Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
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-doc-01",
"meta" : {
"lastUpdated" : "2022-11-28T11:01:00+10:00"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b"
},
"type" : "document",
"timestamp" : "2022-11-28T11:01:00+10:00",
"entry" : [
// COMPOSITION
{
"fullUrl" : "urn:uuid:6f5af3db-b2ab-4b74-90d5-39c20a662b0d",
"resource" : {
"resourceType" : "Composition",
"id" : "phs-01",
"language" : "en-AU",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-AU\" lang=\"en-AU\"><a name=\"Composition_phs-01\"> </a><p><b>Generated Narrative: Composition </b><a name=\"phs-01\"> </a><a name=\"hcphs-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\">ResourceComposition "phs-01" (Language"en-AU") </p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.3.0/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 \r\n\r\nThis 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: \r\n\r\nNote 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.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:2.25.320090414317418051877665573694312012507</p><p><b>status</b>: final</p><p><b>type</b>: Personal Health Summary <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (nctis-data-components-1#100.16685)</span></p><p><b>category</b>: Personal Health Summary <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (nctis-data-components-1#100.16685)</span></p><p><b>date</b>: 2021-09-21</p><p><b>author</b>: See on this page: urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead</p><p><b>title</b>: Mrs. Bonny Goodwin - Personal Health Summary</p><p><b>custodian</b>: See on this page: urn:uuid:68e3c0c8-6346-4d27-a3b7-97841221dcbe</p></div>"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.25.320090414317418051877665573694312012507"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
"code" : "100.16685"
}
],
"text" : "Personal Health Summary"
},
"category" : [
{
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
"code" : "100.16685"
}
]
}
],
"subject" : {
"reference" : "urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead",
"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"
}
},
"date" : "2021-09-21",
"author" : [
{
"reference" : "urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead",
"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"
}
}
],
"title" : "Mrs. Bonny Goodwin - Personal Health Summary",
"custodian" : {
"reference" : "urn:uuid:68e3c0c8-6346-4d27-a3b7-97841221dcbe",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "NOI",
"display" : "National Organisation Identifier"
}
],
"text" : "PAI-O"
},
"system" : "http://ns.electronichealth.net.au/id/pcehr/paio/1.0",
"value" : "8003640001000036"
}
},
"section" : [
{
"title" : "Allergies",
"code" : {
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
"code" : "101.20113"
},
{
"system" : "http://loinc.org",
"code" : "48765-2"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:6bfb46ad-1084-4496-8622-5ef86bf19ad9"
},
{
"reference" : "urn:uuid:d7f804e8-c389-41cf-8815-50e618345943"
}
]
},
{
"title" : "Current Medicines",
"code" : {
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
"code" : "101.32009"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:f3a59ff9-b205-41ef-86b3-f38445428e84"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead",
"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:1b34e738-7e39-40e1-9619-2247550a8ead</p><p><b>recorder</b>: See on this page: urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead</p><p><b>asserter</b>: See on this page: urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead</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:1b34e738-7e39-40e1-9619-2247550a8ead",
"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:1b34e738-7e39-40e1-9619-2247550a8ead"
},
"asserter" : {
"reference" : "urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"
}
}
},
{
"fullUrl" : "urn:uuid:d7f804e8-c389-41cf-8815-50e618345943",
"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:1b34e738-7e39-40e1-9619-2247550a8ead</p><p><b>recorder</b>: See on this page: urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead</p><p><b>asserter</b>: See on this page: urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead</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:1b34e738-7e39-40e1-9619-2247550a8ead",
"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:1b34e738-7e39-40e1-9619-2247550a8ead"
},
"asserter" : {
"reference" : "urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"
},
"reaction" : [
{
"manifestation" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "271807003",
"display" : "skin rash"
}
],
"text" : "skin rash"
}
],
"severity" : "mild"
}
]
}
},
{
"fullUrl" : "urn:uuid:68e3c0c8-6346-4d27-a3b7-97841221dcbe",
"resource" : {
"resourceType" : "Organization",
"id" : "mhr-operator",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_mhr-operator\"> </a><p><b>Generated Narrative: Organization </b><a name=\"mhr-operator\"> </a><a name=\"hcmhr-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 "mhr-operator" </p></div><p><b>identifier</b>: PAI-O/8003640001000036</p><p><b>name</b>: My Health Record system operator</p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "NOI",
"display" : "National Organisation Identifier"
}
],
"text" : "PAI-O"
},
"system" : "http://ns.electronichealth.net.au/id/pcehr/paio/1.0",
"value" : "8003640001000036"
}
],
"name" : "My Health Record system operator"
}
},
{
"fullUrl" : "urn:uuid:f3a59ff9-b205-41ef-86b3-f38445428e84",
"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:1b34e738-7e39-40e1-9619-2247550a8ead</p><p><b>effective</b>: 2021-09-21</p><p><b>performer</b>: See on this page: urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead</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:1b34e738-7e39-40e1-9619-2247550a8ead",
"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:1b34e738-7e39-40e1-9619-2247550a8ead"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1234391000168107",
"display" : "No known current medicines"
}
]
}
}
}
]
}
IG © 2023+ Australian Digital Health Agency. Package au.digitalhealth.r4#1.2.0-ci-build based on FHIR 4.0.1. Generated 2024-06-11
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