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
<Observation xmlns="http://hl7.org/fhir">
<id value="nbcsp-02"/>
<meta>
<profile
value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-core-1"/>
</meta>
<text>
<status value="generated"/>
<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: AustalianIHI#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 --> 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>
<!-- 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? -->
<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="Patient/mhr-zhang-wei"/>
<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="Organization/ncsr-operator"/>
<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>