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) - XML Representation

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<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 --&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>
  </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>