{ "resourceType": "Bundle", "id": "ncdhc-composition-view-antenatal-visit-example", "meta": { "versionId": "1", "lastUpdated": "2020-03-19T00:00:00Z" }, "identifier": { "system": "urn:ietf:rfc:3986", "value": "urn:uuid:0c4151bd-1cbf-4d64-b04d-cd9187a4c6e0" }, "type": "document", "entry": [ { "fullUrl": "https://ncdhc.health.gov.au/fhir/v1.0.0/Composition/0308a72a8-df75-4484-ac89-ac4923f0066", "resource": { "resourceType": "Composition", "id": "0308a72a8-df75-4484-ac89-ac4923f0066", "meta": { "versionId": "1", "lastUpdated": "2020-03-16T00:00:00Z", "profile": [ "http://hl7.org.au/fhir/ch/v1/StructureDefinition/ncdhc-composition-view-antenatal-visit" ] }, "status": "final", "type": { "coding": [ { "system": "http://hl7.org.au/fhir/ch/v1/CodeSystem/ncdhc-hi-type-1", "code": "ANTVSTVW" } ], "text": "Antenatal Visit View" }, "subject": { "reference": "Patient/dd78393f-37ca-4738-81d6-d9595b2e5d0f", "display": "Eve Bill" }, "date": "2020-03-16T12:30:02Z", "author": [ { "reference": "Device/3db74777-fd3d-4d3b-92ec-d405977a11a5", "display": "Child Data Hub" } ], "title": "My Visit Information", "confidentiality": "N", "attester": [ { "mode": [ "professional" ], "time": "2020-03-16T12:30:02Z", "party": { "reference": "Organization/od78393f-37ca-4738-81d6-d9595b2e5d0f" } } ], "section": [ { "title": "My Information", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "18114009" } ] }, "entry": [ { "reference": "https://ncdhc.health.gov.au/fhir/v1.0.0/QuestionnaireResponse/6b33531a-7533-11ea-bc55-0242ac130004" } ] }, { "title": "Baby's Information", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "713117007" } ] }, "entry": [ { "reference": "https://ncdhc.health.gov.au/fhir/v1.0.0/QuestionnaireResponse/6b33531a-7533-11ea-bc55-0242ac130005" } ] }, { "title": "Progress Notes and Next Visist", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "11429006" } ] }, "entry": [ { "reference": "https://ncdhc.health.gov.au/fhir/v1.0.0/QuestionnaireResponse/6b33531a-7533-11ea-bc55-0242ac130003" } ] }, { "title": "My Alcohol, Tobacco and Other Drug screening", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1461961000168106" } ] }, "entry": [ { "reference": "https://ncdhc.health.gov.au/fhir/v1.0.0/QuestionnaireResponse/6b33531a-7533-11ea-bc55-0242ac130006" } ] } ] } }, { "fullUrl": "https://ncdhc.health.gov.au/fhir/v1.0.0/Patient/dd78393f-37ca-4738-81d6-d9595b2e5d0f", "resource": { "resourceType": "Patient", "id": "dd78393f-37ca-4738-81d6-d9595b2e5d0f", "meta": { "versionId": "1", "lastUpdated": "2019-12-27T16:13:03Z", "profile": [ "http://hl7.org.au/fhir/ch/v1/StructureDefinition/ncdhc-patient-expectant-mother" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://hl7.org/fhir/v2/0203", "code": "NI", "display": "National unique individual identifier" } ], "text": "IHI" }, "system": "http://ns.electronichealth.net.au/id/hi/ihi/1.0", "value": "8003608000024083" }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/v2/0203", "code": "MR", "display": "Medical record number" } ], "text": "Medical Record Number" }, "system": "http://ns.electronichealth.net.au/id/hpio-scoped/medicalrecord/1.0/8003620000000000", "value": "02134000", "assigner": { "display": "Blacktown Hospital" } } ], "active": true, "name": [ { "prefix": [ "Ms" ], "text": "Eve Bill", "family": "Bill", "given": [ "Eve" ] } ], "gender": "female", "birthDate": "2004-12-24", "_birthDate": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime", "valueDateTime": "2004-12-24T14:35:45-05:00" } ] }, "address": [ { "text": "home", "line": [ "31 Pacquola Street" ], "city": "Blacktown", "state": "NSW", "postalCode": "2148", "country": "Australia" } ], "telecom": [ { "system": "email", "value": "testemail.evebill@gmail.com.au", "use": "home" }, { "system": "phone", "value": "0411111567", "use": "mobile" } ] } }, { "fullUrl": "https://ncdhc.health.gov.au/fhir/v1.0.0/Organization/od78393f-37ca-4738-81d6-d9595b2e5d0f", "resource": { "resourceType": "Organization", "id": "od78393f-37ca-4738-81d6-d9595b2e5d0f", "meta": { "versionId": "1", "lastUpdated": "2018-12-27T16:13:03Z", "profile": [ "http://hl7.org.au/fhir/StructureDefinition/au-organisation" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://hl7.org.au/fhir/v2/0203", "code": "NOI", "display": "National Organisation Identifier" } ], "text": "HPI-O" }, "system": "http://ns.electronichealth.net.au/id/hi/hpio/1.0", "value": "8003621566684455" } ], "type": [ { "coding": [ { "system": "http://hl7.org/fhir/organization-type", "code": "prov", "display": "Healthcare Provider" } ] } ], "name": "Blacktown Hospital", "telecom": [ { "system": "email", "value": "enquiries@blacktownhospital.com.au", "use": "work" } ] } }, { "fullUrl": "https://ncdhc.health.gov.au/fhir/v1.0.0/Device/3db74777-fd3d-4d3b-92ec-d405977a11a5", "resource": { "resourceType": "Device", "id": "3db74777-fd3d-4d3b-92ec-d405977a11a5", "meta": { "profile": [ "http://hl7.org.au/fhir/StructureDefinition/au-device" ] }, "text": { "status": "generated", "div": "
Child Data Hub
" }, "status": "active", "version": "v1.0.0" } }, { "fullUrl": "https://ncdhc.health.gov.au/fhir/v1.0.0/QuestionnaireResponse/6b33531a-7533-11ea-bc55-0242ac130003", "resource": { "resourceType": "QuestionnaireResponse", "id": "6b33531a-7533-11ea-bc55-0242ac130003", "meta": { "versionId": "1", "lastUpdated": "2020-04-01T00:00:00Z", "profile": [ "http://hl7.org.au/fhir/ch/v1/StructureDefinition/ncdhc-questionnaireresponse-base" ] }, "questionnaire": { "reference": "Questionnaire/antenatal-visit-nextvst-progresnts-q-en-s1", "display": "Progress Notes and Next Visit" }, "status": "completed", "subject": { "reference": "Patient/ncdhc-patient-expectant-mother-example" }, "item": [ { "id": "1.0.0.0", "linkId": "1", "text": "Progress Notes", "subject": { "reference": "DocumentReference/ncdhc-documentreference-clinical-notes-example" }, "answer": [ { "valueString": "No concerns, pregnancy progressing well" } ] }, { "id": "2.0.0.0", "linkId": "2", "text": "Care Provider", "answer": [ { "valueString": "GP", "item": [ { "id": "2.1.1.0", "linkId": "2.1.1", "text": "Venue", "subject": { "reference": "Encounter/ncdhc-dphr-encounter-example" }, "answer": [ { "valueString": "Morningside General Practice Clinic" } ] }, { "id": "2.1.2.0", "linkId": "2.1.2", "text": "Date & Time", "subject": { "reference": "Encounter/ncdhc-dphr-encounter-example" }, "answer": [ { "valueDateTime": "2019-05-22T00:00:00Z" } ] } ] } ] }, { "id": "3.0.0.0", "linkId": "3", "text": "Next Visit", "subject": { "reference": "Encounter/ncdhc-dphr-encounter-example" }, "answer": [ { "valueDateTime": "2019-06-19T00:00:00Z" } ] }, { "id": "4.0.0.0", "linkId": "4", "text": "Registered interpreter present", "subject": { "reference": "Encounter/ncdhc-dphr-encounter-example" }, "answer": [ { "valueString": "Yes" } ] } ] } }, { "fullUrl": "https://ncdhc.health.gov.au/fhir/v1.0.0/QuestionnaireResponse/6b33531a-7533-11ea-bc55-0242ac130004", "resource": { "resourceType": "QuestionnaireResponse", "id": "6b33531a-7533-11ea-bc55-0242ac130004", "meta": { "versionId": "1", "lastUpdated": "2020-04-14T00:00:00Z", "profile": [ "http://hl7.org.au/fhir/ch/v1/StructureDefinition/ncdhc-questionnaireresponse-base" ] }, "questionnaire": { "reference": "Questionnaire/antenatal-visit-my-info-q-en-s1" }, "status": "completed", "subject": { "reference": "Patient/ncdhc-patient-expectant-mother-example" }, "item": [ { "id": "1.0.0.0", "linkId": "1", "text": "Blood Pressure", "subject": { "reference": "Observation/ncdhc-observation-vitalsign-bp-example" }, "answer": [ { "valueString": "122/70" } ] }, { "id": "2.0.0.0", "linkId": "2", "text": "Weight", "subject": { "reference": "Observation/ncdhc-observation-vitalsign-bodyweight-example" }, "answer": [ { "valueString": "76.5kgs" } ] }, { "id": "3.0.0.0", "linkId": "3", "text": "Fundal Height", "subject": { "reference": "Observation/ncdhc-observation-symphyseal-fundal-height-example" }, "answer": [ { "valueString": "34cm" } ] }, { "id": "4.0.0.0", "linkId": "4", "text": "Urinalysis", "subject": { "reference": "Observation/ncdhc-observation-urinalysis-protein-example" }, "answer": [ { "valueString": "Normal" } ] }, { "id": "5.0.0.0", "linkId": "5", "text": "Discuss breast feeding intention", "subject": { "reference": "Observation/ncdhc-observation-breastfeeding-education-example" }, "answer": [ { "valueString": "Yes" } ] }, { "id": "6.0.0.0", "linkId": "6", "text": "Emotional Health and Wellbeing", "subject": { "reference": "Observation/ncdhc-observation-emotional-health-and-wellbeing-example" }, "answer": [ { "valueString": "Well in self", "item": [ { "id": "6.1.0.1", "linkId": "6.1", "subject": { "reference": "Observation/ncdhc-observation-emotional-health-and-wellbeing-example" }, "item": [ { "id": "6.1.1.1", "linkId": "6.1.1", "text": "Additional Comments", "answer": [ { "valueString": "No current concerns,pregnancy progressing well and Sophia is well supported by her family and partner" } ] } ] } ] } ] } ] } }, { "fullUrl": "https://ncdhc.health.gov.au/fhir/v1.0.0/QuestionnaireResponse/6b33531a-7533-11ea-bc55-0242ac130005", "resource": { "resourceType": "QuestionnaireResponse", "id": "6b33531a-7533-11ea-bc55-0242ac130005", "meta": { "versionId": "1", "lastUpdated": "2020-04-15T00:00:00Z", "profile": [ "http://hl7.org.au/fhir/ch/v1/StructureDefinition/ncdhc-questionnaireresponse-base" ] }, "questionnaire": { "reference": "Questionnaire/antenatal-visit-baby-info-q-en-s1" }, "status": "completed", "subject": { "reference": "Patient/ncdhc-patient-expectant-mother-example" }, "item": [ { "id": "1.0.0.0", "linkId": "1", "text": "Baby Heart Rate", "subject": { "reference": "Observation/ncdhc-observation-vitalsign-heart-rate-example" }, "answer": [ { "valueString": "142" } ] }, { "id": "2.0.0.0", "linkId": "2", "text": "Baby Movements", "subject": { "reference": "Observation/ncdhc-observation-fetal-movement-example" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } } ] }, { "id": "3.0.0.0", "linkId": "3", "text": "Baby Position", "answer": [ { "valueString": "Show details", "item": [ { "id": "3.1.0.1", "linkId": "3.1", "text": "Orientation", "item": [ { "id": "3.1.1.1", "linkId": "3.1.1", "subject": { "display": "Observation/observation-baby-position-ist-1" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "73161006", "display": "Transverse lie" } } ] }, { "id": "3.1.1.2", "linkId": "3.1.1", "subject": { "display": "Observation/observation-baby-position-ist-2" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "408813008", "display": "Direct occipitoanterior position" } } ] }, { "id": "3.1.1.3", "linkId": "3.1.1", "subject": { "display": "Observation/observation-baby-position-ist-3" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "70028003", "display": "Vertex presentation" } } ] } ] } ] } ] }, { "id": "4.0.0.0", "linkId": "4", "text": "Descent", "subject": { "reference": "Observation/ncdhc-observation-head-engagement-example" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "289373001", "display": "Fetal head 1/5 above pelvic brim" } } ] }, { "id": "5.0.0.0", "linkId": "5", "text": "Liquor", "subject": { "reference": "Observation/ncdhc-observation-fetus-liquor-example" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } } ] } ] } }, { "fullUrl": "https://ncdhc.health.gov.au/fhir/v1.0.0/QuestionnaireResponse/6b33531a-7533-11ea-bc55-0242ac130006", "resource": { "resourceType": "QuestionnaireResponse", "id": "6b33531a-7533-11ea-bc55-0242ac130006", "meta": { "versionId": "1", "lastUpdated": "2019-10-31T00:00:00Z", "profile": [ "http://hl7.org.au/fhir/ch/v1/StructureDefinition/ncdhc-questionnaireresponse-base" ] }, "questionnaire": { "reference": "Questionnaire/antenatal-visit-alc-tob-drug-screening-qa-en-s1", "display": "My Alcohol, Tobacco and Other Drug Screening" }, "status": "completed", "subject": { "reference": "Patient/ncdhc-patient-expectant-mother-example" }, "item": [ { "id": "1.0.0.0", "linkId": "1", "text": "Medication Changes", "subject": { "reference": "Observation/ncdhc-observation-medication-pres-change-example" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "373066001", "display": "Yes" }, "item": [ { "id": "1.1.0.1", "linkId": "1.1", "subject": { "reference": "Observation/ncdhc-observation-medication-pres-change-example" }, "item": [ { "id": "1.1.1.1", "linkId": "1.1.1", "text": "Comments", "answer": [ { "valueString": "No medication change suggested" } ] } ] } ] } ] }, { "id": "2.0.0.0", "linkId": "2", "text": "Brief Smoking intervention", "subject": { "reference": "Observation/ncdhc-observation-bi-tobacco-usage-example" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "443938003", "display": "Procedure carried out on subject" }, "item": [ { "id": "2.1.0.1", "linkId": "2.1", "subject": { "reference": "Observation/ncdhc-observation-bi-tobacco-usage-example" }, "item": [ { "id": "2.1.1.1", "linkId": "2.1.1", "text": "Cigarettes per day", "answer": [ { "valueString": "10" } ] }, { "id": "2.1.2.1", "linkId": "2.1.2", "text": "Smoking - Quit date", "answer": [ { "valueDateTime": "2019-12-27T16:13:03Z" } ] } ] } ] } ] }, { "id": "3.0.0.0", "linkId": "3", "text": "Brief Alcohol intervention", "subject": { "reference": "Observation/ncdhc-observation-bi-alcohol-intake-example" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "443938003", "display": "Procedure carried out on subject" }, "item": [ { "id": "3.1.0.1", "linkId": "3.1", "subject": { "reference": "Observation/ncdhc-observation-bi-alcohol-intake-example" }, "item": [ { "id": "3.1.1.1", "linkId": "3.1.1", "text": "Average standard drinks per day", "answer": [ { "valueString": "1" } ] }, { "id": "3.1.2.1", "linkId": "3.1.2", "text": "Alcohol- Quit date", "answer": [ { "valueDateTime": "2019-12-27T16:13:03Z" } ] } ] } ] } ] }, { "id": "4.0.0.0", "linkId": "4", "text": "Other Breif intervention", "subject": { "reference": "Observation/ncdhc-observation-bi-other-example" }, "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "443938003", "display": "Procedure carried out on subject" }, "item": [ { "id": "4.1.0.1", "linkId": "4.1", "subject": { "reference": "Observation/ncdhc-observation-bi-other-example" }, "item": [ { "id": "4.1.1.1", "linkId": "4.1.1", "text": "Intervention type", "answer": [ { "valueString": "Not performed" } ] }, { "id": "4.1.2.1", "linkId": "3.1.2", "text": "Additional Comments", "answer": [ { "valueString": "Not performed" } ] } ] } ] } ] }, { "id": "5.0.0.0", "linkId": "5", "text": "Illicit Drugs", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "443938003", "display": "Procedure carried out on subject" }, "item": [ { "id": "5.1.0.1", "linkId": "5.1", "subject": { "reference": "Observation/ncdhc-observation-illicit-drugs-gestation-example" }, "item": [ { "id": "5.1.1.1", "linkId": "5.1.1", "text": "Drug type", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "387341002", "display": "Heroin" } } ] }, { "id": "5.1.2.1", "linkId": "5.1.2", "text": "Number of weeks", "answer": [ { "valueString": "8w+4d" } ] }, { "id": "5.1.3.1", "linkId": "5.1.3", "text": "Illicir drugs- Quit date", "answer": [ { "valueDateTime": "2019-12-27T16:13:03Z" } ] } ] } ] } ] } ] } }, { "fullUrl": "urn:uuid:od78393f-37ca-4738-81d6-d9595b2e5d0f", "resource": { "resourceType": "Provenance", "id": "od78393f-37ca-4738-81d6-d9595b2e5d0f", "target": [ { "reference": "Composition/0308a72a8-df75-4484-ac89-ac4923f0066" }, { "reference": "Patient/dd78393f-37ca-4738-81d6-d9595b2e5d0f" }, { "reference": "Encounter/ncdhc-dphr-encounter-example" }, { "reference": "Observation/ncdhc-observation-vitalsign-bp-example" }, { "reference": "Observation/ncdhc-observation-vitalsign-bodyweight-example" }, { "reference": "Observation/ncdhc-observation-symphyseal-fundal-height-example" }, { "reference": "Observation/ncdhc-observation-urinalysis-protein-example" }, { "reference": "Observation/ncdhc-observation-breastfeeding-education-example" }, { "reference": "Observation/ncdhc-observation-emotional-health-and-wellbeing-example" }, { "reference": "Observation/ncdhc-observation-fetal-movement-example" }, { "reference": "MedicationStatement/ncdhc-observation-fetus-liquor-example" }, { "reference": "Observation/ncdhc-observation-medication-pres-change-example" }, { "reference": "Observation/ncdhc-observation-bi-tobacco-usage-example" }, { "reference": "Observation/ncdhc-observation-bi-alcohol-intake-example" }, { "reference": "Observation/observation-vitalsign-headcircum-example" }, { "reference": "Observation/ncdhc-observation-bi-other-example" }, { "reference": "Observation/ncdhc-observation-illicit-drugs-gestation-example" }, { "reference": "DocumentReference/ncdhc-documentreference-clinical-notes-example" } ], "period": { "start": "2019-05-27", "end": "2019-05-27" }, "recorded": "2019-05-27T08:39:24+10:00", "agent": [ { "role": [ { "coding": [ { "system": "http://hl7.org/fhir/v3/ParticipationType", "code": "DEV" } ] } ], "whoReference": { "reference": "Device/ncdhc-device-child-data-hub-example" } } ], "entity": [ { "role": "source", "whatReference": { "reference": "DocumentReference/ncdhc-dphr-doc-ref-current-example", "display": "Reference to the FHIR Document in repository" } } ] } } ] }