New Zealand Rheumatic Fever FHIR Implementation Guide
0.4.8 - draft

New Zealand Rheumatic Fever FHIR Implementation Guide - Local Development build (v0.4.8) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: SevereRfConditionWithDiagnosisEvidence - JSON Representation

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{
  "resourceType" : "Condition",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2024-08-07T08:31:00Z",
    "profile" : [
      🔗 "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-condition"
    ],
    "tag" : [
      {
        "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code" : "rf-nz",
        "display" : "rheumatic fever"
      }
    ]
  },
  "extension" : [
    {
      "url" : "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-rhdseverity",
      "valueCoding" : {
        "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code" : "59391000119102",
        "display" : "History of heart valve repair (situation)"
      }
    },
    {
      "url" : "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-diagnosticcertainty",
      "valueCoding" : {
        "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code" : "probable",
        "display" : "probable"
      }
    },
    {
      "url" : "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-assessmentdate",
      "valueDateTime" : "2023-03-12T02:00:00Z"
    },
    {
      "url" : "https://fhir-ig.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.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
            "code" : "rfccs-condition-id"
          }
        ]
      },
      "system" : "https://standards.digital.health.nz/ns/rf-ccs-id",
      "value" : "CON-0206"
    },
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-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.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.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.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.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"
        }
      ]
    }
  ]
}