New Zealand rheumatic fever FHIR Implementation Guide
0.4.6 - draft
New Zealand rheumatic fever FHIR Implementation Guide
0.4.6 - draft
New Zealand rheumatic fever FHIR Implementation Guide - Local Development build (v0.4.6) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Condition",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2024-08-07T08:31:00Z",
"profile" : [
🔗 "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-condition"
],
"tag" : [
{
"system" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "rf-nz",
"display" : "rheumatic fever"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Condition SevereRfConditionWithDiagnosisEvidence</b></p><a name=\"SevereRfConditionWithDiagnosisEvidence\"> </a><a name=\"hcSevereRfConditionWithDiagnosisEvidence\"> </a><a name=\"SevereRfConditionWithDiagnosisEvidence-en-US\"> </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\">version: 2; Last updated: 2024-08-07 08:31:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-nz-rheumaticfever-condition.html\">Rheumatic Fever Condition</a></p><p style=\"margin-bottom: 0px\">Tag: rheumatic fever (Details: NZ-specific terminology in rheumatic fever data representation code rf-nz = ' rheumatic fever ', stated as ' rheumatic fever ')</p></div><p><b>identifier</b>: Identifies a patient Condition object in the NZ national RF Care Coordination System/CON-0206\u00a0(use:\u00a0usual,\u00a0), Identifies a notifiable disease surveillance case number in ESR's EpiSurv national system/21-383414-AK\u00a0(use:\u00a0usual,\u00a0)</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 58718002}\">Rheumatic fever (disorder)</span>, <span title=\"Codes:{https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem rf-nz}\">rheumatic fever</span></p><p><b>severity</b>: <span title=\"Codes:{http://snomed.info/sct 24484000}\">Severe</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 195528001}\">Acute rheumatic fever (disorder)</span></p><p><b>subject</b>: Sage Westbrook (Identifier: NHI/ZKC7284\u00a0(use:\u00a0official,\u00a0))</p><p><b>encounter</b>: <a href=\"Encounter-DiagnosisEncounter.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Rheumatic fever (disorder); serviceType = Hospital (environment); period = 2023-03-12 02:00:00+0000 --> (ongoing)</a></p><p><b>onset</b>: 2023-02-05 02:00:00+0000</p><p><b>recordedDate</b>: 2023-03-12 02:00:00+0000</p><p><b>recorder</b>: Dottie McStuffins (Identifier: <code>https://standards.digital.health.nz/ns/hpi-practitioner-id</code>/99ZZFX\u00a0(use:\u00a0official,\u00a0))</p><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem 439238004}\">Echocardiography test interpretation (observable entity)</span></p><p><b>detail</b>: <a href=\"Observation-DiagnosisDetail-ECHO.html\">Observation Echocardiography test interpretation (observable entity)</a></p></blockquote><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem 447541000210107}\">New Zealand Jones Criteria Assessment (observable entity)</span></p><p><b>detail</b>: <a href=\"Observation-DiagnosisDetail-JonesCriteria.html\">Observation New Zealand Jones Criteria Assessment (observable entity)</a></p></blockquote><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem 448011000210101}\">Evidence of preceding Streptococcus group A infection (observation entity)</span></p><p><b>detail</b>: <a href=\"Observation-DiagnosisDetail-StrepEvidence.html\">Observation Evidence of preceding Streptococcus group A infection</a></p></blockquote></div>"
},
"extension" : [
{
"url" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-rhdseverity",
"valueCoding" : {
"system" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever",
"code" : "59391000119102",
"display" : "History of heart valve repair (situation)"
}
},
{
"url" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-diagnosticcertainty",
"valueCoding" : {
"system" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever",
"code" : "probable",
"display" : "probable"
}
},
{
"url" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-assessmentdate",
"valueDateTime" : "2023-03-12T02:00:00Z"
},
{
"url" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-symptomaticAtDiagnosis",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "264931009",
"display" : "Symptomatic (qualifier value)"
}
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/external-system-identifier-type-codesystem",
"code" : "salesforce-condition-id"
}
]
},
"system" : "https://developer.salesforce.com/docs",
"value" : "CON-0206"
},
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/external-system-identifier-type-codesystem",
"code" : "episurv-number"
}
]
},
"system" : "https://episurv.esr.cri.nz/",
"value" : "21-383414-AK"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "58718002",
"display" : "Rheumatic fever (disorder)"
}
]
},
{
"coding" : [
{
"system" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "rf-nz",
"display" : "rheumatic fever"
}
]
}
],
"severity" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "24484000",
"display" : "Severe"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "195528001",
"display" : "Acute rheumatic fever (disorder)"
}
]
},
"subject" : {
"type" : "Patient",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/nhi-id",
"value" : "ZKC7284"
},
"display" : "Sage Westbrook"
},
"encounter" : {
🔗 "reference" : "Encounter/DiagnosisEncounter"
},
"onsetDateTime" : "2023-02-05T02:00:00Z",
"recordedDate" : "2023-03-12T02:00:00Z",
"recorder" : {
"type" : "Practitioner",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/hpi-practitioner-id",
"value" : "99ZZFX"
},
"display" : "Dottie McStuffins"
},
"evidence" : [
{
"code" : [
{
"coding" : [
{
"system" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "439238004",
"display" : "Echocardiography test interpretation (observable entity)"
}
]
}
],
"detail" : [
{
🔗 "reference" : "Observation/DiagnosisDetail-ECHO"
}
]
},
{
"code" : [
{
"coding" : [
{
"system" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "447541000210107",
"display" : "New Zealand Jones Criteria Assessment (observable entity)"
}
]
}
],
"detail" : [
{
🔗 "reference" : "Observation/DiagnosisDetail-JonesCriteria"
}
]
},
{
"code" : [
{
"coding" : [
{
"system" : "https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "448011000210101",
"display" : "Evidence of preceding Streptococcus group A infection (observation entity)"
}
]
}
],
"detail" : [
{
🔗 "reference" : "Observation/DiagnosisDetail-StrepEvidence"
}
]
}
]
}