New Zealand Rheumatic Fever FHIR Implementation Guide
0.4.9 - draft

New Zealand Rheumatic Fever FHIR Implementation Guide - Local Development build (v0.4.9) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Observation: DiagnosisDetail-JonesCriteria

Generated Narrative: Observation DiagnosisDetail-JonesCriteria

version: 2; Last updated: 2024-08-07 08:31:00+0000

Profile: Rheumatic Fever Diagnosis Group

Tag: rheumatic fever (Details: NZ-specific terminology in rheumatic fever data representation code rf-nz = ' rheumatic fever ', stated as ' rheumatic fever ')

identifier: Identifies an observation object in the NZ national RF Care Coordination System/OBSD-0101 (use: usual, )

status: Final

code: New Zealand Jones Criteria Assessment (observable entity)

subject: Sage Westbrook (Identifier: NHI/ZKC7284 (use: official, ))

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Rheumatic fever (disorder); serviceType = Hospital (environment); period = 2023-03-12 02:00:00+0000 --> (ongoing)

performer: Te Tai Tokerau Rheumatic Fever Secondary Prevention Service (Identifier: HPIOrganization/G0M086-B (use: official, ))

component

code: Carditis due to rheumatic fever (disorder)

value: true

component

code: Indolent carditis (disorder)

value: true

component

code: Subcutaneous nodule (finding)

value: false

component

code: Erythema marginatum in acute rheumatic fever (disorder)

dataAbsentReason: Unknown

component

code: Migratory polyarthritis (disorder)

value: true

component

code: Monoarthritis (disorder)

dataAbsentReason: Unknown

component

code: Rheumatic chorea (disorder)

value: true

component

code: Multiple joint pain (finding)

value: true

component

code: Erythrocyte sedimentation rate above reference range (finding)

value: true

component

code: Erythrocyte sedimentation rate measurement (procedure)

value: 30 mm/h (Details: UCUM codemm/h = 'mm/h')

component

code: C-reactive protein above reference range (finding)

value: true

component

code: C-reactive protein measurement (procedure)

value: 12 mg/l (Details: UCUM codemg/L = 'mg/L')

component

code: PR interval duration (observable entity)

value: 0.25 s (Details: UCUM codes = 's')

component

code: Prolonged PR interval (finding)

value: true

component

code: Fever (finding)

value: true

component

code: Conduction disorder of the heart (disorder)

value: true

component

code: Conduction disorder of the heart (disorder)

value: Conduction was considered abnormally low in such a young patient