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

: NBCSP participation information for Mr Zhang Wei - New to NBCSP, deferred participation (2022) - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "nbcsp-02"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-core-1"^^xsd:anyURI ;
fhir:link <http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-core-1>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation </b><a name=\"nbcsp-02\"> </a><a name=\"hcnbcsp-02\"> </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-02&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dh-observation-core-1.html\">ADHA Core Observation</a></p></div><p><b>identifier</b>: <code>urn:ietf:rfc:4122</code>/24fd20c0-5a07-4e5e-98da-d7d3d498613a</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>: <a href=\"Patient-mhr-zhang-wei.html\">Patient/mhr-zhang-wei</a> &quot; ZHANG&quot;</p><p><b>effective</b>: 2022-05-14</p><p><b>performer</b>: <a href=\"Organization-ncsr-operator.html\">Organization/ncsr-operator</a> &quot;National Cancer Screening Register system operator&quot;</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>: 2022-02-05 --&gt; 2022-08-05</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>: true</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>: Due Now (eligible since 50th birthday) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:4122"^^xsd:anyURI ] ;
fhir:value [ fhir:v "24fd20c0-5a07-4e5e-98da-d7d3d498613a" ]
  ] ) ; # Scenario: New to NBCSP, deferred participation (2022)
#    Scenario Description: Patient is aged 50 and first Bowel Program round has opened. 
#    Person has been sent invitation, but defers for 6 months as they are travelling overseas. Date deferral was recorded is 10 Feb 2022.  , update to id from pcehr doc registration?
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org.au/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "program" ] ;
fhir:display [ fhir:v "Program" ]     ] ) ;
fhir:text [ fhir:v "Cancer screening program" ]
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a sct:1602081000168109 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1602081000168109" ] ;
fhir:display [ fhir:v "National bowel cancer screening program participation" ]     ] ) ;
fhir:text [ fhir:v "National Bowel Cancer Screening Program Participation" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/mhr-zhang-wei" ] ;
fhir:identifier [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NI" ] ;
fhir:display [ fhir:v "National unique individual identifier" ]         ] ) ;
fhir:text [ fhir:v "IHI" ]       ] ;
fhir:system [ fhir:v "http://ns.electronichealth.net.au/id/hi/ihi/1.0"^^xsd:anyURI ] ;
fhir:value [ fhir:v "8003608000228437" ]     ]
  ] ; # 
  fhir:effective [ fhir:v "2022-05-14"^^xsd:date] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Organization/ncsr-operator" ] ;
fhir:identifier [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org.au/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NOI" ] ;
fhir:display [ fhir:v "National Organisation Identifier" ]         ] ) ;
fhir:text [ fhir:v "PAI-O" ]       ] ;
fhir:system [ fhir:v "http://ns.electronichealth.net.au/id/pcehr/paio/1.0"^^xsd:anyURI ] ;
fhir:value [ fhir:v "TBD" ]     ]
  ] ) ; # 
  fhir:component ( [
fhir:code [
      ( fhir:coding [
a sct:1603781000168102 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1603781000168102" ] ;
fhir:display [ fhir:v "Program participation status" ]       ] ) ;
fhir:text [ fhir:v "Participant status" ]     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:1602001000168101 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1602001000168101" ] ;
fhir:display [ fhir:v "Active participation" ]       ] ) ;
fhir:text [ fhir:v "Actively Screening" ]     ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:1603791000168104 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1603791000168104" ] ;
fhir:display [ fhir:v "Program participation status period" ]       ] ) ;
fhir:text [ fhir:v "Participant status period" ]     ] ;
fhir:value [
a fhir:Period ;
fhir:start [ fhir:v "2022-02-05"^^xsd:date ] ;
fhir:end [ fhir:v "2022-08-05"^^xsd:date ]     ] # Patient deferred for 6 months so keeps status of New to screening for a 6 month period
  ] [
fhir:code [
      ( fhir:coding [
a sct:1603871000168108 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1603871000168108" ] ;
fhir:display [ fhir:v "Program participation suspension indicator" ]       ] ) ;
fhir:text [ fhir:v "Defer flag" ]     ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ] # Patient deferred
  ] [
fhir:code [
      ( fhir:coding [
a sct:1604041000168107 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1604041000168107" ] ;
fhir:display [ fhir:v "Program forecast status" ]       ] ) ;
fhir:text [ fhir:v "Next screening action" ]     ] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:text [ fhir:v "Due Now (eligible since 50th birthday)" ]     ]
  ] ) . #