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
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🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-document-1"
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// Composition
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"fullUrl" : "urn:uuid:2c1ab134-1b8d-409b-9658-055481d1aafd",
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"resourceType" : "Composition",
"id" : "2c1ab134-1b8d-409b-9658-055481d1aafd",
"meta" : {
"profile" : [
🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-acp-1"
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"language" : "en-AU",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-AU\" lang=\"en-AU\"><a name=\"Composition_2c1ab134-1b8d-409b-9658-055481d1aafd\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition 2c1ab134-1b8d-409b-9658-055481d1aafd</b></p><a name=\"2c1ab134-1b8d-409b-9658-055481d1aafd\"> </a><a name=\"hc2c1ab134-1b8d-409b-9658-055481d1aafd\"> </a><a name=\"2c1ab134-1b8d-409b-9658-055481d1aafd-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\">Language: en-AU</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dh-composition-acp-1.html\">ADHA Advance Care Planning Composition</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:uuid:c11d66bb-f3db-4049-901e-ad3c04488a4b</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1 100.32016}\">Goals of Care</span></p><p><b>category</b>: <span title=\"Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1 100.16975}\">Advance Care Information</span></p><p><b>date</b>: 2019-11-03 12:35:00+1000</p><p><b>author</b>: <a href=\"Bundle-goc-01.html#urn-uuid-f6851641-21f0-48cc-a0d8-2b849de8d73f\">Bundle: identifier = UUID:13dcec10-3d1e-45ac-8452-6cd08009ec0c; type = collection</a></p><p><b>title</b>: Goals of Care</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Legal</td><td>2019-11-03 12:35:00+1000</td><td><a href=\"Bundle-goc-01.html#urn-uuid-f6851641-21f0-48cc-a0d8-2b849de8d73f\">Bundle: identifier = UUID:13dcec10-3d1e-45ac-8452-6cd08009ec0c; type = collection</a></td></tr></table><p><b>custodian</b>: <a href=\"Bundle-goc-01.html#urn-uuid-2909006e-038b-4aa2-862c-a4086ded952a\">Bundle: identifier = UUID:13dcec10-3d1e-45ac-8452-6cd08009ec0c; type = collection</a></p></div>"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:c11d66bb-f3db-4049-901e-ad3c04488a4b"
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"status" : "final",
"type" : {
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
"code" : "100.32016",
"display" : "Goals of Care Document"
}
],
"text" : "Goals of Care"
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"category" : [
{
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
"code" : "100.16975",
"display" : "Advance Care Information"
}
]
}
],
"subject" : {
"reference" : "urn:uuid:6f3fb520-5fc7-419d-9c3c-1d1b559d02ce",
"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" : "8003608000228437"
}
},
"date" : "2019-11-03T12:35:00+10:00",
"author" : [
{
"reference" : "urn:uuid:f6851641-21f0-48cc-a0d8-2b849de8d73f"
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"title" : "Goals of Care",
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{
"mode" : "legal",
"time" : "2019-11-03T12:35:00+10:00",
"party" : {
"reference" : "urn:uuid:f6851641-21f0-48cc-a0d8-2b849de8d73f"
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}
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"custodian" : {
"reference" : "urn:uuid:2909006e-038b-4aa2-862c-a4086ded952a"
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"section" : [
{
"title" : "Goals of Care",
"code" : {
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
"code" : "100.16975",
"display" : "Advance Care Information"
}
]
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"entry" : [
{
"reference" : "urn:uuid:2fe9873a-0eea-415a-89ae-0b82ff2b3d0b"
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{
"fullUrl" : "urn:uuid:6f3fb520-5fc7-419d-9c3c-1d1b559d02ce",
"resource" : {
"resourceType" : "Patient",
"id" : "6f3fb520-5fc7-419d-9c3c-1d1b559d02ce",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <h3>Derived Narrative with Details</h3>\n </p>\n <p>\n <b>Mr Zhang Wei</b>\n </p>\n <p>\n <b>IHI:</b> 8003608000228437 <b>Medicare Number:</b> 29533070311\n </p>\n <p>\n <b>Date Of Birth:</b> 1972-05-03 \n </p>\n <p>\n <b>Country of Birth:</b> China <b>Year of Arrival:</b> 2017\n </p>\n <p>\n <b>Indigenous Status:</b> Neither Aboriginal nor Torres Strait Islander origin\n </p>\n \n <p>\n <b>Interpreter Required?</b> Yes <b>Preferred Language:</b> Cantonese (yue)\n </p>\n </div>"
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{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
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"text" : "China",
"country" : "CHN"
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{
"url" : "http://hl7.org.au/fhir/StructureDefinition/indigenous-status",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1",
"code" : "4",
"display" : "Neither Aboriginal nor Torres Strait Islander origin"
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{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired",
"valueBoolean" : true
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{
"url" : "http://hl7.org.au/fhir/StructureDefinition/date-of-arrival",
"valueDate" : "2017"
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],
"identifier" : [
{
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/ihi-status",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/ihi-status-1",
"code" : "active"
}
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/ihi-record-status",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/ihi-record-status-1",
"code" : "verified",
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"type" : {
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"code" : "NI"
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"text" : "IHI"
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"system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value" : "8003608000228437"
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{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MC"
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"text" : "Medicare Number"
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"system" : "http://ns.electronichealth.net.au/id/medicare-number",
"value" : "29533070311"
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],
"name" : [
{
"family" : "Zhang",
"given" : [
"Wei"
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"prefix" : [
"Mr"
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],
"gender" : "male",
"birthDate" : "1972-05-03",
"_birthDate" : {
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/date-accuracy-indicator-1",
"code" : "AAA",
"display" : "Day, month and year are accurate"
}
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]
},
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "yue"
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],
"text" : "Cantonese"
},
"preferred" : true
}
]
}
},
{
"fullUrl" : "urn:uuid:f6851641-21f0-48cc-a0d8-2b849de8d73f",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "f6851641-21f0-48cc-a0d8-2b849de8d73f",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_f6851641-21f0-48cc-a0d8-2b849de8d73f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole f6851641-21f0-48cc-a0d8-2b849de8d73f</b></p><a name=\"f6851641-21f0-48cc-a0d8-2b849de8d73f\"> </a><a name=\"hcf6851641-21f0-48cc-a0d8-2b849de8d73f\"> </a><a name=\"f6851641-21f0-48cc-a0d8-2b849de8d73f-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-goc-01.html#urn-uuid-2909006e-038b-4aa2-862c-a4086ded952a\">Bundle: identifier = UUID:13dcec10-3d1e-45ac-8452-6cd08009ec0c; type = collection</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>"
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"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "EI",
"display" : "Employee number"
}
],
"text" : "Employee Number"
},
"system" : "http://ns.electronichealth.net.au/id/hpio-scoped/service-provider-individual/1.0/8003621566699776",
"value" : "AMC-GA-001",
"assigner" : {
"display" : "Algregster Medical Center QLD"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NPI",
"display" : "National provider identifier"
}
],
"text" : "HPI-I"
},
"system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
"value" : "8003614900041243"
}
],
"practitioner" : {
"reference" : "urn:uuid:40a94071-8373-4d53-a788-63b79c75a3c1"
},
"organization" : {
"reference" : "urn:uuid:2909006e-038b-4aa2-862c-a4086ded952a"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "62247001"
}
],
"text" : "General Practitioner"
}
],
"telecom" : [
{
"system" : "phone",
"value" : "0491579760"
},
{
"system" : "email",
"value" : "drgreg@algregstermedical.example.com"
}
]
}
},
{
"fullUrl" : "urn:uuid:40a94071-8373-4d53-a788-63b79c75a3c1",
"resource" : {
"resourceType" : "Practitioner",
"id" : "40a94071-8373-4d53-a788-63b79c75a3c1",
"text" : {
"status" : "generated",
"div" : "<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>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NPI",
"display" : "National provider identifier"
}
],
"text" : "HPI-I"
},
"system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
"value" : "8003614900041243"
}
],
"name" : [
{
"family" : "Algrester",
"given" : [
"Greg"
],
"prefix" : [
"Dr."
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "drgreg@algregstermedical.example.com"
}
]
}
},
{
"fullUrl" : "urn:uuid:2909006e-038b-4aa2-862c-a4086ded952a",
"resource" : {
"resourceType" : "Organization",
"id" : "2909006e-038b-4aa2-862c-a4086ded952a",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_2909006e-038b-4aa2-862c-a4086ded952a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 2909006e-038b-4aa2-862c-a4086ded952a</b></p><a name=\"2909006e-038b-4aa2-862c-a4086ded952a\"> </a><a name=\"hc2909006e-038b-4aa2-862c-a4086ded952a\"> </a><a name=\"2909006e-038b-4aa2-862c-a4086ded952a-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>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "NOI"
}
],
"text" : "HPI-O"
},
"system" : "http://ns.electronichealth.net.au/id/hi/hpio/1.0",
"value" : "8003621566699776"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "288565001",
"display" : "Medical centre"
}
],
"text" : "Medical Centre"
}
],
"name" : "Algregster Medical Centre",
"telecom" : [
{
"system" : "email",
"value" : "info@algregstermedical.example.com",
"use" : "work"
},
{
"system" : "phone",
"value" : "(07) 5550 2427",
"use" : "work"
}
],
"address" : [
{
"line" : [
"87 Western Esp"
],
"city" : "Tindal RAAF",
"state" : "QLD",
"postalCode" : "4655",
"country" : "AU"
}
]
}
},
{
"fullUrl" : "urn:uuid:2fe9873a-0eea-415a-89ae-0b82ff2b3d0b",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "2fe9873a-0eea-415a-89ae-0b82ff2b3d0b",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_2fe9873a-0eea-415a-89ae-0b82ff2b3d0b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference 2fe9873a-0eea-415a-89ae-0b82ff2b3d0b</b></p><a name=\"2fe9873a-0eea-415a-89ae-0b82ff2b3d0b\"> </a><a name=\"hc2fe9873a-0eea-415a-89ae-0b82ff2b3d0b\"> </a><a name=\"2fe9873a-0eea-415a-89ae-0b82ff2b3d0b-en-AU\"> </a><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:uuid:738b6ba4-709a-4091-ad05-4790f39e17bc</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:uuid:738b6ba4-709a-4091-ad05-4790f39e17bc</p><p><b>status</b>: Current</p><p><b>docStatus</b>: Final</p><p><b>type</b>: <span title=\"Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1 100.32016}\">Goals of Care</span></p><p><b>category</b>: <span title=\"Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1 100.16975}\">Advance Care Information</span></p><p><b>subject</b>: <a href=\"Bundle-goc-01.html#urn-uuid-6f3fb520-5fc7-419d-9c3c-1d1b559d02ce\">Bundle: identifier = UUID:13dcec10-3d1e-45ac-8452-6cd08009ec0c; type = collection</a></p><p><b>date</b>: 2019-11-03 12:35:00+1000</p><p><b>author</b>: <a href=\"Bundle-goc-01.html#urn-uuid-f6851641-21f0-48cc-a0d8-2b849de8d73f\">Bundle: identifier = UUID:13dcec10-3d1e-45ac-8452-6cd08009ec0c; type = collection</a></p><p><b>authenticator</b>: <a href=\"Bundle-goc-01.html#urn-uuid-f6851641-21f0-48cc-a0d8-2b849de8d73f\">Bundle: identifier = UUID:13dcec10-3d1e-45ac-8452-6cd08009ec0c; type = collection</a></p><p><b>custodian</b>: <a href=\"Bundle-goc-01.html#urn-uuid-2909006e-038b-4aa2-862c-a4086ded952a\">Bundle: identifier = UUID:13dcec10-3d1e-45ac-8452-6cd08009ec0c; type = collection</a></p><p><b>description</b>: Goals of Care</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td><td><b>Hash</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td>goc_attachment.pdf</td><td><code>IiZNlyLY4gyewfICeWhFe2NcDDw=</code></td></tr></table></blockquote></div>"
},
"masterIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:738b6ba4-709a-4091-ad05-4790f39e17bc"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:738b6ba4-709a-4091-ad05-4790f39e17bc"
}
],
"status" : "current",
"docStatus" : "final",
"type" : {
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
"code" : "100.32016",
"display" : "Goals of Care Document"
}
],
"text" : "Goals of Care"
},
"category" : [
{
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
"code" : "100.16975",
"display" : "Advance Care Information"
}
]
}
],
"subject" : {
"reference" : "urn:uuid:6f3fb520-5fc7-419d-9c3c-1d1b559d02ce",
"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" : "8003608000228437"
}
},
"date" : "2019-11-03T12:35:00+10:00",
"author" : [
{
"reference" : "urn:uuid:f6851641-21f0-48cc-a0d8-2b849de8d73f"
}
],
"authenticator" : {
"reference" : "urn:uuid:f6851641-21f0-48cc-a0d8-2b849de8d73f"
},
"custodian" : {
"reference" : "urn:uuid:2909006e-038b-4aa2-862c-a4086ded952a"
},
"description" : "Goals of Care",
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "goc_attachment.pdf",
"hash" : "IiZNlyLY4gyewfICeWhFe2NcDDw="
}
}
]
}
}
]
}