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

: National Cancer Screening Register (NCSR) Program Participation Information (Payload Bundle) for Mr Zhang Wei (15 MAY 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:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ncsr-03"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2022-02-15T07:15:15+10:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-payload-1"^^xsd:anyURI ;
fhir:link <http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-payload-1>     ] [
fhir:v "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-core-1"^^xsd:anyURI ;
fhir:link <http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-core-1>     ] )
  ] ; # Bundle for 'data in' from NCSR to MHR 
  fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:b5cf0f22-30b3-4bda-a724-8d37aeafb26a" ]
  ] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:timestamp [ fhir:v "2022-05-14T06:00:00+10:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:90f0d056-c76b-490f-b844-760850348015"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:90f0d056-c76b-490f-b844-760850348015> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:d9790783-7c28-47a5-a560-293fa335d0b3"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:d9790783-7c28-47a5-a560-293fa335d0b3> )
  ] ) . #     PATIENT    

<urn:uuid:90f0d056-c76b-490f-b844-760850348015> a fhir:Patient ;
  fhir:id [ fhir:v "mhr-zhang-wei"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_mhr-zhang-wei\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient mhr-zhang-wei</b></p><a name=\"mhr-zhang-wei\"> </a><a name=\"hcmhr-zhang-wei\"> </a><a name=\"mhr-zhang-wei-en-AU\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Wei Zhang  Male, DoB: 1972-05-03 ( IHI: AustalianIHI#8003608000228437)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medicare Number/29533070311</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension applies to the Patient, RelatedPerson, and Practitioner resources and is used to represent a person's date of arrival in an Australian context (see [Australian Bureau of Statistics](https://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/1200.0.55.007Main+Features12014,%20Version%201.5?OpenDocument) for further information). The date of arrival is when a person (born outside of Australia) first arrived in Australia, from another country, with the intention of living in Australia for one year or more. This date is recorded once for a person and is not subsequently updated with subsequent arrivals. This element is a part of Cultural and Linguistic Diversity (CALD) data set. It is an important indicator of cultural identity, and provides further information about a person's cultural values and practices which can be significant in determining service type, support required, and possible needs.\"><a href=\"https://build.fhir.org/ig/hl7au/au-fhir-base/StructureDefinition-date-of-arrival.html\">Date of Arrival in Australia</a></td><td colspan=\"3\">2017</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension applies to the Patient, Person, and RelatedPerson resources and is used to indicate whether a person identifies as being of Aboriginal or Torres Strait Islander origin.\"><a href=\"https://build.fhir.org/ig/hl7au/au-fhir-base/StructureDefinition-indigenous-status.html\">Australian Indigenous Status</a></td><td colspan=\"3\">australian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This Patient requires an interpreter to communicate healthcare information to the practitioner.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-interpreterRequired.html\">Patient Interpreter Required</a></td><td colspan=\"3\">true</td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/indigenous-status"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1"^^xsd:anyURI ] ;
fhir:code [ fhir:v "4" ] ;
fhir:display [ fhir:v "Neither Aboriginal nor Torres Strait Islander origin" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"^^xsd:anyURI ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]
  ] [
fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/date-of-arrival"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2017"^^xsd:gYear ]
  ] ) ; # 
  fhir:identifier ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/ihi-status"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://healthterminologies.gov.au/fhir/CodeSystem/ihi-status-1"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ]       ]     ] [
fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/ihi-record-status"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://healthterminologies.gov.au/fhir/CodeSystem/ihi-record-status-1"^^xsd:anyURI ] ;
fhir:code [ fhir:v "verified" ] ;
fhir:display [ fhir:v "verified" ]       ]     ] ) ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NI" ]       ] ) ;
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:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MC" ]       ] ) ;
fhir:text [ fhir:v "Medicare Number" ]     ] ;
fhir:system [ fhir:v "http://ns.electronichealth.net.au/id/medicare-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "29533070311" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Zhang" ] ;
    ( fhir:given [ fhir:v "Wei" ] ) ;
    ( fhir:prefix [ fhir:v "Mr" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "male"] ; # 
  fhir:birthDate [
fhir:v "1972-05-03"^^xsd:date ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://healthterminologies.gov.au/fhir/CodeSystem/date-accuracy-indicator-1"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AAA" ] ;
fhir:display [ fhir:v "Day, month and year are accurate" ]       ]     ] )
  ] . # 

<urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a> a fhir:Organization ;
  fhir:id [ fhir:v "ncsr-operator"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ncsr-operator\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ncsr-operator</b></p><a name=\"ncsr-operator\"> </a><a name=\"hcncsr-operator\"> </a><a name=\"ncsr-operator-en-AU\"> </a><p><b>identifier</b>: PAI-O/TBD</p><p><b>name</b>: National Cancer Screening Register system operator</p></div>"
  ] ; # 
  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:name [ fhir:v "National Cancer Screening Register system operator"] . # 

<urn:uuid:d9790783-7c28-47a5-a560-293fa335d0b3> a fhir:Observation ;
  fhir:id [ fhir:v "nbcsp-02"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2022-02-15T07:15:15+10:00"^^xsd:dateTime ]
  ] ; # 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:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_nbcsp-02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation nbcsp-02</b></p><a name=\"nbcsp-02\"> </a><a name=\"hcnbcsp-02\"> </a><a name=\"nbcsp-02-en-AU\"> </a><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\">Last updated: 2022-02-15 07:15:15+1000</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>: <span title=\"Codes:{http://terminology.hl7.org.au/CodeSystem/observation-category program}\">Cancer screening program</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1602081000168109}\">National Bowel Cancer Screening Program Participation</span></p><p><b>subject</b>: <a href=\"Bundle-ncsr-03.html#urn-uuid-90f0d056-c76b-490f-b844-760850348015\">Bundle: identifier = UUID:b5cf0f22-30b3-4bda-a724-8d37aeafb26a; type = collection; timestamp = 2022-05-14 06:00:00+1000</a></p><p><b>effective</b>: 2022-05-14</p><p><b>performer</b>: <a href=\"Bundle-ncsr-03.html#urn-uuid-6b2fbf4c-9d47-4c6e-91f5-a84d381a015a\">Bundle: identifier = UUID:b5cf0f22-30b3-4bda-a724-8d37aeafb26a; type = collection; timestamp = 2022-05-14 06:00:00+1000</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1603781000168102}\">Participant status</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1602001000168101}\">Actively Screening</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1603791000168104}\">Participant status period</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>: <span title=\"Codes:{http://snomed.info/sct 1603871000168108}\">Defer flag</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1604041000168107}\">Next screening action</span></p><p><b>value</b>: <span title=\"Codes:\">Due Now (eligible since 50th birthday)</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" ]
  ] ) ; # 
  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 "urn:uuid:90f0d056-c76b-490f-b844-760850348015" ] ;
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 "urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a" ] ;
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)" ]     ]
  ] ) . #