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

: Breast cancer screening program participation information for Mrs. Bonny Goodwin - Opted Out (2017) - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "bcsp-01",
  "meta" : {
    "profile" : [
      🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-core-1"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation </b><a name=\"bcsp-01\"> </a><a name=\"hcbcsp-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;bcsp-01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dh-observation-core-1.html\">ADHA Core Observation</a></p></div><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>: BreastScreen Australia Program Participation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1602091000168107 &quot;National breast cancer screening program participation&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-hi-testdata-goodwin-bonny.html\">Patient/hi-testdata-goodwin-bonny</a> &quot; GOODWIN&quot;</p><p><b>effective</b>: 2019-12-12 06:54:00+1000</p><p><b>performer</b>: <a href=\"Organization-tas-family-clinic.html\">Organization/tas-family-clinic</a> &quot;Tasmanian Family Medicine Clinic&quot;</p><blockquote><p><b>component</b></p><p><b>code</b>: Participation 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>: Never participated <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1602041000168104 &quot;Opted out of participation&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Participation 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>: 2017-09-22 --&gt; (ongoing)</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Reason for opting off <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1603991000168102 &quot;Reason for program non participation&quot;)</span></p><p><b>value</b>: Uncomfortable with process <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></div>"
  },
  "status" : "final",
  "category" : [
    // Scenario: Opted Out (2017)
    Scenario Description: Participant was invited to screen, opted off in first round in 2017. 
    Patient reported reason as not comfortable with the process. 
    This information was recorded during a GP visit in 2019. 
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org.au/CodeSystem/observation-category",
          "code" : "program",
          "display" : "Program"
        }
      ],
      "text" : "Cancer screening program"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "1602091000168107",
        "display" : "National breast cancer screening program participation"
      }
    ],
    "text" : "BreastScreen Australia Program Participation"
  },
  "subject" : {
    🔗 "reference" : "Patient/hi-testdata-goodwin-bonny",
    "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" : "2019-12-12T06:54:00+10:00",
  "performer" : [
    {
      🔗 "reference" : "Organization/tas-family-clinic"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1603781000168102",
            "display" : "Program participation status"
          }
        ],
        "text" : "Participation status"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1602041000168104",
            "display" : "Opted out of participation"
          }
        ],
        "text" : "Never participated"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1603791000168104",
            "display" : "Program participation status period"
          }
        ],
        "text" : "Participation status period"
      },
      "valuePeriod" : {
        "start" : "2017-09-22"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1603991000168102",
            "display" : "Reason for program non participation"
          }
        ],
        "text" : "Reason for opting off"
      },
      "valueCodeableConcept" : {
        "text" : "Uncomfortable with process"
      }
    }
  ]
}