New Zealand Rheumatic Fever FHIR Implementation Guide
0.4.7 - draft

New Zealand Rheumatic Fever FHIR Implementation Guide - Local Development build (v0.4.7) 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.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-condition"/>
    <tag>
      <system
              value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
      <code value="rf-nz"/>
      <display value="rheumatic fever"/>
    </tag>
  </meta>
  <extension
             url="https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-rhdseverity">
    <valueCoding>
      <system
              value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
      <code value="59391000119102"/>
      <display value="History of heart valve repair (situation)"/>
    </valueCoding>
  </extension>
  <extension
             url="https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-diagnosticcertainty">
    <valueCoding>
      <system
              value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
      <code value="probable"/>
      <display value="probable"/>
    </valueCoding>
  </extension>
  <extension
             url="https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-assessmentdate">
    <valueDateTime value="2023-03-12T02:00:00Z"/>
  </extension>
  <extension
             url="https://fhir-ig.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.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.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.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.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.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.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>