Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
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
{
"resourceType" : "Bundle",
"id" : "phs-01",
"meta" : {
"lastUpdated" : "2022-11-28T11:01:00+10:00"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:10d91877-de54-4aa7-b5ec-63aebc189ac8"
},
"type" : "collection",
"timestamp" : "2022-11-28T11:01:00+10:00",
"entry" : [
// PATIENT
{
"fullUrl" : "urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb",
"resource" : {
"resourceType" : "Patient",
"id" : "hi-testdata-goodwin-bonny",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_hi-testdata-goodwin-bonny\"> </a><p><b>Generated Narrative: Patient </b><a name=\"hi-testdata-goodwin-bonny\"> </a><a name=\"hchi-testdata-goodwin-bonny\"> </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 "hi-testdata-goodwin-bonny" </p></div><p><b>identifier</b>: IHI/8003608000228445\u00a0(use:\u00a0official), Medicare Number/3951032981\u00a0(period:\u00a0(?) --> 2024-08)</p><p><b>name</b>: Bonny Goodwin (Official)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1986-11-13</p><p><b>address</b>: 108 Museum Qy AVALON VIC 3212</p><p><b>maritalStatus</b>: Married <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#M)</span></p></div>"
},
"identifier" : [
{
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/ihi-status",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/ihi-status-1",
"code" : "active",
"display" : "Active"
}
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/ihi-record-status",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/ihi-record-status-1",
"code" : "verified",
"display" : "Verified"
}
}
],
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"display" : "National unique individual identifier"
}
],
"text" : "IHI"
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608000228445"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MC",
"display" : "Patient's Medicare number"
}
],
"text" : "Medicare Number"
},
"system" : "http://ns.electronichealth.net.au/id/medicare-number",
"value" : "3951032981",
"period" : {
"end" : "2024-08"
}
}
],
"name" : [
{
"use" : "official",
"family" : "Goodwin",
"given" : [
"Bonny"
],
"prefix" : [
"Mrs."
]
}
],
"gender" : "female",
"birthDate" : "1986-11-13",
"address" : [
{
"text" : "108 Museum Qy AVALON VIC 3212"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
],
"text" : "Married"
}
}
},
{
"fullUrl" : "urn:uuid:6bfb46ad-1084-4496-8622-5ef86bf19ad9",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "nofood-01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_nofood-01\"> </a><p><b>Generated Narrative: AllergyIntolerance </b><a name=\"nofood-01\"> </a><a name=\"hcnofood-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\">ResourceAllergyIntolerance "nofood-01" </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-allergyintolerance-clinical.html\">AllergyIntolerance Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Unconfirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-allergyintolerance-verification.html\">AllergyIntolerance Verification Status</a>#unconfirmed)</span></p><p><b>code</b>: No food allergies <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#429625007 "No known food allergy")</span></p><p><b>patient</b>: See on this page: urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb</p><p><b>recorder</b>: See on this page: urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb</p><p><b>asserter</b>: See on this page: urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "unconfirmed",
"display" : "Unconfirmed"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "429625007",
"display" : "No known food allergy"
}
],
"text" : "No food allergies"
},
"patient" : {
"reference" : "urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"display" : "National unique individual identifier"
}
],
"text" : "IHI"
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608000228445"
}
},
"recorder" : {
"reference" : "urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"
},
"asserter" : {
"reference" : "urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"
}
}
},
{
"fullUrl" : "urn:uuid:9c960147-2d8a-41f7-b358-667ca942301a",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "sulfonamide-01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_sulfonamide-01\"> </a><p><b>Generated Narrative: AllergyIntolerance </b><a name=\"sulfonamide-01\"> </a><a name=\"hcsulfonamide-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\">ResourceAllergyIntolerance "sulfonamide-01" </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-allergyintolerance-clinical.html\">AllergyIntolerance Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-allergyintolerance-verification.html\">AllergyIntolerance Verification Status</a>#confirmed)</span></p><p><b>category</b>: medication</p><p><b>criticality</b>: high</p><p><b>code</b>: sulfonamide antibacterial <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#763875007 "Sulfonamide-containing product")</span></p><p><b>patient</b>: See on this page: urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb</p><p><b>recorder</b>: See on this page: urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb</p><p><b>asserter</b>: See on this page: urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb</p><h3>Reactions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Manifestation</b></td><td><b>Severity</b></td></tr><tr><td style=\"display: none\">*</td><td>skin rash <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#271807003)</span></td><td>mild</td></tr></table></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed"
}
]
},
"category" : [
"medication"
],
"criticality" : "high",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "763875007",
"display" : "Sulfonamide-containing product"
}
],
"text" : "sulfonamide antibacterial"
},
"patient" : {
"reference" : "urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"display" : "National unique individual identifier"
}
],
"text" : "IHI"
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608000228445"
}
},
"recorder" : {
"reference" : "urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"
},
"asserter" : {
"reference" : "urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"
},
"reaction" : [
{
"manifestation" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "271807003",
"display" : "skin rash"
}
],
"text" : "skin rash"
}
],
"severity" : "mild"
}
]
}
},
{
"fullUrl" : "urn:uuid:d062b7d5-c4cd-47f7-9dd8-c991692c30b5",
"resource" : {
"resourceType" : "Observation",
"id" : "no-current-meds-01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_no-current-meds-01\"> </a><p><b>Generated Narrative: Observation </b><a name=\"no-current-meds-01\"> </a><a name=\"hcno-current-meds-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 "no-current-meds-01" </p></div><p><b>status</b>: final</p><p><b>category</b>: History finding <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#365854008)</span></p><p><b>code</b>: Assertion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html\">ActCode</a>#ASSERTION)</span></p><p><b>subject</b>: See on this page: urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb</p><p><b>effective</b>: 2021-09-21</p><p><b>performer</b>: See on this page: urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb</p><p><b>value</b>: No known current medicines <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1234391000168107)</span></p></div>"
},
"status" : "final",
"category" : [
// TBD - Determine appropriate category for observations of this nature
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "365854008",
"display" : "History finding"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "ASSERTION",
"display" : "Assertion"
}
]
},
"subject" : {
"reference" : "urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NI",
"display" : "National unique individual identifier"
}
],
"text" : "IHI"
},
"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608000228445"
}
},
"effectiveDateTime" : "2021-09-21",
"performer" : [
{
"reference" : "urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1234391000168107",
"display" : "No known current medicines"
}
]
}
}
}
]
}