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
{
"resourceType" : "Observation",
"id" : "nbcsp-03",
"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-03</b></p><a name=\"nbcsp-03\"> </a><a name=\"hcnbcsp-03\"> </a><a name=\"nbcsp-03-en-AU\"> </a><p><b>identifier</b>: <code>urn:ietf:rfc:4122</code>/4732293f-40e4-45a3-81b5-9cc2ae8b2f38</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-hi-testdata-moss-cleo.html\">Cleo Moss Female, DoB: 1965-08-23 ( IHI:\u00a0AustalianIHI#8003608833564735)</a></p><p><b>effective</b>: 2021-05-22 07:01:00+1000</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>: 2021-05-22 --> (ongoing)</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>: false</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:\">Eligible On:</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1604051000168109}\">Next screening action date</span></p><p><b>value</b>: 2023-05-22</p></blockquote></div>"
},
"identifier" : [
// Scenario: Active screening, next due in 2 years (2021)
Scenario Description: NCSR receives a negative FOBT result for participant. Status updates to Actively Screening, and their next due date is in 2 years
// update to id from pcehr doc registration?
{
"system" : "urn:ietf:rfc:4122",
"value" : "4732293f-40e4-45a3-81b5-9cc2ae8b2f38"
}
],
"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/hi-testdata-moss-cleo",
"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" : "8003608833564735"
}
},
"effectiveDateTime" : "2021-05-22T07:01:00+10:00",
"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" : {
"start" : "2021-05-22"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1603871000168108",
"display" : "Program participation suspension indicator"
}
],
"text" : "Defer flag"
},
"valueBoolean" : false
},
// Patient has not deferred
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1604041000168107",
"display" : "Program forecast status"
}
],
"text" : "Next screening action"
},
"valueCodeableConcept" : {
"text" : "Eligible On:"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1604051000168109",
"display" : "Program forecast status period"
}
],
"text" : "Next screening action date"
},
"valueDateTime" : "2023-05-22"
}
]
}