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

: SevereRfConditionWithDiagnosisEvidence - XML Representation

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<Condition xmlns="http://hl7.org/fhir">
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2024-08-07T08:31:00Z"/>
    <profile
             value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-condition"/>
    <tag>
      <system
              value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
      <code value="rf-nz"/>
      <display value="rheumatic fever"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/>
    <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 (use: usual, ), Identifies a notifiable disease surveillance case number in ESR's EpiSurv national system/21-383414-AK (use: usual, )</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 (use: official, ))</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 --&gt; (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 (use: official, ))</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>
  </text>
  <extension
             url="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-rhdseverity">
    <valueCoding>
      <system value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever"/>
      <code value="59391000119102"/>
      <display value="History of heart valve repair (situation)"/>
    </valueCoding>
  </extension>
  <extension
             url="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-diagnosticcertainty">
    <valueCoding>
      <system value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever"/>
      <code value="probable"/>
      <display value="probable"/>
    </valueCoding>
  </extension>
  <extension
             url="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-assessmentdate">
    <valueDateTime value="2023-03-12T02:00:00Z"/>
  </extension>
  <extension
             url="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-symptomaticAtDiagnosis">
    <valueCoding>
      <system value="http://snomed.info/sct"/>
      <code value="264931009"/>
      <display value="Symptomatic (qualifier value)"/>
    </valueCoding>
  </extension>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system
                value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/external-system-identifier-type-codesystem"/>
        <code value="salesforce-condition-id"/>
      </coding>
    </type>
    <system value="https://developer.salesforce.com/docs"/>
    <value value="CON-0206"/>
  </identifier>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system
                value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/external-system-identifier-type-codesystem"/>
        <code value="episurv-number"/>
      </coding>
    </type>
    <system value="https://episurv.esr.cri.nz/"/>
    <value value="21-383414-AK"/>
  </identifier>
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      <code value="active"/>
      <display value="Active"/>
    </coding>
    <text value="Active"/>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
      <code value="confirmed"/>
      <display value="Confirmed"/>
    </coding>
    <text value="Confirmed"/>
  </verificationStatus>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="58718002"/>
      <display value="Rheumatic fever (disorder)"/>
    </coding>
  </category>
  <category>
    <coding>
      <system
              value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
      <code value="rf-nz"/>
      <display value="rheumatic fever"/>
    </coding>
  </category>
  <severity>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="24484000"/>
      <display value="Severe"/>
    </coding>
  </severity>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="195528001"/>
      <display value="Acute rheumatic fever (disorder)"/>
    </coding>
  </code>
  <subject>
    <type value="Patient"/>
    <identifier>
      <use value="official"/>
      <system value="https://standards.digital.health.nz/ns/nhi-id"/>
      <value value="ZKC7284"/>
    </identifier>
    <display value="Sage Westbrook"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/DiagnosisEncounter"/>
  </encounter>
  <onsetDateTime value="2023-02-05T02:00:00Z"/>
  <recordedDate value="2023-03-12T02:00:00Z"/>
  <recorder>
    <type value="Practitioner"/>
    <identifier>
      <use value="official"/>
      <system
              value="https://standards.digital.health.nz/ns/hpi-practitioner-id"/>
      <value value="99ZZFX"/>
    </identifier>
    <display value="Dottie McStuffins"/>
  </recorder>
  <evidence>
    <code>
      <coding>
        <system
                value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
        <code value="439238004"/>
        <display
                 value="Echocardiography test interpretation (observable entity)"/>
      </coding>
    </code>
    <detail>🔗 
      <reference value="Observation/DiagnosisDetail-ECHO"/>
    </detail>
  </evidence>
  <evidence>
    <code>
      <coding>
        <system
                value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
        <code value="447541000210107"/>
        <display
                 value="New Zealand Jones Criteria Assessment (observable entity)"/>
      </coding>
    </code>
    <detail>🔗 
      <reference value="Observation/DiagnosisDetail-JonesCriteria"/>
    </detail>
  </evidence>
  <evidence>
    <code>
      <coding>
        <system
                value="https://fhir-ig-uat.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
        <code value="448011000210101"/>
        <display
                 value="Evidence of preceding Streptococcus group A infection (observation entity)"/>
      </coding>
    </code>
    <detail>🔗 
      <reference value="Observation/DiagnosisDetail-StrepEvidence"/>
    </detail>
  </evidence>
</Condition>