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

: NBCSP participation information for Mr Zhang Wei - New to NBCSP, deferred participation (2022) - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "nbcsp-02",
  "meta" : {
    "profile" : [
      🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-core-1"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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><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=\"Patient-mhr-zhang-wei.html\">Wei Zhang  Male, DoB: 1972-05-03 ( IHI:\u00a0AustalianIHI#8003608000228437)</a></p><p><b>effective</b>: 2022-05-14</p><p><b>performer</b>: <a href=\"Organization-ncsr-operator.html\">Organization National Cancer Screening Register system operator</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" : [
    // 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?
    {
      "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" : "Patient/mhr-zhang-wei",
    "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" : "Organization/ncsr-operator",
      "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)"
      }
    }
  ]
}