Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft Australia flag

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 Cleo Moss Esq. (22 MAY 2021) - JSON Representation

Raw json | Download


{
  "resourceType" : "Bundle",
  "id" : "ncsr-01",
  "meta" : // Bundle for 'data in' from NCSR to MHR
  {
    "lastUpdated" : "2021-05-22T10:01:00+10:00",
    "profile" : [
      🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-payload-1"🔗 ,
      "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-core-1"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:5a655945-c2b3-4d01-9e88-224873e32d8d"
  },
  "type" : "collection",
  "timestamp" : "2021-05-22T10:01:00+10:00",
  "entry" : [
    //     PATIENT    
    {
      "fullUrl" : "urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "hi-testdata-moss-cleo",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_hi-testdata-moss-cleo\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient hi-testdata-moss-cleo</b></p><a name=\"hi-testdata-moss-cleo\"> </a><a name=\"hchi-testdata-moss-cleo\"> </a><a name=\"hi-testdata-moss-cleo-en-AU\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Cleo Moss  Female, DoB: 1965-08-23 ( IHI:\u00a0AustalianIHI#8003608833564735)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"mailto:moss@gmail.com\">moss@gmail.com</a></li><li>138 Gateway Ct, CALDER, TAS, 7325(home)</li></ul></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></table></div>"
        },
        "extension" : [
          {
            "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"
            }
          }
        ],
        "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" : "8003608833564735"
          }
        ],
        "name" : [
          {
            "family" : "Moss",
            "given" : [
              "Cleo"
            ],
            "suffix" : [
              "Esq."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "moss@gmail.com"
          }
        ],
        "gender" : "female",
        "birthDate" : "1965-08-23",
        "address" : [
          {
            "use" : "home",
            "text" : "138 Gateway Ct, CALDER, TAS, 7325"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "ncsr-operator",
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                  "code" : "NOI",
                  "display" : "National Organisation Identifier"
                }
              ],
              "text" : "PAI-O"
            },
            "system" : "http://ns.electronichealth.net.au/id/pcehr/paio/1.0",
            "value" : "TBD"
          }
        ],
        "name" : "National Cancer Screening Register system operator"
      }
    },
    {
      "fullUrl" : "urn:uuid:949133cb-de9a-44a7-b3d3-bd0e9d9d2faf",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ncsp-01",
        "meta" : // Scenario: Active screening, next action in 1 year (2021)
    Scenario Description: NCSR receives a Cervical result for participant on 22 May 2021. 
    Status updates to Actively Screening, and their next due date is in 1 year due to the risk category of that participant. 
        // update to id from pcehr doc registration?
        {
          "lastUpdated" : "2021-05-22T10:01:00+10:00"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ncsp-01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ncsp-01</b></p><a name=\"ncsp-01\"> </a><a name=\"hcncsp-01\"> </a><a name=\"ncsp-01-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: 2021-05-22 10:01:00+1000</p></div><p><b>identifier</b>: <code>urn:ietf:rfc:4122</code>/28c02479-27ed-4d95-957b-d6703c2bcc97</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 1602101000168102}\">National Cervical Cancer Screening Program Participation</span></p><p><b>subject</b>: <a href=\"Bundle-ncsr-01.html#urn-uuid-d66d5b80-5965-4d7c-b17b-0344cf896b89\">Bundle: identifier = UUID:5a655945-c2b3-4d01-9e88-224873e32d8d; type = collection; timestamp = 2021-05-22 10:01:00+1000</a></p><p><b>effective</b>: 2021-05-22 10:01:00+1000</p><p><b>performer</b>: <a href=\"Bundle-ncsr-01.html#urn-uuid-d574e9a6-99b1-4959-b3fa-463f7b7f8677\">Bundle: identifier = UUID:5a655945-c2b3-4d01-9e88-224873e32d8d; type = collection; timestamp = 2021-05-22 10:01:00+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>: 2021-05-22 --&gt; (ongoing)</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>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1604051000168109}\">Next screening action date</span></p><p><b>value</b>: 2022-05-22</p></blockquote></div>"
        },
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:4122",
            "value" : "28c02479-27ed-4d95-957b-d6703c2bcc97"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org.au/CodeSystem/observation-category",
                "code" : "program",
                "display" : "Program"
              }
            ],
            "text" : "Cancer screening program"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1602101000168102",
              "display" : "National cervical cancer screening program participation"
            }
          ],
          "text" : "National Cervical Cancer Screening Program Participation"
        },
        "subject" : {
          "reference" : "urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89",
          "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" : "8003608833564735"
          }
        },
        "effectiveDateTime" : "2021-05-22T10:01:00+10:00",
        "performer" : [
          {
            "reference" : "urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677",
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                    "code" : "NOI",
                    "display" : "National Organisation Identifier"
                  }
                ],
                "text" : "PAI-O"
              },
              "system" : "http://ns.electronichealth.net.au/id/pcehr/paio/1.0",
              "value" : "TBD"
            }
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1603781000168102",
                  "display" : "Program participation status"
                }
              ],
              "text" : "Participant status"
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1602001000168101",
                  "display" : "Active participation"
                }
              ],
              "text" : "Actively screening"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1603791000168104",
                  "display" : "Program participation status period"
                }
              ],
              "text" : "Participant status period"
            },
            "valuePeriod" : {
              "start" : "2021-05-22"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1603871000168108",
                  "display" : "Program participation suspension indicator"
                }
              ],
              "text" : "Defer flag"
            },
            "valueBoolean" : false
          },
          // Patient has not deferred
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1604051000168109",
                  "display" : "Program forecast status period"
                }
              ],
              "text" : "Next screening action date"
            },
            "valueDateTime" : "2022-05-22"
          }
        ]
      }
    },
    // Next screening date for patient is in 1 year 
    {
      "fullUrl" : "urn:uuid:b52df3bf-f723-47ca-bff9-d37f6f409896",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "nbcsp-03",
        "meta" : // Scenario: Active screening, next due in 2 years (2021)
    Scenario Description: NCSR receives a negative FOBT result for participant. Status updates to Actively Screening, and their next due date is in 2 years  
        // update to id from pcehr doc registration?
        {
          "lastUpdated" : "2021-05-22T10:01:00+10:00"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_nbcsp-03\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation nbcsp-03</b></p><a name=\"nbcsp-03\"> </a><a name=\"hcnbcsp-03\"> </a><a name=\"nbcsp-03-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: 2021-05-22 10:01:00+1000</p></div><p><b>identifier</b>: <code>urn:ietf:rfc:4122</code>/4732293f-40e4-45a3-81b5-9cc2ae8b2f38</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-01.html#urn-uuid-d66d5b80-5965-4d7c-b17b-0344cf896b89\">Bundle: identifier = UUID:5a655945-c2b3-4d01-9e88-224873e32d8d; type = collection; timestamp = 2021-05-22 10:01:00+1000</a></p><p><b>effective</b>: 2021-05-22 07:01:00+1000</p><p><b>performer</b>: <a href=\"Bundle-ncsr-01.html#urn-uuid-d574e9a6-99b1-4959-b3fa-463f7b7f8677\">Bundle: identifier = UUID:5a655945-c2b3-4d01-9e88-224873e32d8d; type = collection; timestamp = 2021-05-22 10:01:00+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>: 2021-05-22 --&gt; (ongoing)</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>: false</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:\">Eligible On:</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1604051000168109}\">Next screening action date</span></p><p><b>value</b>: 2023-05-22</p></blockquote></div>"
        },
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:4122",
            "value" : "4732293f-40e4-45a3-81b5-9cc2ae8b2f38"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org.au/CodeSystem/observation-category",
                "code" : "program",
                "display" : "Program"
              }
            ],
            "text" : "Cancer screening program"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1602081000168109",
              "display" : "National bowel cancer screening program participation"
            }
          ],
          "text" : "National Bowel Cancer Screening Program Participation"
        },
        "subject" : {
          "reference" : "urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89",
          "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" : "8003608833564735"
          }
        },
        "effectiveDateTime" : "2021-05-22T07:01:00+10:00",
        "performer" : [
          {
            "reference" : "urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677",
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                    "code" : "NOI",
                    "display" : "National Organisation Identifier"
                  }
                ],
                "text" : "PAI-O"
              },
              "system" : "http://ns.electronichealth.net.au/id/pcehr/paio/1.0",
              "value" : "TBD"
            }
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1603781000168102",
                  "display" : "Program participation status"
                }
              ],
              "text" : "Participant status"
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1602001000168101",
                  "display" : "Active participation"
                }
              ],
              "text" : "Actively screening"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1603791000168104",
                  "display" : "Program participation status period"
                }
              ],
              "text" : "Participant status period"
            },
            "valuePeriod" : {
              "start" : "2021-05-22"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1603871000168108",
                  "display" : "Program participation suspension indicator"
                }
              ],
              "text" : "Defer flag"
            },
            "valueBoolean" : false
          },
          // Patient has not deferred
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1604041000168107",
                  "display" : "Program forecast status"
                }
              ],
              "text" : "Next screening action"
            },
            "valueCodeableConcept" : {
              "text" : "Eligible On:"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1604051000168109",
                  "display" : "Program forecast status period"
                }
              ],
              "text" : "Next screening action date"
            },
            "valueDateTime" : "2023-05-22"
          }
        ]
      }
    }
  ]
}