Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
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="phs-doc-01"/>
<meta>
<lastUpdated value="2022-11-28T11:01:00+10:00"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b"/>
</identifier>
<type value="document"/>
<timestamp value="2022-11-28T11:01:00+10:00"/>
<!-- COMPOSITION -->
<entry>
<fullUrl value="urn:uuid:6f5af3db-b2ab-4b74-90d5-39c20a662b0d"/>
<resource>
<Composition>
<id value="phs-01"/>
<language value="en-AU"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU"><a name="Composition_phs-01"> </a><p class="res-header-id"><b>Generated Narrative: Composition phs-01</b></p><a name="phs-01"> </a><a name="hcphs-01"> </a><a name="phs-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">Language: en-AU</p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">URI</a>/urn:oid:2.25.320090414317418051877665573694312012507</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1 100.16685}">Personal Health Summary</span></p><p><b>category</b>: <span title="Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1 100.16685}">Personal Health Summary</span></p><p><b>date</b>: 2021-09-21</p><p><b>author</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-1b34e738-7e39-40e1-9619-2247550a8ead">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p><p><b>title</b>: Mrs. Bonny Goodwin - Personal Health Summary</p><p><b>custodian</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-68e3c0c8-6346-4d27-a3b7-97841221dcbe">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p></div>
</text>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value
value="urn:oid:2.25.320090414317418051877665573694312012507"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<code value="100.16685"/>
</coding>
<text value="Personal Health Summary"/>
</type>
<category>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<code value="100.16685"/>
</coding>
</category>
<subject>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
<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="8003608000228445"/>
</identifier>
</subject>
<date value="2021-09-21"/>
<author>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
<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="8003608000228445"/>
</identifier>
</author>
<title value="Mrs. Bonny Goodwin - Personal Health Summary"/>
<custodian>
<reference value="urn:uuid:68e3c0c8-6346-4d27-a3b7-97841221dcbe"/>
<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="8003640001000036"/>
</identifier>
</custodian>
<section>
<title value="Allergies"/>
<code>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<code value="101.20113"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
</coding>
</code>
<entry>
<reference value="urn:uuid:6bfb46ad-1084-4496-8622-5ef86bf19ad9"/>
</entry>
<entry>
<reference value="urn:uuid:d7f804e8-c389-41cf-8815-50e618345943"/>
</entry>
</section>
<section>
<title value="Current Medicines"/>
<code>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<code value="101.32009"/>
</coding>
</code>
<entry>
<reference value="urn:uuid:f3a59ff9-b205-41ef-86b3-f38445428e84"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<!-- PATIENT -->
<entry>
<fullUrl value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
<resource>
<Patient>
<id value="hi-testdata-goodwin-bonny"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_hi-testdata-goodwin-bonny"> </a><p class="res-header-id"><b>Generated Narrative: Patient hi-testdata-goodwin-bonny</b></p><a name="hi-testdata-goodwin-bonny"> </a><a name="hchi-testdata-goodwin-bonny"> </a><a name="hi-testdata-goodwin-bonny-en-AU"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Bonny Goodwin (official) Female, DoB: 1986-11-13 ( Medicare Number: MedicareNumber#3951032981 (, period: (?) --> 2024-08))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">IHI/8003608000228445 (use: official, )</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">108 Museum Qy AVALON VIC 3212</td></tr></table></div>
</text>
<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"/>
<display 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>
<use value="official"/>
<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="8003608000228445"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MC"/>
<display value="Patient's Medicare number"/>
</coding>
<text value="Medicare Number"/>
</type>
<system
value="http://ns.electronichealth.net.au/id/medicare-number"/>
<value value="3951032981"/>
<period>
<end value="2024-08"/>
</period>
</identifier>
<name>
<use value="official"/>
<family value="Goodwin"/>
<given value="Bonny"/>
<prefix value="Mrs."/>
</name>
<gender value="female"/>
<birthDate value="1986-11-13"/>
<address>
<text value="108 Museum Qy AVALON VIC 3212"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</coding>
<text value="Married"/>
</maritalStatus>
</Patient>
</resource>
</entry>
<!-- ALLERGYINTOLERANCE (nofood-01) -->
<entry>
<fullUrl value="urn:uuid:6bfb46ad-1084-4496-8622-5ef86bf19ad9"/>
<resource>
<AllergyIntolerance>
<id value="nofood-01"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_nofood-01"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance nofood-01</b></p><a name="nofood-01"> </a><a name="hcnofood-01"> </a><a name="nofood-01-en-AU"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification unconfirmed}">Unconfirmed</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 429625007}">No food allergies</span></p><p><b>patient</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-1b34e738-7e39-40e1-9619-2247550a8ead">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p><p><b>recorder</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-1b34e738-7e39-40e1-9619-2247550a8ead">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p><p><b>asserter</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-1b34e738-7e39-40e1-9619-2247550a8ead">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="unconfirmed"/>
<display value="Unconfirmed"/>
</coding>
</verificationStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="429625007"/>
<display value="No known food allergy"/>
</coding>
<text value="No food allergies"/>
</code>
<patient>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
<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="8003608000228445"/>
</identifier>
</patient>
<recorder>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
</recorder>
<asserter>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
</asserter>
</AllergyIntolerance>
</resource>
</entry>
<!-- ALLERGYINTOLERANCE (sulfonamide-01) -->
<entry>
<fullUrl value="urn:uuid:d7f804e8-c389-41cf-8815-50e618345943"/>
<resource>
<AllergyIntolerance>
<id value="sulfonamide-01"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_sulfonamide-01"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance sulfonamide-01</b></p><a name="sulfonamide-01"> </a><a name="hcsulfonamide-01"> </a><a name="sulfonamide-01-en-AU"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}">Confirmed</span></p><p><b>category</b>: Medication</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 763875007}">sulfonamide antibacterial</span></p><p><b>patient</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-1b34e738-7e39-40e1-9619-2247550a8ead">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p><p><b>recorder</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-1b34e738-7e39-40e1-9619-2247550a8ead">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p><p><b>asserter</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-1b34e738-7e39-40e1-9619-2247550a8ead">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p><h3>Reactions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Manifestation</b></td><td><b>Severity</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 271807003}">skin rash</span></td><td>Mild</td></tr></table></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category value="medication"/>
<criticality value="high"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="763875007"/>
<display value="Sulfonamide-containing product"/>
</coding>
<text value="sulfonamide antibacterial"/>
</code>
<patient>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
<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="8003608000228445"/>
</identifier>
</patient>
<recorder>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
</recorder>
<asserter>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
</asserter>
<reaction>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="271807003"/>
<display value="skin rash"/>
</coding>
<text value="skin rash"/>
</manifestation>
<severity value="mild"/>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<!-- ORGANIZATION (mhr-operator) -->
<entry>
<fullUrl value="urn:uuid:68e3c0c8-6346-4d27-a3b7-97841221dcbe"/>
<resource>
<Organization>
<id value="mhr-operator"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_mhr-operator"> </a><p class="res-header-id"><b>Generated Narrative: Organization mhr-operator</b></p><a name="mhr-operator"> </a><a name="hcmhr-operator"> </a><a name="mhr-operator-en-AU"> </a><p><b>identifier</b>: PAI-O/8003640001000036</p><p><b>name</b>: My Health Record 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="8003640001000036"/>
</identifier>
<name value="My Health Record system operator"/>
</Organization>
</resource>
</entry>
<!-- OBSERVATION (no-current-meds-01) -->
<entry>
<fullUrl value="urn:uuid:f3a59ff9-b205-41ef-86b3-f38445428e84"/>
<resource>
<Observation>
<id value="no-current-meds-01"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_no-current-meds-01"> </a><p class="res-header-id"><b>Generated Narrative: Observation no-current-meds-01</b></p><a name="no-current-meds-01"> </a><a name="hcno-current-meds-01"> </a><a name="no-current-meds-01-en-AU"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 365854008}">History finding</span></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode ASSERTION}">Assertion</span></p><p><b>subject</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-1b34e738-7e39-40e1-9619-2247550a8ead">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p><p><b>effective</b>: 2021-09-21</p><p><b>performer</b>: <a href="Bundle-phs-doc-01.html#urn-uuid-1b34e738-7e39-40e1-9619-2247550a8ead">Bundle: identifier = UUID:6ab215b6-6b78-46bb-bb0f-bf7e2fd0628b; type = document; timestamp = 2022-11-28 11:01:00+1000</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 1234391000168107}">No known current medicines</span></p></div>
</text>
<status value="final"/>
<!-- TBD - Determine appropriate category for observations of this nature -->
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="365854008"/>
<display value="History finding"/>
</coding>
</category>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="ASSERTION"/>
<display value="Assertion"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
<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="8003608000228445"/>
</identifier>
</subject>
<effectiveDateTime value="2021-09-21"/>
<performer>
<reference value="urn:uuid:1b34e738-7e39-40e1-9619-2247550a8ead"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1234391000168107"/>
<display value="No known current medicines"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
</Bundle>
IG © 2023+ Australian Digital Health Agency. Package au.digitalhealth.r4#1.2.0-ci-build based on FHIR 4.0.1. Generated 2024-09-12
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