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Medicare Overview Composition initialised
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dtr-agency committed Apr 4, 2022
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13 changes: 5 additions & 8 deletions examples/Composition/composition-medicare-view-doc-01.xml
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<Composition xmlns="http://hl7.org/fhir">
<id value="medicare-view-doc-01"/>
<meta>
<profile value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-document-1"/>
<profile value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-mov-1"/>
</meta>
<language value="en-AU"/>
<identifier>
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<title value="Australian Immunisation Register - AIR"/>
<code>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<system value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<code value="101.16776"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p><b>OVID 19 Immunisation Status: </b>This individual has received all required COVID-19 vaccines.</p>
<p><b>COVID 19 Immunisation Status: </b>This individual has received all required COVID-19 vaccines.</p>
<table>
<caption>Immunisation History</caption>
<thead>
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<title value="Australian Organ Donor Register - AODR"/>
<code>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<system value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<code value="101.16774"/>
</coding>
</code>
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<title value="Medicare Services - MBS and DVA Items"/>
<code>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<system value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
<code value="101.16780"/>
</coding>
</code>
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<?xml version="1.0" encoding="UTF-8"?>

<Immunization xmlns="http://hl7.org/fhir">
<id value="21e09e32-441a-4297-a803-970358b4f20f"/>
<meta>
<profile
value="http://ns.electronichealth.net.au/ci/fhir/3.0/StructureDefinition/immunization-summary-administration-1"
/>
</meta>
<status value="completed"/>
<notGiven value="false"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="709541000168107"/>
<display value="Fluvax 2015"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/d9698a55-723a-49de-931b-4e61d732b016"/>
</patient>
<date value="2015-10-03"/>
<primarySource value="true"/>
</Immunization>
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<?xml version="1.0" encoding="UTF-8"?>
<Immunization xmlns="http://hl7.org/fhir">
<id value="3e2a29a1-3a3c-4a53-bb1b-66588e9bd147"/>
<status value="completed"/>
<notGiven value="false"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="837281000168100"/>
<display value="diphtheria 2 units + tetanus 20 units vaccine injection, 0.5 mL syringe"/>
</coding>
</vaccineCode>
<patient>
<reference value="urn:uuid:cc246543-a0da-4ead-9ed6-5e064fea9ff7"/>
</patient>
<date value="2017-04-15"/>
<primarySource value="true"/>
</Immunization>
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<?xml version="1.0" encoding="UTF-8"?>

<Immunization xmlns="http://hl7.org/fhir">
<id value="42bdb0e9-d510-46c4-a4a3-02205dbb1447"/>
<meta>
<profile
value="http://ns.electronichealth.net.au/ci/fhir/3.0/StructureDefinition/immunization-summary-administration-1"
/>
</meta>
<status value="completed"/>
<notGiven value="false"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="33491000168108"/>
<display value="Engerix-B Adult"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/d9698a55-723a-49de-931b-4e61d732b016"/>
</patient>
<date value="2017-10-09"/>
<primarySource value="true"/>
</Immunization>
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<?xml version="1.0" encoding="UTF-8"?>

<Immunization xmlns="http://hl7.org/fhir">
<id value="8f9e3a4e-64d0-48b8-ac1b-85f9ecfeae06"/>
<meta>
<profile
value="http://ns.electronichealth.net.au/ci/fhir/3.0/StructureDefinition/immunization-summary-administration-1"
/>
</meta>
<status value="completed"/>
<notGiven value="false"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="709541000168107"/>
<display value="Fluvax 2015"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/841a56de-92d7-47fd-bb27-bad8efb371e4"/>
</patient>
<date value="2015-10-03"/>
<primarySource value="true"/>
</Immunization>
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<?xml version="1.0" encoding="UTF-8"?>
<Immunization xmlns="http://hl7.org/fhir">
<id value="d2b71673-d1a5-4e1d-9b25-bba47aa26036"/>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
<p><b>Vaccine</b>: Boostrix injection, 0.5 mL syringe</p>
<p><b>Vaccine status</b>: completed</p>
<p><b>Subject</b>: Billy Tjakamarra; Pensioner Concession Card Number:
307111942H; gender = male; birth date = 23/04/1954; address = 78 Bamboo
Street, Nightcliff NT, 0810; indigenous status = Aboriginal but not
Torres Strait Islander origin</p>
<p><b>Vaccine date</b>: 31/03/2019 15:35</p>
</div>
</text>
<status value="completed"/>
<notGiven value="false"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="837641000168108"/>
<display value="Boostrix injection, 0.5 mL syringe"/>
</coding>
<coding>
<system
value="https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats"/>
<code value="BOOST"/>
<display value="Boostrix"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/d422d1da-6280-4335-8795-b101a61134e4"/>
</patient>
<date value="2019-03-31T15:35:00+10:00"/>
<primarySource value="true"/>
</Immunization>
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<?xml version="1.0" encoding="UTF-8"?>

<Immunization xmlns="http://hl7.org/fhir">
<id value="d4b8094b-435e-4b43-b38b-f38328bddda3"/>
<meta>
<profile
value="http://ns.electronichealth.net.au/ci/fhir/3.0/StructureDefinition/immunization-summary-administration-1"
/>
</meta>
<status value="completed"/>
<notGiven value="false"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="73695011000036100"/>
<display value="Meningitec"/>
</coding>
</vaccineCode>
<patient>
<reference value="Patient/841a56de-92d7-47fd-bb27-bad8efb371e4"/>
</patient>
<date value="2017-09-10"/>
<primarySource value="true"/>
</Immunization>
8 changes: 8 additions & 0 deletions examples/Observation/observation-air-covid-imm-status-01.xml
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<value value="urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d"/>
</identifier>
<status value="final" />
<category>
<coding>
<system value="http://terminology.hl7.au.org/CodeSystem/observation-category"/>
<code value="program"/>
<display value="Program"/>
</coding>
<text value="Immunisation program"/>
</category>
<code>
<coding>
<system value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1" />
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8 changes: 8 additions & 0 deletions examples/Observation/observation-air-nip-imm-status-01.xml
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<value value="urn:oid:2.25.129844986816735724544008039955538526131" />
</identifier>
<status value="final" />
<category>
<coding>
<system value="http://terminology.hl7.au.org/CodeSystem/observation-category"/>
<code value="program"/>
<display value="Program"/>
</coding>
<text value="Immunisation program"/>
</category>
<code>
<coding>
<system
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4 changes: 4 additions & 0 deletions ig.json
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"base": "StructureDefinition-dh-composition-es-narrative-1.html",
"defns": "StructureDefinition-dh-composition-es-narrative-1-definitions.html"
},
"StructureDefinition/dh-composition-mov-1": {
"base": "StructureDefinition-dh-composition-mov-1.html",
"defns": "StructureDefinition-dh-composition-mov-1-definitions.html"
},
"StructureDefinition/dh-composition-ncspp-1": {
"base": "StructureDefinition-dh-composition-ncspp-1.html",
"defns": "StructureDefinition-dh-composition-ncspp-1-definitions.html"
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1 change: 1 addition & 0 deletions pages/_includes/dh-composition-document-1-intro.md
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Expand Up @@ -25,6 +25,7 @@ These profiles build on this profile ([ADHA Document Composition](StructureDefin
* [ADHA Event Summary Composition](StructureDefinition-dh-composition-es-1.html)
* [ADHA Event Summary Mixed Narrative and Structure](StructureDefinition-dh-composition-es-mix-1.html)
* [ADHA Event Summary Narrative](StructureDefinition-dh-composition-es-narrative-1.html)
* [ADHA Medicare Overview Composition](StructureDefinition-dh-composition-mov-1.html)
* [ADHA Person Health Notes Composition](StructureDefinition-dh-composition-phn-1.html)
* [ADHA Person Health Summary Composition](StructureDefinition-dh-composition-phs-1.html)
* [ADHA Prescription and or Dispense History Composition](StructureDefinition-dh-composition-pdl-1.html)
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24 changes: 24 additions & 0 deletions pages/_includes/dh-composition-mov-1-examples.md
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<table class="list" width="100%">
<tr>
<th>Example name</th>
<th>id</th>
<th colspan="3">Format</th>
</tr>
<tr>
<td><a href="Composition-medicare-view-doc-01.html">Medicare Overview (Composition) for Sally FIELD generated by MHR system (28 MARCH 2022)</a></td>
<td>medicare-view-doc-01</td>
<td><a href="Composition-medicare-view-doc-01.xml.html">XML</a></td>
<td><a href="Composition-medicare-view-doc-01.json.html">JSON</a></td>
<td><a href="Composition-medicare-view-doc-01.ttl.html">Turtle</a></td>
</tr>
<tr>
<td colspan="5">Bundle examples:</td>
</tr>
<tr>
<td><a href="Bundle-medicare-view-doc-01.html">Document Bundle of Medicare Overview for Sally FIELD generated by MHR system (28 MARCH 2022)</a></td>
<td>medicare-view-doc-01</td>
<td><a href="Bundle-medicare-view-doc-01.xml.html">XML</a></td>
<td><a href="Bundle-medicare-view-doc-01.json.html">JSON</a></td>
<td><a href="Bundle-medicare-view-doc-01.ttl.html">Turtle</a></td>
</tr>
</table>
19 changes: 19 additions & 0 deletions pages/_includes/dh-composition-mov-1-intro.md
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#### Australian Digital Health Agency Medicare Overview
The purpose of this profile is to define a representation of a Medicare Overview document for an individual for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. A composition is a set of resources composed into a single coherent clinical statement that may have clinical attestation.

This profile identifies the additional constraints, extensions, and value sets that build on and extend [Composition](http://hl7.org/fhir/R4/composition.html) that are supported.

This profile supports the equivalent of a HL7 CDA instance with a mixed conformance Level 2, Level 3A or 3B clinical document as defined in the Agency's Common Conformance Profile for Clinical Documents.

This profile is designed to set a Composition standard for:
* Query for a Medicare Overviewdocument for a patient
* Record or update a Medicare Overview document for a patient

This profile is used by the following APIs:
* [insert API endpoint](StructureDefinition-TBD-1.html)


#### Boundaries and relationships
This profile is referenced by
[ADHA TBD](StructureDefinition-dh-TBD-core-1.html), and
[ADHA TBD](StructureDefinition-dh-TBD-core-1.html).
14 changes: 14 additions & 0 deletions pages/_includes/dh-composition-mov-1-issues.md
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<table class="list" width="100%">
<tbody>
<tr>
<th>Reference</th>
<th>Description</th>
<th>Issue No.</th>
</tr>
<tr>
<td>Constraint presentation</td>
<td>The full set of constraints (i.e. invariants) defined in this profile are only presented in the Detailed Descriptions tab or the raw representation (e.g. XML) of the profile. The Differential Table only presents constraints introduced in this profile in addition to the constraints present in the base profile and base resource. The Snapshot Table only presents the constraints visible in the Differential Table and additionally presents those constraints set in slices in the base profile.</td>
<td>See Zulip <a href="https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/Derived.20profile.20snapshot.20missing.20upstream.20invariants">Derived profile snapshot missing upstream invariants</a> stream</td>
</tr>
</tbody>
</table>
1 change: 1 addition & 0 deletions pages/_includes/dh-composition-mov-1-summary.md
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This file is intentionally empty. It is required to be included by the IG Publisher.
19 changes: 17 additions & 2 deletions pages/_includes/dh-composition-ncspp-1-issues.md
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<td>The full set of constraints (i.e. invariants) defined in this profile are only presented in the Detailed Descriptions tab or the raw representation (e.g. XML) of the profile. The Differential Table only presents constraints introduced in this profile in addition to the constraints present in the base profile and base resource. The Snapshot Table only presents the constraints visible in the Differential Table and additionally presents those constraints set in slices in the base profile.</td>
<td>See Zulip <a href="https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/Derived.20profile.20snapshot.20missing.20upstream.20invariants">Derived profile snapshot missing upstream invariants</a> stream</td>
</tr>
<tr>
<td>Current design supports a structure of subtyping - flex for doc + view</td>
<td>Decision on whether to proceed with flexible profile or fixed profile for view only.</td>
<td>N/A</td>
</tr>
<tr>
<td>Record titles?</td>
<td>What are the record titles for each national cancer screening program participation record + the view.</td>
<td>N/A</td>
</tr>
<tr>
<td>Dependency on HL7 AU Profile: in development</td>
<td>The section entry profile is in development but is dependent on the HL7 AU Profile Health Program Participation that is currently in development.</td>
Expand All @@ -21,8 +31,13 @@
<td>N/A</td>
</tr>
<tr>
<td>Terminology for document types</td>
<td>Terminology is in publication process. Concepts and the value set to be available at end of March.</td>
<td>Section constraints - specificty vs flexibility</td>
<td>Choice to be made between repeatable section supported by a value set or a defined set of section slices as shown in <a href="StructureDefinition-dh-composition-ncspp-valuesetoptions-1.html">Section type design elaboration version of ADHA National Cancer Screening Program Participation Composition</a>.</td>
<td>N/A</td>
</tr>
<tr>
<td>Section title constraints</td>
<td>Choice to be made on where in the solution to fix the section title constraints - if set in the profile these need to be updated and maintained to change the section title. Would be breaking change in profile.</td>
<td>N/A</td>
</tr>
<tr>
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2 changes: 1 addition & 1 deletion pages/_includes/dh-consent-aodr-1-intro.md
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#### Boundaries and relationships
This profile is referenced by
[TBD](StructureDefinition-TBD-1.html).
[ADHA Medicare Overview Composition](StructureDefinition-dh-composition-mov-1.html).

3 changes: 2 additions & 1 deletion pages/_includes/dh-device-system-1-intro.md
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This profile is referenced by
[ADHA Core Composition](StructureDefinition-dh-composition-core-1.html),
[ADHA Document Composition](StructureDefinition-dh-composition-document-1.html),
[ADHA Advance Care Custodian Record Composition](StructureDefinition-dh-composition-document-1.html),
[ADHA Advance Care Custodian Record Composition](StructureDefinition-dh-composition-document-1.html),
[ADHA Advance Care Planning Document Composition](StructureDefinition-dh-composition-document-1.html),
[ADHA Medicare Overview Composition](StructureDefinition-dh-composition-mov-1.html),
[ADHA National Cancer Screening Program Participation Composition](StructureDefinition-dh-composition-ncspp-1.html),
[ADHA Prescription and or Dispense History Composition](StructureDefinition-dh-composition-pdl-1.html),
[ADHA Shared Medicines List Composition](StructureDefinition-dh-composition-sml-1.html),
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#### Boundaries and relationships
This profile is referenced by
[TBD](StructureDefinition-TBD-1.html).
[ADHA Medicare Overview Composition](StructureDefinition-dh-composition-mov-1.html).

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Expand Up @@ -20,5 +20,5 @@ The following guidance applies:

#### Boundaries and relationships
This profile is referenced by
[TBD](StructureDefinition-TBD-1.html).
[ADHA Medicare Overview Composition](StructureDefinition-dh-composition-mov-1.html).

2 changes: 1 addition & 1 deletion pages/_includes/dh-flag-air-1-intro.md
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#### Boundaries and relationships
This profile is referenced by
[TBD](StructureDefinition-TBD-1.html).
[ADHA Medicare Overview Composition](StructureDefinition-dh-composition-mov-1.html).
2 changes: 1 addition & 1 deletion pages/_includes/dh-immunization-air-1-intro.md
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Expand Up @@ -16,4 +16,4 @@ The following guidance applies:

#### Boundaries and relationships
This profile is referenced by
[TBD](StructureDefinition-dh-TBD-1.html)...
[ADHA Medicare Overview Composition](StructureDefinition-dh-composition-mov-1.html).
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