Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
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
<Bundle xmlns="http://hl7.org/fhir">
<!-- WORK IN PROGRESS -->
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<lastUpdated value="2020-06-03T11:00:00+10:00"/>
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<identifier>
<system value="urn:ietf:rfc:3986"/>
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<timestamp value="2020-06-03T11:00:00+10:00"/>
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<id value="2384da13-ff91-4e05-930f-2d7a034ea713"/>
<meta>
<lastUpdated value="2020-06-03T11:00:00+10:00"/>
<profile
value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-es-narrative-1"/>
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<language value="en-AU"/>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
<h1>Event Summary</h1>
<p><b>subject</b>: ZHANG Wei; MC = 29533070311; IHI = 8003608000228437; gender = male</p>
<p><b>status</b>: final</p>
<p><b>date</b>: 30/05/2020 10:00:00 AM</p>
<p><b>author</b>: Dr Greg Algrester, HPI-I = 8003614900041243; Contact: 0491579760 or
drgreg@algregstermedical.example.com</p>
<p><b>attester</b>: Dr Greg Algrester, HPI-I = 8003614900041243; Contact: 0491579760 or
drgreg@algregstermedical.example.com</p>
<p><b>custodian</b>: Algregster Medical Centre; HPI-O = 8003621566699776;
info@algregstermedical.example.com; ph: (07) 5550 2427</p>
</div>
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<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="34133-9"/>
<display value="Summary of episode note"/>
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<category>
<coding>
<system value="http://loinc.org"/>
<code value="34133-9"/>
<display value="Summary of episode note"/>
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<subject>
<reference value="urn:uuid:3a72f2d2-c9ed-40a4-beac-01c14dcf244a"/>
<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"/>
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<encounter>
<reference value="urn:uuid:6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"/>
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<date value="2020-05-30T10:00:00+10:00"/>
<author>
<reference value="urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2"/>
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<title value="Event Summary"/>
<attester>
<mode value="legal"/>
<time value="2020-05-30T10:00:00+10:00"/>
<party>
<reference value="urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2"/>
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<custodian>
<reference value="urn:uuid:021fff67-c5ec-438f-9520-ce9bafee1306"/>
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<section>
<title value="Allergies and Adverse Reactions"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
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<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
<p>No known allergies</p>
</div>
</text>
</section>
<section>
<title value="Medications"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
<table border="1">
<caption>Medicines List</caption>
<thead>
<tr>
<th>Medicine</th>
<th>Directions</th>
<th>Clinical Indication/Change description</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr>
<td><b>Bactrim</b> DS - tablet</td>
<td>Take 2 tablets twice a day</td>
<td>To treat bacterial infections</td>
<td>New prescription</td>
</tr>
<tr>
<td><b>Panadol</b> 500mg - tablet</td>
<td>Take 1 tablet four times a day</td>
<td>For pain</td>
<td>New</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<section>
<title value="Problems"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
</coding>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<code value="101.16117"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
<table border="1">
<caption>Condition Details</caption>
<thead>
<tr>
<th>Condition</th>
<th>Onset Date Time</th>
</tr>
</thead>
<tbody>
<tr>
<td>Urinary tract infection</td>
<td>2020-05-10</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<section>
<title value="Diagnostic Investigations"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
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<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
<table border="1">
<caption>Diagnostic results</caption>
<thead>
<tr>
<th>Test</th>
<th>Result</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td>Culture and sensitivity</td>
<td>Escherichia coli grown</td>
<td>2020-05-10</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
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<entry>
<fullUrl value="urn:uuid:3a72f2d2-c9ed-40a4-beac-01c14dcf244a"/>
<resource>
<Patient>
<id value="3a72f2d2-c9ed-40a4-beac-01c14dcf244a"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_3a72f2d2-c9ed-40a4-beac-01c14dcf244a"> </a><p class="res-header-id"><b>Generated Narrative: Patient 3a72f2d2-c9ed-40a4-beac-01c14dcf244a</b></p><a name="3a72f2d2-c9ed-40a4-beac-01c14dcf244a"> </a><a name="hc3a72f2d2-c9ed-40a4-beac-01c14dcf244a"> </a><a name="3a72f2d2-c9ed-40a4-beac-01c14dcf244a-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="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 yue}">Cantonese</span> (preferred)</td></tr><tr><td style="background-color: #f3f5da" title="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."><a href="http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthPlace.html">Patient Birth Place</a></td><td colspan="3">China</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/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<text value="China"/>
<country value="CHN"/>
</valueAddress>
</extension>
<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>
<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"/>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="yue"/>
</coding>
<text value="Cantonese"/>
</language>
<preferred value="true"/>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:40a94071-8373-4d53-a788-63b79c75a3c1"/>
<resource>
<Practitioner>
<id value="40a94071-8373-4d53-a788-63b79c75a3c1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_40a94071-8373-4d53-a788-63b79c75a3c1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 40a94071-8373-4d53-a788-63b79c75a3c1</b></p><a name="40a94071-8373-4d53-a788-63b79c75a3c1"> </a><a name="hc40a94071-8373-4d53-a788-63b79c75a3c1"> </a><a name="40a94071-8373-4d53-a788-63b79c75a3c1-en-AU"> </a><p><b>identifier</b>: HPI-I/8003614900041243</p><p><b>name</b>: Greg Algrester </p><p><b>telecom</b>: <a href="mailto:drgreg@algregstermedical.example.com">drgreg@algregstermedical.example.com</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NPI"/>
<display value="National provider identifier"/>
</coding>
<text value="HPI-I"/>
</type>
<system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
<value value="8003614900041243"/>
</identifier>
<name>
<family value="Algrester"/>
<given value="Greg"/>
<prefix value="Dr."/>
</name>
<telecom>
<system value="email"/>
<value value="drgreg@algregstermedical.example.com"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2"/>
<resource>
<PractitionerRole>
<id value="45cad6ac-e9a3-418a-8480-4e64132849f2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_45cad6ac-e9a3-418a-8480-4e64132849f2"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 45cad6ac-e9a3-418a-8480-4e64132849f2</b></p><a name="45cad6ac-e9a3-418a-8480-4e64132849f2"> </a><a name="hc45cad6ac-e9a3-418a-8480-4e64132849f2"> </a><a name="45cad6ac-e9a3-418a-8480-4e64132849f2-en-AU"> </a><p><b>identifier</b>: Employee Number/AMC-GA-001, HPI-I/8003614900041243</p><p><b>practitioner</b>: <a href="Bundle-es-02-doc.html#urn-uuid-40a94071-8373-4d53-a788-63b79c75a3c1">Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000</a></p><p><b>organization</b>: <a href="Bundle-es-02-doc.html#urn-uuid-021fff67-c5ec-438f-9520-ce9bafee1306">Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000</a></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 62247001}">General Practitioner</span></p><p><b>telecom</b>: ph: 0491579760, <a href="mailto:drgreg@algregstermedical.example.com">drgreg@algregstermedical.example.com</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="EI"/>
<display value="Employee number"/>
</coding>
<text value="Employee Number"/>
</type>
<system
value="http://ns.electronichealth.net.au/id/hpio-scoped/service-provider-individual/1.0/8003621566699776"/>
<value value="AMC-GA-001"/>
<assigner>
<display value="Algregster Medical Center QLD"/>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NPI"/>
<display value="National provider identifier"/>
</coding>
<text value="HPI-I"/>
</type>
<system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
<value value="8003614900041243"/>
</identifier>
<practitioner>
<reference value="urn:uuid:40a94071-8373-4d53-a788-63b79c75a3c1"/>
</practitioner>
<organization>
<reference value="urn:uuid:021fff67-c5ec-438f-9520-ce9bafee1306"/>
</organization>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="62247001"/>
</coding>
<text value="General Practitioner"/>
</code>
<telecom>
<system value="phone"/>
<value value="0491579760"/>
</telecom>
<telecom>
<system value="email"/>
<value value="drgreg@algregstermedical.example.com"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:021fff67-c5ec-438f-9520-ce9bafee1306"/>
<resource>
<Organization>
<id value="021fff67-c5ec-438f-9520-ce9bafee1306"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_021fff67-c5ec-438f-9520-ce9bafee1306"> </a><p class="res-header-id"><b>Generated Narrative: Organization 021fff67-c5ec-438f-9520-ce9bafee1306</b></p><a name="021fff67-c5ec-438f-9520-ce9bafee1306"> </a><a name="hc021fff67-c5ec-438f-9520-ce9bafee1306"> </a><a name="021fff67-c5ec-438f-9520-ce9bafee1306-en-AU"> </a><p><b>identifier</b>: HPI-O/8003621566699776</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 288565001}">Medical Centre</span></p><p><b>name</b>: Algregster Medical Centre</p><p><b>telecom</b>: <a href="mailto:info@algregstermedical.example.com">info@algregstermedical.example.com</a>, ph: (07) 5550 2427(Work)</p><p><b>address</b>: 87 Western Esp Tindal RAAF QLD 4655 AU </p></div>
</text>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
<code value="NOI"/>
</coding>
<text value="HPI-O"/>
</type>
<system value="http://ns.electronichealth.net.au/id/hi/hpio/1.0"/>
<value value="8003621566699776"/>
</identifier>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="288565001"/>
<display value="Medical centre"/>
</coding>
<text value="Medical Centre"/>
</type>
<name value="Algregster Medical Centre"/>
<telecom>
<system value="email"/>
<value value="info@algregstermedical.example.com"/>
<use value="work"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="(07) 5550 2427"/>
<use value="work"/>
</telecom>
<address>
<line value="87 Western Esp"/>
<city value="Tindal RAAF"/>
<state value="QLD"/>
<postalCode value="4655"/>
<country value="AU"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"/>
<resource>
<Encounter>
<id value="6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"> </a><p class="res-header-id"><b>Generated Narrative: Encounter 6c39fd65-2a5f-42d0-b3db-20b6416e2b9a</b></p><a name="6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"> </a><a name="hc6c39fd65-2a5f-42d0-b3db-20b6416e2b9a"> </a><a name="6c39fd65-2a5f-42d0-b3db-20b6416e2b9a-en-AU"> </a><p><b>Encounter Description</b>: Patient presented for follow-up with urinary tract infection on 30 May. Complaining of frequent and painful urinating. Midstream urine test was done and revealed urinary infection. Culture and sensitivity test discovered escherichia coli sensitive to Bactrim. Patient was prescribed Bactrim 2 tablets twice a day, and Panadol one tablet 4 times a day. Patient has no allergies.</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode</a> AMB: ambulatory</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 390906007}">Follow-up encounter</span></p><p><b>serviceType</b>: <span title="Codes:{http://snomed.info/sct 700232004}">General medical service</span></p><p><b>subject</b>: <a href="Bundle-es-02-doc.html#urn-uuid-3a72f2d2-c9ed-40a4-beac-01c14dcf244a">Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PPRF}">primary performer</span></td><td><a href="Bundle-es-02-doc.html#urn-uuid-45cad6ac-e9a3-418a-8480-4e64132849f2">Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000</a></td></tr></table><p><b>period</b>: 2020-05-30 09:00:00+1000 --> 2020-05-30 09:30:00+1000</p></div>
</text>
<extension
url="http://hl7.org.au/fhir/StructureDefinition/encounter-description">
<valueString
value="Patient presented for follow-up with urinary tract infection on 30 May. Complaining of frequent and painful urinating. Midstream urine test was done and revealed urinary infection. Culture and sensitivity test discovered escherichia coli sensitive to Bactrim. Patient was prescribed Bactrim 2 tablets twice a day, and Panadol one tablet 4 times a day. Patient has no allergies."/>
</extension>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="390906007"/>
<display value="Follow-up encounter"/>
</coding>
</type>
<serviceType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="700232004"/>
<display value="General medical service"/>
</coding>
</serviceType>
<subject>
<reference value="urn:uuid:3a72f2d2-c9ed-40a4-beac-01c14dcf244a"/>
<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>
<participant>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="PPRF"/>
<display value="primary performer"/>
</coding>
</type>
<individual>
<reference value="urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2"/>
</individual>
</participant>
<period>
<start value="2020-05-30T09:00:00+10:00"/>
<end value="2020-05-30T09:30:00+10:00"/>
</period>
</Encounter>
</resource>
</entry>
</Bundle>
IG © 2023+ Australian Digital Health Agency. Package au.digitalhealth.r4#1.2.0-ci-build based on FHIR 4.0.1. Generated 2024-09-12
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