>
          <value value="28c02479-27ed-4d95-957b-d6703c2bcc97"/>
        </identifier>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org.au/CodeSystem/observation-category"/>
            <code value="program"/>
            <display value="Program"/>
          </coding>
          <text value="Cancer screening program"/>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1602101000168102"/>
            <display
                     value="National cervical cancer screening program participation"/>
          </coding>
          <text
                value="National Cervical Cancer Screening Program Participation"/>
        </code>
        <subject>
          <reference value="urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89"/>
          <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="8003608833564735"/>
          </identifier>
        </subject>
        <effectiveDateTime value="2021-05-22T10:01:00+10:00"/>
        <performer>
          <reference value="urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
                <code value="NOI"/>
                <display value="National Organisation Identifier"/>
              </coding>
              <text value="PAI-O"/>
            </type>
            <system
                    value="http://ns.electronichealth.net.au/id/pcehr/paio/1.0"/>
            <value value="TBD"/>
          </identifier>
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1603781000168102"/>
              <display value="Program participation status"/>
            </coding>
            <text value="Participant status"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1602001000168101"/>
              <display value="Active participation"/>
            </coding>
            <text value="Actively screening"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1603791000168104"/>
              <display value="Program participation status period"/>
            </coding>
            <text value="Participant status period"/>
          </code>
          <valuePeriod>
            <start value="2021-05-22"/>
          </valuePeriod>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1603871000168108"/>
              <display value="Program participation suspension indicator"/>
            </coding>
            <text value="Defer flag"/>
          </code>
          <!-- Patient has not deferred -->
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1604051000168109"/>
              <display value="Program forecast status period"/>
            </coding>
            <text value="Next screening action date"/>
          </code>
          <!-- Next screening date for patient is in 1 year  -->
          <valueDateTime value="2022-05-22"/>
        </component>
      </Observation>
    </resource>
  </entry>
  <!--     OBSERVATION     -->
  <entry>
    <fullUrl value="urn:uuid:b52df3bf-f723-47ca-bff9-d37f6f409896"/>
    <resource>
      <Observation>
        <id value="nbcsp-03"/>
        <!-- Scenario: Active screening, next due in 2 years (2021)
    Scenario Description: NCSR receives a negative FOBT result for participant. Status updates to Actively Screening, and their next due date is in 2 years   -->
        <!-- update to id from pcehr doc registration? -->
        <meta>
          <lastUpdated value="2021-05-22T10:01:00+10:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_nbcsp-03"> </a><p><b>Generated Narrative: Observation </b><a name="nbcsp-03"> </a><a name="hcnbcsp-03"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceObservation &quot;nbcsp-03&quot; Updated&quot;2021-05-22 10:01:00+1000&quot; </p></div><p><b>identifier</b>: <code>urn:ietf:rfc:4122</code>/4732293f-40e4-45a3-81b5-9cc2ae8b2f38</p><p><b>status</b>: final</p><p><b>category</b>: Cancer screening program <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/hl7au/au-fhir-base/CodeSystem-au-observation-category.html">Observation Category Codes AU</a>#program &quot;Program&quot;)</span></p><p><b>code</b>: National Bowel Cancer Screening Program Participation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1602081000168109 &quot;National bowel cancer screening program participation&quot;)</span></p><p><b>subject</b>: See on this page: urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89</p><p><b>effective</b>: 2021-05-22 07:01:00+1000</p><p><b>performer</b>: See on this page: urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677</p><blockquote><p><b>component</b></p><p><b>code</b>: Participant status <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1603781000168102 &quot;Program participation status&quot;)</span></p><p><b>value</b>: Actively screening <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1602001000168101 &quot;Active participation&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Participant status period <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1603791000168104 &quot;Program participation status period&quot;)</span></p><p><b>value</b>: 2021-05-22 --&gt; (ongoing)</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Defer flag <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1603871000168108 &quot;Program participation suspension indicator&quot;)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Next screening action <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1604041000168107 &quot;Program forecast status&quot;)</span></p><p><b>value</b>: Eligible On: <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Next screening action date <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1604051000168109 &quot;Program forecast status period&quot;)</span></p><p><b>value</b>: 2023-05-22</p></blockquote></div>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:4122"/>
          <value value="4732293f-40e4-45a3-81b5-9cc2ae8b2f38"/>
        </identifier>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org.au/CodeSystem/observation-category"/>
            <code value="program"/>
            <display value="Program"/>
          </coding>
          <text value="Cancer screening program"/>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1602081000168109"/>
            <display
                     value="National bowel cancer screening program participation"/>
          </coding>
          <text
                value="National Bowel Cancer Screening Program Participation"/>
        </code>
        <subject>
          <reference value="urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89"/>
          <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="8003608833564735"/>
          </identifier>
        </subject>
        <effectiveDateTime value="2021-05-22T07:01:00+10:00"/>
        <performer>
          <reference value="urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
                <code value="NOI"/>
                <display value="National Organisation Identifier"/>
              </coding>
              <text value="PAI-O"/>
            </type>
            <system
                    value="http://ns.electronichealth.net.au/id/pcehr/paio/1.0"/>
            <value value="TBD"/>
          </identifier>
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1603781000168102"/>
              <display value="Program participation status"/>
            </coding>
            <text value="Participant status"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1602001000168101"/>
              <display value="Active participation"/>
            </coding>
            <text value="Actively screening"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1603791000168104"/>
              <display value="Program participation status period"/>
            </coding>
            <text value="Participant status period"/>
          </code>
          <valuePeriod>
            <start value="2021-05-22"/>
          </valuePeriod>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1603871000168108"/>
              <display value="Program participation suspension indicator"/>
            </coding>
            <text value="Defer flag"/>
          </code>
          <!-- Patient has not deferred -->
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1604041000168107"/>
              <display value="Program forecast status"/>
            </coding>
            <text value="Next screening action"/>
          </code>
          <valueCodeableConcept>
            <text value="Eligible On:"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1604051000168109"/>
              <display value="Program forecast status period"/>
            </coding>
            <text value="Next screening action date"/>
          </code>
          <!-- Next screening date patient is eligible for is in 2 years  -->
          <valueDateTime value="2023-05-22"/>
        </component>
      </Observation>
    </resource>
  </entry>
</Bundle>