New Zealand Rheumatic Fever FHIR Implementation Guide
0.4.8 - draft
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
{
"resourceType" : "Observation",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2024-08-07T08:31:00Z",
"profile" : [
🔗 "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-diagnosisgroup"
],
"tag" : [
{
"system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "rf-nz",
"display" : "rheumatic fever"
}
]
},
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "rfccs-observation-id"
}
]
},
"system" : "https://standards.digital.health.nz/ns/rf-ccs-id",
"value" : "OBSD-0101"
}
],
"status" : "final",
"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)"
}
]
},
"subject" : {
"type" : "Patient",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/nhi-id",
"value" : "ZKC7284"
},
"display" : "Sage Westbrook"
},
"encounter" : {
🔗 "reference" : "Encounter/DiagnosisEncounter"
},
"performer" : [
{
"type" : "Organization",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/hpi-organisation-id",
"value" : "G0M086-B"
},
"display" : "Te Tai Tokerau Rheumatic Fever Secondary Prevention Service"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "703119002",
"display" : "Carditis due to rheumatic fever (disorder)"
}
],
"text" : "Carditis due to rheumatic fever (disorder)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "448021000210106",
"display" : "Indolent carditis (disorder)"
}
],
"text" : "Indolent carditis (disorder)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "95325000",
"display" : "Subcutaneous nodule (finding)"
}
],
"text" : "Subcutaneous nodule (finding)"
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "200951007",
"display" : "Erythema marginatum in acute rheumatic fever (disorder)"
}
],
"text" : "Erythema marginatum in acute rheumatic fever (disorder)"
},
"dataAbsentReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "unknown",
"display" : "Unknown"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "111211002",
"display" : "Migratory polyarthritis (disorder)"
}
],
"text" : "Migratory polyarthritis (disorder)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "699462004",
"display" : "Monoarthritis (disorder)"
}
],
"text" : "Monoarthritis (disorder)"
},
"dataAbsentReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "unknown",
"display" : "Unknown"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "46826000",
"display" : "Rheumatic chorea (disorder)"
}
],
"text" : "Rheumatic chorea (disorder)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "35678005",
"display" : "Multiple joint pain (finding)"
}
],
"text" : "Multiple joint pain (finding)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "165468009",
"display" : "Erythrocyte sedimentation rate above reference range (finding)"
}
],
"text" : "Erythrocyte sedimentation rate above reference range (finding)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "416838001",
"display" : "Erythrocyte sedimentation rate measurement (procedure)"
}
],
"text" : "Erythrocyte sedimentation rate measurement (procedure)"
},
"valueQuantity" : {
"value" : 30,
"unit" : "mm/h",
"system" : "http://unitsofmeasure.org",
"code" : "mm/h"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "119971000119104",
"display" : "C-reactive protein above reference range (finding)"
}
],
"text" : "C-reactive protein above reference range (finding)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "55235003",
"display" : "C-reactive protein measurement (procedure)"
}
],
"text" : "C-reactive protein measurement (procedure)"
},
"valueQuantity" : {
"value" : 12,
"unit" : "mg/l",
"system" : "http://unitsofmeasure.org",
"code" : "mg/L"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "251207006",
"display" : "PR interval duration (observable entity)"
}
],
"text" : "PR interval duration (observable entity)"
},
"valueQuantity" : {
"value" : 0.25,
"unit" : "s",
"system" : "http://unitsofmeasure.org",
"code" : "s"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "164947007",
"display" : "Prolonged PR interval (finding)"
}
],
"text" : "Prolonged PR interval (finding)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "386661006",
"display" : "Fever (finding)"
}
],
"text" : "Fever (finding)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "44808001",
"display" : "Conduction disorder of the heart (disorder)"
}
],
"text" : "Conduction disorder of the heart (disorder)"
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "44808001",
"display" : "Conduction disorder of the heart (disorder)"
}
],
"text" : "Conduction disorder of the heart (disorder)"
},
"valueString" : "Conduction was considered abnormally low in such a young patient"
}
]
}