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
{
"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 --> 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)"
}
}
]
}
}
]
}IG © 2023+ Australian Digital Health Agency. Package au.digitalhealth.r4#1.2.0-ci-build based on FHIR 4.0.1. Generated 2024-12-19
Links: Table of Contents | QA Report | Version History | Report an issue or propose a change
