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

: NCSP participation information for Ms. Sally FIELD - Not eligible, Commence at 25 (2020) - JSON Representation

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{
  "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 &quot;ncsp-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>/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 &quot;Program&quot;)</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 &quot;National cervical cancer screening program participation&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-mhr-field-sally.html\">Patient/mhr-field-sally</a> &quot; FIELD&quot;</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> &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>: 2020-06-12 --&gt; (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 &quot;Program participation suspension indicator&quot;)</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 &quot;Program forecast status&quot;)</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"
      }
    }
  ]
}