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" : "Observation",
"id" : "ncsp-02",
"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=\"ncsp-02\"> </a><a name=\"hcncsp-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 "ncsp-02" </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>/20439b90-f1be-46a5-b848-4aa4938d19fc</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 "Program")</span></p><p><b>code</b>: National Cervical Cancer Screening Program Participation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1602101000168102 "National cervical cancer screening program participation")</span></p><p><b>subject</b>: <a href=\"Patient-mhr-field-sally.html\">Patient/mhr-field-sally</a> " FIELD"</p><p><b>effective</b>: 2020-06-12 10:01:00+1000</p><p><b>performer</b>: <a href=\"Organization-ncsr-operator.html\">Organization/ncsr-operator</a> "National Cancer Screening Register system operator"</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 "Program participation status")</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 "Active participation")</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 "Program participation status period")</span></p><p><b>value</b>: 2020-06-12 --> (ongoing)</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 "Program participation suspension indicator")</span></p><p><b>value</b>: false</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 "Program forecast status")</span></p><p><b>value</b>: Commence at 25 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></div>"
},
"identifier" : [
// Scenario: Not eligible, Commence at 25 (2020)
Scenario Description: NCSR receives a Cervical result for participant on 22 May 2021.
Status updates to Actively Screening, and their next due date is in 1 year due to the risk category of that participant.
// update to id from pcehr doc registration?
{
"system" : "urn:ietf:rfc:4122",
"value" : "20439b90-f1be-46a5-b848-4aa4938d19fc"
}
],
"status" : "final",
"category" : [
{
"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" : "1602101000168102",
"display" : "National cervical cancer screening program participation"
}
],
"text" : "National Cervical Cancer Screening Program Participation"
},
"subject" : {
🔗 "reference" : "Patient/mhr-field-sally",
"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" : "8003608833357361"
}
},
"effectiveDateTime" : "2020-06-12T10:01:00+10:00",
"performer" : [
{
🔗 "reference" : "Organization/ncsr-operator",
"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" : "TBD"
}
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1603781000168102",
"display" : "Program participation status"
}
],
"text" : "Participant status"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1602001000168101",
"display" : "Active participation"
}
],
"text" : "Actively screening"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1603791000168104",
"display" : "Program participation status period"
}
],
"text" : "Participant status period"
},
"valuePeriod" : {
"start" : "2020-06-12"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1603871000168108",
"display" : "Program participation suspension indicator"
}
],
"text" : "Defer flag"
},
"valueBoolean" : false
},
// Patient has not deferred
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1604041000168107",
"display" : "Program forecast status"
}
],
"text" : "Next screening action"
},
"valueCodeableConcept" : {
"text" : "Commence at 25"
}
}
]
}