AU Base Implementation Guide
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## : Observation - deferred BreastScreen Australia screening due to travel - JSON Representation

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    {
      "resourceType" : "Observation",
      "id" : "healthprogramparticipation-example1",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org.au/fhir/StructureDefinition/au-healthprogramparticipation"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation healthprogramparticipation-example1</b></p><a name=\"healthprogramparticipation-example1\"> </a><a name=\"hchealthprogramparticipation-example1\"> </a><a name=\"healthprogramparticipation-example1-en-AU\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-au-healthprogramparticipation.html\">AU Health Program Participation Summary</a></p></div><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 1602091000168107}\">BreastScreen Australia Program Participation</span></p><p><b>subject</b>: <a href=\"Patient-example5.html\">Sarah Simmons  Female, DoB: 1977-09-07 ( Medicare Number:\u00a022968184811\u00a0(,\u00a0period:\u00a0(?) --&gt; 2022-12))</a></p><p><b>effective</b>: 2022-05-14</p><p><b>performer</b>: Identifier: ABN/54505206361</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1603781000168102}\">Participation status</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1601981000168101}\">Deferred next screening</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1603791000168104}\">Participation status period</span></p><p><b>value</b>: 2022-05-14 --&gt; 2023-03-14</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1603991000168102}\">Reason for deferral</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 420008001}\">Travelling</span></p></blockquote></div>"
      },
      "status" : "final",
      "category" : [
        // Scenario: Deferred BreastScreen Australia Screening due to travel
        Scenario Description: Participant was invited to screen, Deferred screening for 10 months due to travel.
        Information recorded by BreastScreen VIC
        {
          "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" : "1602091000168107",
            "display" : "National breast cancer screening program participation"
          }
        ],
        "text" : "BreastScreen Australia Program Participation"
      },
      "subject" : {
        🔗 "reference" : "Patient/example5",
        "identifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MC",
                "display" : "Patient's Medicare number"
              }
            ],
            "text" : "Medicare Number"
          },
          "system" : "http://ns.electronichealth.net.au/id/medicare-number",
          "value" : "22968184811",
          "period" : {
            "end" : "2022-12"
          }
        }
      },
      "effectiveDateTime" : "2022-05-14",
      "performer" : [
        // BreastScreen Victoria
        {
          "identifier" : {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX"
                }
              ],
              "text" : "ABN"
            },
            "system" : "http://hl7.org.au/id/abn",
            "value" : "54505206361"
          }
        }
      ],
      "component" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1603781000168102",
                "display" : "Program participation status"
              }
            ],
            "text" : "Participation status"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1601981000168101",
                "display" : "Participation temporarily suspended"
              }
            ],
            "text" : "Deferred next screening"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1603791000168104"
              }
            ],
            "text" : "Participation status period"
          },
          "valuePeriod" : {
            "start" : "2022-05-14",
            "end" : "2023-03-14"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1603991000168102",
                "display" : "Reason for program non participation"
              }
            ],
            "text" : "Reason for deferral"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "420008001",
                "display" : "Travel"
              }
            ],
            "text" : "Travelling"
          }
        }
      ]
    }