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-03"/>
<!-- Bundle for 'data in' from NCSR to MHR -->
<meta>
<lastUpdated value="2022-02-15T07:15:15+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:b5cf0f22-30b3-4bda-a724-8d37aeafb26a"/>
</identifier>
<type value="collection"/>
<timestamp value="2022-05-14T06:00:00+10:00"/>
<!-- PATIENT -->
<entry>
<fullUrl value="urn:uuid:90f0d056-c76b-490f-b844-760850348015"/>
<resource>
<Patient>
<id value="mhr-zhang-wei"/>
<text>
<status value="generated"/>
<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: AustalianIHI#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>
</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>
<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>
</Patient>
</resource>
</entry>
<!-- ORGANIZATION NCSR -->
<entry>
<fullUrl value="urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a"/>
<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:d9790783-7c28-47a5-a560-293fa335d0b3"/>
<resource>
<Observation>
<id value="nbcsp-02"/>
<!-- 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? -->
<meta>
<lastUpdated value="2022-02-15T07:15:15+10:00"/>
</meta>
<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><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>
</text>
<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:90f0d056-c76b-490f-b844-760850348015"/>
<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>
<effectiveDateTime value="2022-05-14"/>
<performer>
<reference value="urn:uuid:6b2fbf4c-9d47-4c6e-91f5-a84d381a015a"/>
<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>
<!-- 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>
<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>
<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>