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
<Bundle xmlns="http://hl7.org/fhir">
<id value="phs-01"/>
<meta>
<lastUpdated value="2022-11-28T11:01:00+10:00"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:10d91877-de54-4aa7-b5ec-63aebc189ac8"/>
</identifier>
<type value="collection"/>
<timestamp value="2022-11-28T11:01:00+10:00"/>
<!-- PATIENT -->
<entry>
<fullUrl value="urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"/>
<resource>
<Patient>
<id value="hi-testdata-goodwin-bonny"/>
<text>
<status value="generated"/>
<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 (use: official), Medicare Number/3951032981 (period: (?) --> 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>
</text>
<identifier>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/ihi-status">
<valueCoding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-status-1"/>
<code value="active"/>
<display value="Active"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/ihi-record-status">
<valueCoding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-record-status-1"/>
<code value="verified"/>
<display value="Verified"/>
</valueCoding>
</extension>
<use value="official"/>
<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="8003608000228445"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MC"/>
<display value="Patient's Medicare number"/>
</coding>
<text value="Medicare Number"/>
</type>
<system
value="http://ns.electronichealth.net.au/id/medicare-number"/>
<value value="3951032981"/>
<period>
<end value="2024-08"/>
</period>
</identifier>
<name>
<use value="official"/>
<family value="Goodwin"/>
<given value="Bonny"/>
<prefix value="Mrs."/>
</name>
<gender value="female"/>
<birthDate value="1986-11-13"/>
<address>
<text value="108 Museum Qy AVALON VIC 3212"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</coding>
<text value="Married"/>
</maritalStatus>
</Patient>
</resource>
</entry>
<!-- ALLERGYINTOLERANCE (nofood-01) -->
<entry>
<fullUrl value="urn:uuid:6bfb46ad-1084-4496-8622-5ef86bf19ad9"/>
<resource>
<AllergyIntolerance>
<id value="nofood-01"/>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="unconfirmed"/>
<display value="Unconfirmed"/>
</coding>
</verificationStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="429625007"/>
<display value="No known food allergy"/>
</coding>
<text value="No food allergies"/>
</code>
<patient>
<reference value="urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"/>
<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="8003608000228445"/>
</identifier>
</patient>
<recorder>
<reference value="urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"/>
</recorder>
<asserter>
<reference value="urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"/>
</asserter>
</AllergyIntolerance>
</resource>
</entry>
<!-- ALLERGYINTOLERANCE (sulfonamide-01) -->
<entry>
<fullUrl value="urn:uuid:9c960147-2d8a-41f7-b358-667ca942301a"/>
<resource>
<AllergyIntolerance>
<id value="sulfonamide-01"/>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category value="medication"/>
<criticality value="high"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="763875007"/>
<display value="Sulfonamide-containing product"/>
</coding>
<text value="sulfonamide antibacterial"/>
</code>
<patient>
<reference value="urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"/>
<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="8003608000228445"/>
</identifier>
</patient>
<recorder>
<reference value="urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"/>
</recorder>
<asserter>
<reference value="urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"/>
</asserter>
<reaction>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="271807003"/>
<display value="skin rash"/>
</coding>
<text value="skin rash"/>
</manifestation>
<severity value="mild"/>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<!-- OBSERVATION (no-current-meds-01) -->
<entry>
<fullUrl value="urn:uuid:d062b7d5-c4cd-47f7-9dd8-c991692c30b5"/>
<resource>
<Observation>
<id value="no-current-meds-01"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<!-- TBD - Determine appropriate category for observations of this nature -->
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="365854008"/>
<display value="History finding"/>
</coding>
</category>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="ASSERTION"/>
<display value="Assertion"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"/>
<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="8003608000228445"/>
</identifier>
</subject>
<effectiveDateTime value="2021-09-21"/>
<performer>
<reference value="urn:uuid:00f8933a-aebe-4856-a14a-e895e53422fb"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1234391000168107"/>
<display value="No known current medicines"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
</Bundle>