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">
<id value="ncsr-01"/>
<!-- Bundle for 'data in' from NCSR to MHR -->
<meta>
<lastUpdated value="2021-05-22T10:01:00+10:00"/>
<profile
value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-payload-1"/>
<profile
value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-core-1"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:5a655945-c2b3-4d01-9e88-224873e32d8d"/>
</identifier>
<type value="collection"/>
<timestamp value="2021-05-22T10:01:00+10:00"/>
<!-- PATIENT -->
<entry>
<fullUrl value="urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89"/>
<resource>
<Patient>
<id value="hi-testdata-moss-cleo"/>
<text>
<status value="generated"/>
<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: AustalianIHI#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>
</text>
<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>
<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="8003608833564735"/>
</identifier>
<name>
<family value="Moss"/>
<given value="Cleo"/>
<suffix value="Esq."/>
</name>
<telecom>
<system value="email"/>
<value value="moss@gmail.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1965-08-23"/>
<address>
<use value="home"/>
<text value="138 Gateway Ct, CALDER, TAS, 7325"/>
</address>
</Patient>
</resource>
</entry>
<!-- ORGANIZATION NCSR -->
<entry>
<fullUrl value="urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677"/>
<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></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"/>
</Organization>
</resource>
</entry>
<!-- OBSERVATION -->
<entry>
<fullUrl value="urn:uuid:949133cb-de9a-44a7-b3d3-bd0e9d9d2faf"/>
<resource>
<Observation>
<id value="ncsp-01"/>
<!-- 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? -->
<meta>
<lastUpdated value="2021-05-22T10:01:00+10:00"/>
</meta>
<text>
<status value="generated"/>
<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 --> (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>
</text>
<identifier>
<system value="urn:ietf:rfc:4122"/>
<value value="28c02479-27ed-4d95-957b-d6703c2bcc97"/>
</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="1602101000168102"/>
<display
value="National cervical cancer screening program participation"/>
</coding>
<text
value="National Cervical Cancer Screening Program Participation"/>
</code>
<subject>
<reference value="urn:uuid:d66d5b80-5965-4d7c-b17b-0344cf896b89"/>
<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="8003608833564735"/>
</identifier>
</subject>
<effectiveDateTime value="2021-05-22T10:01:00+10:00"/>
<performer>
<reference value="urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677"/>
<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>
<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>
<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>
<valuePeriod>
<start value="2021-05-22"/>
</valuePeriod>
</component>
<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 has not deferred -->
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1604051000168109"/>
<display value="Program forecast status period"/>
</coding>
<text value="Next screening action date"/>
</code>
<!-- Next screening date for patient is in 1 year -->
<valueDateTime value="2022-05-22"/>
</component>
</Observation>
</resource>
</entry>
<!-- OBSERVATION -->
<entry>
<fullUrl value="urn:uuid:b52df3bf-f723-47ca-bff9-d37f6f409896"/>
<resource>
<Observation>
<id value="nbcsp-03"/>
<!-- 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? -->
<meta>
<lastUpdated value="2021-05-22T10:01:00+10:00"/>
</meta>
<text>
<status value="generated"/>
<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 --> (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>
</text>
<identifier>
<system value="urn:ietf:rfc:4122"/>
<value value="4732293f-40e4-45a3-81b5-9cc2ae8b2f38"/>
</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:d66d5b80-5965-4d7c-b17b-0344cf896b89"/>
<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="8003608833564735"/>
</identifier>
</subject>
<effectiveDateTime value="2021-05-22T07:01:00+10:00"/>
<performer>
<reference value="urn:uuid:d574e9a6-99b1-4959-b3fa-463f7b7f8677"/>
<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>
<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>
<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>
<valuePeriod>
<start value="2021-05-22"/>
</valuePeriod>
</component>
<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 has not deferred -->
<valueBoolean value="false"/>
</component>
<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="Eligible On:"/>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1604051000168109"/>
<display value="Program forecast status period"/>
</coding>
<text value="Next screening action date"/>
</code>
<!-- Next screening date patient is eligible for is in 2 years -->
<valueDateTime value="2023-05-22"/>
</component>
</Observation>
</resource>
</entry>
</Bundle>