AU Core Implementation Guide
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: Observation - BreastScreen Australia screening - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "healthprogramparticipation-2",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org.au/fhir/core/StructureDefinition/au-core-healthprogramparticipation"🔗 ,
      "http://hl7.org.au/fhir/core/StructureDefinition/au-core-observation"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"healthprogramparticipation-2\"> </a></p><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\">Resource Observation &quot;healthprogramparticipation-2&quot; </p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-au-core-healthprogramparticipation.html\">AU Core Health Program Participation Summary</a>, <a href=\"StructureDefinition-au-core-observation.html\">AU Core Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Cancer screening program <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org.au/fhir/4.1.2-preview/CodeSystem-au-observation-category.html\">Observation Category Codes AU</a>#program &quot;Program&quot;)</span></p><p><b>code</b>: BreastScreen Australia Program Participation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1602091000168107 &quot;Patient participation in national breast cancer screening program&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-bennelong-anne.html\">Patient/bennelong-anne</a> &quot; BENNELONG&quot;</p><p><b>effective</b>: 2022-05-14</p><p><b>performer</b>: <span>ABN:\u00a054505206361</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Participation status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1603781000168102 &quot;Program participation status&quot;)</span></p><p><b>value</b>: Deferred next screening <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1601981000168101 &quot;Participation temporarily suspended&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Participation status period <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1603791000168104)</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>: Reason for deferral <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1603991000168102 &quot;Reason for program non participation&quot;)</span></p><p><b>value</b>: Travelling <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#420008001 &quot;Travel&quot;)</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" : "Patient participation in national breast cancer screening program"
      }
    ],
    "text" : "BreastScreen Australia Program Participation"
  },
  "subject" : {
    🔗 "reference" : "Patient/bennelong-anne",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MC"
          }
        ],
        "text" : "Medicare Number"
      },
      "system" : "http://ns.electronichealth.net.au/id/medicare-number",
      "value" : "6951449677"
    }
  },
  "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"
      }
    }
  ]
}