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

: NCSP participation information for Ms. Sally FIELD - Not eligible, Commence at 25 (2020) - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "ncsp-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 ncsp-02</b></p><a name=\"ncsp-02\"> </a><a name=\"hcncsp-02\"> </a><a name=\"ncsp-02-en-AU\"> </a><p><b>identifier</b>: <code>urn:ietf:rfc:4122</code>/20439b90-f1be-46a5-b848-4aa4938d19fc</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 1602101000168102}\">National Cervical Cancer Screening Program Participation</span></p><p><b>subject</b>: <a href=\"Patient-mhr-field-sally.html\">Sally FIELD  Female, DoB: 1999-02-14 ( National unique individual identifier: AustalianIHI#8003608333563104\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>effective</b>: 2020-06-12 10:01:00+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>: 2020-06-12 --&gt; (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:\">Commence at 25</span></p></blockquote></div>"
  },
  "identifier" : [
    // Scenario: Not eligible, Commence at 25 (2020)
    Scenario Description: NCSR receives a Cervical result for participant on 22 May 2021. 
    Status updates to Actively Screening, and their next due date is in 1 year due to the risk category of that participant. 
    // update to id from pcehr doc registration?
    {
      "system" : "urn:ietf:rfc:4122",
      "value" : "20439b90-f1be-46a5-b848-4aa4938d19fc"
    }
  ],
  "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" : "1602101000168102",
        "display" : "National cervical cancer screening program participation"
      }
    ],
    "text" : "National Cervical Cancer Screening Program Participation"
  },
  "subject" : {
    🔗 "reference" : "Patient/mhr-field-sally",
    "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" : "8003608833357361"
    }
  },
  "effectiveDateTime" : "2020-06-12T10:01:00+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" : "2020-06-12"
      }
    },
    {
      "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" : "Commence at 25"
      }
    }
  ]
}