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) - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ncsr-03"/>
  <!-- Bundle for 'data in' from NCSR to MHR  -->
  <meta>
    <lastUpdated value="2022-02-15T07:15:15+10:00"/>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-payload-1"/>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-core-1"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:b5cf0f22-30b3-4bda-a724-8d37aeafb26a"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2022-05-14T06:00:00+10:00"/>
  <!--     PATIENT     -->
  <entry>
    <fullUrl value="urn:uuid:90f0d056-c76b-490f-b844-760850348015"/>
    <resource>
      <Patient>
        <id value="mhr-zhang-wei"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/indigenous-status">
          <valueCoding>
            <system
                    value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1"/>
            <code value="4"/>
            <display
                     value="Neither Aboriginal nor Torres Strait Islander origin"/>
          </valueCoding>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired">
          <valueBoolean value="true"/>
        </extension>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/date-of-arrival">
          <valueDate value="2017"/>
        </extension>
        <identifier>
          <extension
                     url="http://hl7.org.au/fhir/StructureDefinition/ihi-status">
            <valueCoding>
              <system
                      value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-status-1"/>
              <code value="active"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://hl7.org.au/fhir/StructureDefinition/ihi-record-status">
            <valueCoding>
              <system
                      value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-record-status-1"/>
              <code value="verified"/>
              <display value="verified"/>
            </valueCoding>
          </extension>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NI"/>
            </coding>
            <text value="IHI"/>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
          <value value="8003608000228437"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MC"/>
            </coding>
            <text value="Medicare Number"/>
          </type>
          <system
                  value="http://ns.electronichealth.net.au/id/medicare-number"/>
          <value value="29533070311"/>
        </identifier>
        <name>
          <family value="Zhang"/>
          <given value="Wei"/>
          <prefix value="Mr"/>
        </name>
        <gender value="male"/>
        <birthDate value="1972-05-03">
          <extension
                     url="http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator">
            <valueCoding>
              <system
                      value="https://healthterminologies.gov.au/fhir/CodeSystem/date-accuracy-indicator-1"/>
              <code value="AAA"/>
              <display value="Day, month and year are accurate"/>
            </valueCoding>
          </extension>
        </birthDate>
      </Patient>
    </resource>
  </entry>
  <!--     ORGANIZATION NCSR    -->
  <entry>
    <fullUrl value="urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a"/>
    <resource>
      <Organization>
        <id value="ncsr-operator"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
              <code value="NOI"/>
              <display value="National Organisation Identifier"/>
            </coding>
            <text value="PAI-O"/>
          </type>
          <system
                  value="http://ns.electronichealth.net.au/id/pcehr/paio/1.0"/>
          <value value="TBD"/>
        </identifier>
        <name value="National Cancer Screening Register system operator"/>
      </Organization>
    </resource>
  </entry>
  <!--     OBSERVATION     -->
  <entry>
    <fullUrl value="urn:uuid:d9790783-7c28-47a5-a560-293fa335d0b3"/>
    <resource>
      <Observation>
        <id value="nbcsp-02"/>
        <!-- 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? -->
        <meta>
          <lastUpdated value="2022-02-15T07:15:15+10:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:4122"/>
          <value value="24fd20c0-5a07-4e5e-98da-d7d3d498613a"/>
        </identifier>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org.au/CodeSystem/observation-category"/>
            <code value="program"/>
            <display value="Program"/>
          </coding>
          <text value="Cancer screening program"/>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1602081000168109"/>
            <display
                     value="National bowel cancer screening program participation"/>
          </coding>
          <text
                value="National Bowel Cancer Screening Program Participation"/>
        </code>
        <subject>
          <reference value="urn:uuid:90f0d056-c76b-490f-b844-760850348015"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="NI"/>
                <display value="National unique individual identifier"/>
              </coding>
              <text value="IHI"/>
            </type>
            <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
            <value value="8003608000228437"/>
          </identifier>
        </subject>
        <effectiveDateTime value="2022-05-14"/>
        <performer>
          <reference value="urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
                <code value="NOI"/>
                <display value="National Organisation Identifier"/>
              </coding>
              <text value="PAI-O"/>
            </type>
            <system
                    value="http://ns.electronichealth.net.au/id/pcehr/paio/1.0"/>
            <value value="TBD"/>
          </identifier>
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1603781000168102"/>
              <display value="Program participation status"/>
            </coding>
            <text value="Participant status"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1602001000168101"/>
              <display value="Active participation"/>
            </coding>
            <text value="Actively Screening"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1603791000168104"/>
              <display value="Program participation status period"/>
            </coding>
            <text value="Participant status period"/>
          </code>
          <!-- Patient deferred for 6 months so keeps status of New to screening for a 6 month period -->
          <valuePeriod>
            <start value="2022-02-05"/>
            <end value="2022-08-05"/>
          </valuePeriod>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1603871000168108"/>
              <display value="Program participation suspension indicator"/>
            </coding>
            <text value="Defer flag"/>
          </code>
          <!-- Patient deferred -->
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1604041000168107"/>
              <display value="Program forecast status"/>
            </coding>
            <text value="Next screening action"/>
          </code>
          <valueCodeableConcept>
            <text value="Due Now (eligible since 50th birthday)"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
</Bundle>