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 Program Participation View (Bundle) for Mr Zhang Wei (16 MAY 2022) - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ncspv-doc-03"/>
  <!-- Bundle for 'data out' from MHR to CIS  -->
  <meta>
    <lastUpdated value="2022-02-15T07:15:15+10:00"/>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-document-1"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:bc7db961-b74e-4f76-955d-8948d14cee24"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2022-05-16T13:45:15+10:00"/>
  <!--     COMPOSITION     -->
  <entry>
    <fullUrl value="urn:uuid:3f25cb71-1ecc-406d-94fc-012308834145"/>
    <resource>
      <Composition>
        <id value="ncspv-03"/>
        <meta>
          <profile
                   value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-document-1"/>
        </meta>
        <language value="en-AU"/>
        <!-- Workaround to trigger IG Publisher generated narrative  -->
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU">
                        <h1>National Cancer Screening Register Program View</h1>
                        <h3>16/02/2022 | 01:45 PM | My Health Record</h3>
                        <p><b>View metadata</b>: id: urn:uuid:75e5fe3d-7520-4a74-8eff-ab39f148c835s  <b>status</b>: final</p>
                    </div>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:75e5fe3d-7520-4a74-8eff-ab39f148c835"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system
                    value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
            <code value="100.32040"/>
            <display
                     value="National Cancer Screening Program Participation View"/>
          </coding>
        </type>
        <category>
          <coding>
            <system
                    value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
            <code value="100.32039"/>
            <display value="Disease Screening Program Participation Record"/>
          </coding>
        </category>
        <subject>
          <reference value="urn:uuid:5262f368-8f3e-43ae-be0f-f54541d4329e"/>
          <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>
        <date value="2022-05-16T13:45:15+10:00"/>
        <author>
          <reference value="urn:uuid:12247b36-1383-42ca-abb4-daa0ebbd82d2"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
                <code value="NDI"/>
                <display value="National Device Identifier"/>
              </coding>
              <text value="PAI-D"/>
            </type>
            <system
                    value="http://ns.electronichealth.net.au/id/pcehr/paid/1.0"/>
            <value value="8003640003000026"/>
          </identifier>
        </author>
        <title value="National Cancer Screening Register Program View"/>
        <custodian>
          <reference value="urn:uuid:d0bc0370-08f3-4b6d-b32d-e463535982f7"/>
          <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="8003640001000036"/>
          </identifier>
        </custodian>
        <section>
          <title value="Programs"/>
          <code>
            <coding>
              <system
                      value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
              <code value="101.32046"/>
              <display value="Health Program Information"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">
                            <table style="border-collapse:collapse;border-spacing:0;width:100%;">
                                <caption>National Bowel Cancer Screening Program Participation</caption>
                                <tr>
                                    <th style="border-collapse:collapse;border-spacing:0;font-family:Arial, sans-serif;font-size:14px;font-weight:normal;padding:10px 5px;border-style:solid;border-width:1px;overflow:hidden;word-break:normal;border-color:black;font-weight:bold;background-color:#9b9b9b;border-color:#000000;text-align:left;vertical-align:top">Participant Status</th>
                                    <th style="border-collapse:collapse;border-spacing:0;font-family:Arial, sans-serif;font-size:14px;font-weight:normal;padding:10px 5px;border-style:solid;border-width:1px;overflow:hidden;word-break:normal;border-color:black;font-weight:bold;background-color:#9b9b9b;border-color:#000000;text-align:left;vertical-align:top">Participant Status Period</th>
                                    <th style="border-collapse:collapse;border-spacing:0;font-family:Arial, sans-serif;font-size:14px;font-weight:normal;padding:10px 5px;border-style:solid;border-width:1px;overflow:hidden;word-break:normal;border-color:black;font-weight:bold;background-color:#9b9b9b;border-color:#000000;text-align:left;vertical-align:top">Defer flag</th>
                                    <th style="border-collapse:collapse;border-spacing:0;font-family:Arial, sans-serif;font-size:14px;font-weight:normal;padding:10px 5px;border-style:solid;border-width:1px;overflow:hidden;word-break:normal;border-color:black;font-weight:bold;background-color:#9b9b9b;border-color:#000000;text-align:left;vertical-align:top">Next Action</th>
                                </tr>
                                <tr>
                                    <td style="border-collapse:collapse;border-spacing:0;font-family:Arial, sans-serif;font-size:14px;padding:10px 5px;border-style:solid;border-width:1px;overflow:hidden;word-break:normal;border-color:black;border-color:#000000;text-align:left;vertical-align:top">New to Screening</td>
                                    <td style="border-collapse:collapse;border-spacing:0;font-family:Arial, sans-serif;font-size:14px;padding:10px 5px;border-style:solid;border-width:1px;overflow:hidden;word-break:normal;border-color:black;border-color:#000000;text-align:left;vertical-align:top">05/02/2022 to 05/08/2022</td>
                                    <td style="border-collapse:collapse;border-spacing:0;font-family:Arial, sans-serif;font-size:14px;padding:10px 5px;border-style:solid;border-width:1px;overflow:hidden;word-break:normal;border-color:black;border-color:#000000;text-align:left;vertical-align:top">Yes</td>
                                    <td style="border-collapse:collapse;border-spacing:0;font-family:Arial, sans-serif;font-size:14px;padding:10px 5px;border-style:solid;border-width:1px;overflow:hidden;word-break:normal;border-color:black;border-color:#000000;text-align:left;vertical-align:top">Due Now (eligible since 50th birthday)</td>
                                </tr>
                            </table>
                        </div>
          </text>
          <entry>
            <reference value="urn:uuid:c722b26d-cbde-4a61-9d73-de71e117dcfd"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <!--     PATIENT     -->
  <entry>
    <fullUrl value="urn:uuid:5262f368-8f3e-43ae-be0f-f54541d4329e"/>
    <resource>
      <Patient>
        <id value="mhr-zhang-wei"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>
                            <b>Mr Zhang Wei</b>
                        </h3>
                        <p>
                            <b>IHI:</b> 8003608000228437   <b>Medicare Number:</b> 29533070311
                        </p>
                        <p>
                            <b>Date Of Birth:</b> 1972-05-03 
                        </p>
                        <p>
                            <b>Country of Birth:</b> China    <b>Year of Arrival:</b> 2017
                        </p>
                        <p>
                            <b>Indigenous Status:</b> Neither Aboriginal nor Torres Strait Islander origin
                        </p>
                        
                        <p>
                            <b>Interpreter Required?</b> Yes   <b>Preferred Language:</b> Cantonese (yue)
                        </p>
                    </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>
          <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>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="yue"/>
            </coding>
            <text value="Cantonese"/>
          </language>
          <preferred value="true"/>
        </communication>
      </Patient>
    </resource>
  </entry>
  <!--     DEVICE MHR    -->
  <entry>
    <fullUrl value="urn:uuid:12247b36-1383-42ca-abb4-daa0ebbd82d2"/>
    <resource>
      <Device>
        <id value="mhr-01"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_mhr-01"> </a><p class="res-header-id"><b>Generated Narrative: Device mhr-01</b></p><a name="mhr-01"> </a><a name="hcmhr-01"> </a><a name="mhr-01-en-AU"> </a><p><b>identifier</b>: PAI-D/8003640003000026</p><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>My Health Record system</td><td>other</td></tr></table><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 1084991000168108}">My Health Record system</span></p><p><b>owner</b>: <a href="Bundle-ncspv-doc-03.html#urn-uuid-d0bc0370-08f3-4b6d-b32d-e463535982f7">Bundle: identifier = UUID:bc7db961-b74e-4f76-955d-8948d14cee24; type = document; timestamp = 2022-05-16 13:45:15+1000</a></p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
              <code value="NDI"/>
              <display value="National Device Identifier"/>
            </coding>
            <text value="PAI-D"/>
          </type>
          <system
                  value="http://ns.electronichealth.net.au/id/pcehr/paid/1.0"/>
          <value value="8003640003000026"/>
        </identifier>
        <deviceName>
          <name value="My Health Record system"/>
          <type value="other"/>
        </deviceName>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1084991000168108"/>
            <display value="My Health Record system"/>
          </coding>
          <text value="My Health Record system"/>
        </type>
        <owner>
          <reference value="urn:uuid:d0bc0370-08f3-4b6d-b32d-e463535982f7"/>
        </owner>
      </Device>
    </resource>
  </entry>
  <!--     ORGANIZATION MHR    -->
  <entry>
    <fullUrl value="urn:uuid:d0bc0370-08f3-4b6d-b32d-e463535982f7"/>
    <resource>
      <Organization>
        <id value="mhr-operator"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_mhr-operator"> </a><p class="res-header-id"><b>Generated Narrative: Organization mhr-operator</b></p><a name="mhr-operator"> </a><a name="hcmhr-operator"> </a><a name="mhr-operator-en-AU"> </a><p><b>identifier</b>: PAI-O/8003640001000036</p><p><b>name</b>: My Health Record 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="8003640001000036"/>
        </identifier>
        <name value="My Health Record system operator"/>
      </Organization>
    </resource>
  </entry>
  <!--     ORGANIZATION NCSR    -->
  <entry>
    <fullUrl value="urn:uuid:eaadd89b-cded-4872-a1ff-d1230e9e7495"/>
    <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><p><b>partOf</b>: <a href="Bundle-ncspv-doc-03.html#urn-uuid-a73db507-e5ed-4865-a20e-45062fb2c7f4">Bundle: identifier = UUID:bc7db961-b74e-4f76-955d-8948d14cee24; type = document; timestamp = 2022-05-16 13:45:15+1000</a></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"/>
        <partOf>
          <reference value="urn:uuid:a73db507-e5ed-4865-a20e-45062fb2c7f4"/>
        </partOf>
      </Organization>
    </resource>
  </entry>
  <!--     ORGANIZATION Services Australia    -->
  <entry>
    <fullUrl value="urn:uuid:a73db507-e5ed-4865-a20e-45062fb2c7f4"/>
    <resource>
      <Organization>
        <id value="servicesau"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_servicesau"> </a><p class="res-header-id"><b>Generated Narrative: Organization servicesau</b></p><a name="servicesau"> </a><a name="hcservicesau"> </a><a name="servicesau-en-AU"> </a><p><b>identifier</b>: ABN/90794605008</p><p><b>type</b>: <span title="Codes:">Commonwealth Government Entity</span></p><p><b>name</b>: Services Australia</p><p><b>telecom</b>: <a href="https://www.servicesaustralia.gov.au/">https://www.servicesaustralia.gov.au/</a></p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="XX"/>
            </coding>
            <text value="ABN"/>
          </type>
          <system value="http://hl7.org.au/id/abn"/>
          <value value="90794605008"/>
        </identifier>
        <type>
          <text value="Commonwealth Government Entity"/>
        </type>
        <name value="Services Australia"/>
        <telecom>
          <system value="url"/>
          <value value="https://www.servicesaustralia.gov.au/"/>
          <use value="work"/>
        </telecom>
      </Organization>
    </resource>
  </entry>
  <!--     OBSERVATION     -->
  <entry>
    <fullUrl value="urn:uuid:c722b26d-cbde-4a61-9d73-de71e117dcfd"/>
    <!-- 14.	Forecast status validity period is not provided in this scenario -->
    <resource>
      <Observation>
        <id value="nbcsp-02"/>
        <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><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-ncspv-doc-03.html#urn-uuid-5262f368-8f3e-43ae-be0f-f54541d4329e">Bundle: identifier = UUID:bc7db961-b74e-4f76-955d-8948d14cee24; type = document; timestamp = 2022-05-16 13:45:15+1000</a></p><p><b>effective</b>: 2022-05-14</p><p><b>performer</b>: <a href="Bundle-ncspv-doc-03.html#urn-uuid-eaadd89b-cded-4872-a1ff-d1230e9e7495">Bundle: identifier = UUID:bc7db961-b74e-4f76-955d-8948d14cee24; type = document; timestamp = 2022-05-16 13:45:15+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>
        <!-- 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? -->
        <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:5262f368-8f3e-43ae-be0f-f54541d4329e"/>
          <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>
        <!-- Records date this program participation information is asserted as 'true'  -->
        <effectiveDateTime value="2022-05-14"/>
        <performer>
          <reference value="urn:uuid:eaadd89b-cded-4872-a1ff-d1230e9e7495"/>
          <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>
        <!-- 1.	Program participation status  -->
        <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>
        <!-- 2.	Program participation status validity period  -->
        <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>
        <!-- 3.	Suspension of program participation  -->
        <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>
        <!-- 13. Forecast status  -->
        <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>