Breast Screening NZ FHIR Implementation Guide
1.1.0 - Release

Breast Screening NZ FHIR Implementation Guide - Local Development build (v1.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Data Model

This IG uses standard unprofiled FHIR R4 resources.

Only `CarePlan` has additional extensions.

## Patient

- Represents a screening participant
- Must include:
  - Official name
  - Date of birth
  - NHI identifier
- Optional demographic data is allowed

## EpisodeOfCare

Represents a screening episode for a given participant.

The duration of the episode is represented with the initial screening appointment booked date/time as a start time, and the final outcome date as an end time. The managing organization is represented as the lead provider owning the participant.

Key elements:

- `status`
- `type` (e.g., "breast-screening")
- `managingOrganization`
- `patient`

## CarePlan

Represents the programme enrollment for a participant. There is only one CarePlan per participant, with the duration and other details varying as the states are updated.

Includes:

- CPIR-specific extensions

## Appointment

Represents the appointments which can be of different type and .

Key fields:

- `status`
- `description`
- `start`
- `end`
- `participant` (Patient + possibly practitioner/facility)
- `reasonReference` → CarePlan

## Organization

Represents:

- Lead Providers
- Screening sites
- Organizations

Used inside:

- EpisodeOfCare
- Appointment