Australian Digital Health Agency FHIR Implementation Guide
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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 Mr Zhang Wei (15 MAY 2022) - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "ncsr-03",
  "meta" : // Bundle for 'data in' from NCSR to MHR 
  {
    "lastUpdated" : "2022-02-15T07:15:15+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:b5cf0f22-30b3-4bda-a724-8d37aeafb26a"
  },
  "type" : "collection",
  "timestamp" : "2022-05-14T06:00:00+10:00",
  "entry" : [
    //     PATIENT    
    {
      "fullUrl" : "urn:uuid:90f0d056-c76b-490f-b844-760850348015",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "mhr-zhang-wei",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_mhr-zhang-wei\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient mhr-zhang-wei</b></p><a name=\"mhr-zhang-wei\"> </a><a name=\"hcmhr-zhang-wei\"> </a><a name=\"mhr-zhang-wei-en-AU\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Wei Zhang  Male, DoB: 1972-05-03 ( IHI:\u00a0AustalianIHI#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=\"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>"
        },
        "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"
            }
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired",
            "valueBoolean" : true
          },
          {
            "url" : "http://hl7.org.au/fhir/StructureDefinition/date-of-arrival",
            "valueDate" : "2017"
          }
        ],
        "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",
                  "display" : "verified"
                }
              }
            ],
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228437"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MC"
                }
              ],
              "text" : "Medicare Number"
            },
            "system" : "http://ns.electronichealth.net.au/id/medicare-number",
            "value" : "29533070311"
          }
        ],
        "name" : [
          {
            "family" : "Zhang",
            "given" : [
              "Wei"
            ],
            "prefix" : [
              "Mr"
            ]
          }
        ],
        "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"
              }
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a",
      "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:d9790783-7c28-47a5-a560-293fa335d0b3",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "nbcsp-02",
        "meta" : // 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?
        {
          "lastUpdated" : "2022-02-15T07:15:15+10:00"
        },
        "text" : {
          "status" : "generated",
          "div" : "<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><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: 2022-02-15 07:15:15+1000</p></div><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-ncsr-03.html#urn-uuid-90f0d056-c76b-490f-b844-760850348015\">Bundle: identifier = UUID:b5cf0f22-30b3-4bda-a724-8d37aeafb26a; type = collection; timestamp = 2022-05-14 06:00:00+1000</a></p><p><b>effective</b>: 2022-05-14</p><p><b>performer</b>: <a href=\"Bundle-ncsr-03.html#urn-uuid-6b2fbf4c-9d47-4c6e-91f5-a84d381a015a\">Bundle: identifier = UUID:b5cf0f22-30b3-4bda-a724-8d37aeafb26a; type = collection; timestamp = 2022-05-14 06:00:00+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>: 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>"
        },
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:4122",
            "value" : "24fd20c0-5a07-4e5e-98da-d7d3d498613a"
          }
        ],
        "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:90f0d056-c76b-490f-b844-760850348015",
          "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"
          }
        },
        "effectiveDateTime" : "2022-05-14",
        "performer" : [
          {
            "reference" : "urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a",
            "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" : // Patient deferred for 6 months so keeps status of New to screening for a 6 month period
            {
              "start" : "2022-02-05",
              "end" : "2022-08-05"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1603871000168108",
                  "display" : "Program participation suspension indicator"
                }
              ],
              "text" : "Defer flag"
            },
            "valueBoolean" : true
          },
          // Patient deferred
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1604041000168107",
                  "display" : "Program forecast status"
                }
              ],
              "text" : "Next screening action"
            },
            "valueCodeableConcept" : {
              "text" : "Due Now (eligible since 50th birthday)"
            }
          }
        ]
      }
    }
  ]
}