Te Whatu Ora Shared Care FHIR API
0.3.9 - release New Zealand flag

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: SecondaryProphylaxisAugustEncounterBundle - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2023-11-27T00:00:00Z"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
  </meta>
  <type value="transaction"/>
  <entry>
    <fullUrl value="http://example.org/fhir/Encounter/1"/>
    <resource>
      <Encounter>
        <meta>
          <lastUpdated value="2023-11-27T00:00:00Z"/>
          <profile
                   value="https://fhir-ig-uat.digital.health.nz/shared-care/StructureDefinition/ManaakiNgaTahiEncounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_null"> </a><p><b>Generated Narrative: Encounter </b></p><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">ResourceEncounter Updated&quot;2023-11-27 00:00:00+0000&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ManaakiNgaTahiEncounter.html">ManaakiNgaTahiEncounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: ActCode code AMB  = ' ambulatory ', stated as ' ambulatory ')</p><p><b>subject</b>: <span>: Madeleine Meringue</span></p><blockquote><p><b>participant</b></p><p><b>individual</b>: <span>: Isabel Injecta</span></p></blockquote><blockquote><p><b>participant</b></p><p><b>individual</b>: <span>: Madeleine Meringue</span></p></blockquote><p><b>appointment</b>: <a href="Appointment-SecondaryProphylaxisAppointment-August-Fulfilled.html">Appointment/SecondaryProphylaxisAppointment-August-Fulfilled</a></p><p><b>period</b>: 2023-08-08 02:10:00+0000 --&gt; 2023-08-08 03:15:00+0000</p><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td></tr><tr><td style="display: none">*</td><td><span>: PHNs Whangarei</span></td></tr></table><p><b>serviceProvider</b>: <span>: Te Tai Tokerau Rheumatic Fever Secondary Prevention Service</span></p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <subject>
          <type value="Patient"/>
          <identifier>
            <use value="official"/>
            <system value="https://standards.digital.health.nz/ns/nhi-id"/>
            <value value="SCF7824"/>
          </identifier>
          <display value="Madeleine Meringue"/>
        </subject>
        <participant>
          <individual>
            <type value="Practitioner"/>
            <identifier>
              <use value="official"/>
              <system
                      value="https://standards.digital.health.nz/ns/hpi-practitioner-id"/>
              <value value="99ZAAA"/>
            </identifier>
            <display value="Isabel Injecta"/>
          </individual>
        </participant>
        <participant>
          <individual>
            <type value="Patient"/>
            <identifier>
              <use value="official"/>
              <system value="https://standards.digital.health.nz/ns/nhi-id"/>
              <value value="SCF7824"/>
            </identifier>
            <display value="Madeleine Meringue"/>
          </individual>
        </participant>
        <appointment>🔗 
          <reference
                     value="Appointment/SecondaryProphylaxisAppointment-August-Fulfilled"/>
        </appointment>
        <period>
          <start value="2023-08-08T02:10:00Z"/>
          <end value="2023-08-08T03:15:00Z"/>
        </period>
        <location>
          <location>
            <type value="Location"/>
            <identifier>
              <use value="official"/>
              <system
                      value="https://standards.digital.health.nz/ns/hpi-facility-id"/>
              <value value="F3S457-C"/>
            </identifier>
            <display value="PHNs Whangarei"/>
          </location>
        </location>
        <serviceProvider>
          <type value="Organization"/>
          <identifier>
            <use value="official"/>
            <system
                    value="https://standards.digital.health.nz/ns/hpi-organisation-id"/>
            <value value="G0M086-B"/>
          </identifier>
          <display
                   value="Te Tai Tokerau Rheumatic Fever Secondary Prevention Service"/>
        </serviceProvider>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/MedicationStatement/1"/>
    <resource>
      <MedicationStatement>
        <meta>
          <lastUpdated value="2023-11-27T00:00:00Z"/>
          <profile
                   value="http://hl7.org.nz/fhir/StructureDefinition/NzMedicationStatement"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_null"> </a><p><b>Generated Narrative: MedicationStatement </b></p><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">ResourceMedicationStatement Updated&quot;2023-11-27 00:00:00+0000&quot; </p><p style="margin-bottom: 0px">Profile: <a href="https://simplifier.net/resolve?scope=fhir.org.nz.ig.base@3.0.0&amp;canonical=http://hl7.org.nz/fhir/StructureDefinition/NzMedicationStatement">MedicationStatement resource for use in NZ</a></p></div><p><b>basedOn</b>: <a href="MedicationRequest-PlannedMedicationRequestExample.html">MedicationRequest/PlannedMedicationRequestExample</a></p><p><b>partOf</b>: <a name="hccontained-Lignocaine-dose"> </a></p><blockquote><p/><p><a name="contained-Lignocaine-dose"> </a></p><p><a name="hccontained-Lignocaine-dose"> </a></p><p><b>partOf</b>: See on this page: http://example.org/fhir/MedicationStatement/1</p><p><b>status</b>: completed</p><p><b>medication</b>: lidocaine hydrochloride anhydrous 1% (20 mg/2 mL) injection, ampoule <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (nzmt.org.nz#10747581000116100)</span></p><p><b>subject</b>: <span>: Madeleine Meringue</span></p><blockquote><p><b>dosage</b></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></blockquote><p><b>status</b>: completed</p><p><b>medication</b>: <a href="Medication-SecondaryProphylaxisMedicationExample.html">Medication/SecondaryProphylaxisMedicationExample</a></p><p><b>subject</b>: <span>: Madeleine Meringue</span></p><p><b>context</b>: See on this page: http://example.org/fhir/Encounter/1</p><p><b>effective</b>: 2023-08-08 03:15:00+0000</p><p><b>dateAsserted</b>: 2023-08-18 03:15:00+0000</p><p><b>note</b>: Benzathine Brand used:**Bicillin L-A**</p><blockquote><p><b>dosage</b></p><p><b>site</b>: Structure of left ventrogluteal region (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#299151000210101)</span></p><p><b>route</b>: Intramuscular route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#78421000)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: MedicationStatement  #contained-Lignocaine-dose</b><a name="contained-Lignocaine-dose"> </a><a name="hccontained-Lignocaine-dose"> </a></p><p><b>partOf</b>: <a href="Bundle-SecondaryProphylaxisAugustEncounterBundle.html#http-//example.org/fhir/MedicationStatement/1">http://example.org/fhir/MedicationStatement/1</a></p><p><b>status</b>: completed</p><p><b>medication</b>: lidocaine hydrochloride anhydrous 1% (20 mg/2 mL) injection, ampoule <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (nzmt.org.nz#10747581000116100)</span></p><p><b>subject</b>: <span>: Madeleine Meringue</span></p><blockquote><p><b>dosage</b></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></blockquote></div>
        </text>
        <contained>
          <MedicationStatement>
            <id value="contained-Lignocaine-dose"/>
            <partOf>
              <reference
                         value="http://example.org/fhir/MedicationStatement/1"/>
            </partOf>
            <status value="completed"/>
            <medicationCodeableConcept>
              <coding>
                <system value="http://nzmt.org.nz"/>
                <code value="10747581000116100"/>
                <display
                         value="lidocaine hydrochloride anhydrous 1% (20 mg/2 mL) injection, ampoule"/>
              </coding>
            </medicationCodeableConcept>
            <subject>
              <type value="Patient"/>
              <identifier>
                <use value="official"/>
                <system
                        value="https://standards.digital.health.nz/ns/nhi-id"/>
                <value value="SCF7824"/>
              </identifier>
              <display value="Madeleine Meringue"/>
            </subject>
            <dosage>
              <doseAndRate>
                <doseQuantity>
                  <value value="0.25"/>
                  <unit value="ml"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="ml"/>
                </doseQuantity>
              </doseAndRate>
            </dosage>
          </MedicationStatement>
        </contained>
        <basedOn>🔗 
          <reference
                     value="MedicationRequest/PlannedMedicationRequestExample"/>
        </basedOn>
        <partOf>
          <reference value="#contained-Lignocaine-dose"/>
        </partOf>
        <status value="completed"/>
        <medicationReference>🔗 
          <reference
                     value="Medication/SecondaryProphylaxisMedicationExample"/>
        </medicationReference>
        <subject>
          <type value="Patient"/>
          <identifier>
            <use value="official"/>
            <system value="https://standards.digital.health.nz/ns/nhi-id"/>
            <value value="SCF7824"/>
          </identifier>
          <display value="Madeleine Meringue"/>
        </subject>
        <context>
          <reference value="http://example.org/fhir/Encounter/1"/>
        </context>
        <effectiveDateTime value="2023-08-08T03:15:00Z"/>
        <dateAsserted value="2023-08-18T03:15:00Z"/>
        <note>
          <text value="Benzathine Brand used:**Bicillin L-A**"/>
        </note>
        <dosage>
          <site>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="299151000210101"/>
              <display
                       value="Structure of left ventrogluteal region (body structure)"/>
            </coding>
          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="78421000"/>
              <display value="Intramuscular route (qualifier value)"/>
            </coding>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="25"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MedicationStatement"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/QuestionnaireResponse/1"/>
    <resource>
      <QuestionnaireResponse>
        <meta>
          <lastUpdated value="2023-11-27T00:00:00Z"/>
          <profile
                   value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="QuestionnaireResponse_null"> </a><p><b>Generated Narrative: QuestionnaireResponse </b></p><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">ResourceQuestionnaireResponse Updated&quot;2023-11-27 00:00:00+0000&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/R4/questionnaireresponse.html">QuestionnaireResponse</a></p></div><p><b>basedOn</b>: <a href="CarePlan-CarePlanWithOneAppointmentCompleted.html">CarePlan/CarePlanWithOneAppointmentCompleted</a></p><p><b>questionnaire</b>: <a href="Questionnaire-SecondaryProphylaxisHealthAssessmentQuestionnaire.html">Secondary Prophylaxis Health Assessment Questionnaire</a></p><p><b>status</b>: completed</p><p><b>subject</b>: <span>: Madeleine Meringue</span></p><p><b>encounter</b>: See on this page: http://example.org/fhir/Encounter/1</p><p><b>authored</b>: 2023-08-08 01:08:00+0000</p><p><b>author</b>: <span>: Te Tai Tokerau Rheumatic Fever Secondary Prevention Service</span></p><blockquote><p><b>item</b></p><p><b>linkId</b>: ReasonsInjectionOverdue</p><p><b>text</b>: Reason(s) injection was give late? (multiple choice)</p><blockquote><p><b>answer</b></p><p><b>value</b>: Patient Not Available on the Day</p></blockquote><blockquote><p><b>answer</b></p><p><b>value</b>: Other</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: OverdueInjectionOtherDetail</p><p><b>text</b>: Other details for late injection (enter text)</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>The patient couldn't find a park for the classic Hilux.</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: OtherPainManagementToolsUsed</p><p><b>text</b>: Pain management tools used? (multiple choice)</p><blockquote><p><b>answer</b></p><p><b>value</b>: Ice pack</p></blockquote><blockquote><p><b>answer</b></p><p><b>value</b>: Numbing spray</p></blockquote><blockquote><p><b>answer</b></p><p><b>value</b>: Distraction</p></blockquote><blockquote><p><b>answer</b></p><p><b>value</b>: Other</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: PainManagementOtherDetails</p><p><b>text</b>: Details of other pain management (enter text)</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>We discovered in this appointment that Chocolate Chip Cookie ice cream helps a lot!</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: PostInjectionConcern</p><p><b>text</b>: Post injection concern or possible reaction identified?</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: PostInjectionConcernDetails</p><p><b>text</b>: If Yes, Record Details, Symptoms, Actions Taken and Follow-Up Plan (enter text)</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>Madeleine had a bit more than the usual sensitivity at the injection site so we dished out extra ice cream, which was nice.</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: AnyOtherConcerns</p><p><b>text</b>: Were There Any Other Concerns or Issues Identified During the Visit?</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: OtherConcernsDetail</p><p><b>text</b>: If yes, describe details, actions taken, and follow-up planned (enter text)</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>A shortage of ice cream in our freezer led to some unnecessary worries for Madeleine.</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HealthEducationTopicsDiscussed</p><p><b>text</b>: Health education topics discussed? (multiple choice)</p><blockquote><p><b>answer</b></p><p><b>value</b>: Secondary prophylaxis</p></blockquote><blockquote><p><b>answer</b></p><p><b>value</b>: Nutrition</p></blockquote><blockquote><p><b>answer</b></p><p><b>value</b>: Other</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HealthEducationOtherDetail</p><p><b>text</b>: Enter details of other health education topic discussed (enter text)</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>Madeleine and I discussed the importance of punctuality and the benefits of planning ahead.</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RecentOrUpcomingAppointments</p><p><b>text</b>: Any recent or upcoming follow-up appointments?</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RecentOrUpcomingAppointmentsDetails</p><p><b>text</b>: Enter details and dates of any recent or upcoming follow-up appointments (enter text)</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>Madeleine has an upcoming follow-up appointment covering iOS calendar basics</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: PlanForNextMedicationAppointment</p><p><b>text</b>: Comments for the next appointment (enter text)</p><h3>Answers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>The plan for the next medication appointment is to keep up the good work</td></tr></table></blockquote></div>
        </text>
        <basedOn>🔗 
          <reference value="CarePlan/CarePlanWithOneAppointmentCompleted"/>
        </basedOn>
        <questionnaire
                       value="https://fhir-ig-uat.digital.health.nz/shared-care/Questionnaire/SecondaryProphylaxisHealthAssessmentQuestionnaire"/>
        <status value="completed"/>
        <subject>
          <type value="Patient"/>
          <identifier>
            <use value="official"/>
            <system value="https://standards.digital.health.nz/ns/nhi-id"/>
            <value value="SCF7824"/>
          </identifier>
          <display value="Madeleine Meringue"/>
        </subject>
        <encounter>
          <reference value="http://example.org/fhir/Encounter/1"/>
        </encounter>
        <authored value="2023-08-08T01:08:00.504Z"/>
        <author>
          <type value="Organization"/>
          <identifier>
            <use value="official"/>
            <system
                    value="https://standards.digital.health.nz/ns/hpi-organisation-id"/>
            <value value="G0M086-B"/>
          </identifier>
          <display
                   value="Te Tai Tokerau Rheumatic Fever Secondary Prevention Service"/>
        </author>
        <item>
          <linkId value="ReasonsInjectionOverdue"/>
          <text value="Reason(s) injection was give late? (multiple choice)"/>
          <answer>
            <valueString value="Patient Not Available on the Day"/>
          </answer>
          <answer>
            <valueString value="Other"/>
          </answer>
        </item>
        <item>
          <linkId value="OverdueInjectionOtherDetail"/>
          <text value="Other details for late injection (enter text)"/>
          <answer>
            <valueString
                         value="The patient couldn't find a park for the classic Hilux."/>
          </answer>
        </item>
        <item>
          <linkId value="OtherPainManagementToolsUsed"/>
          <text value="Pain management tools used? (multiple choice)"/>
          <answer>
            <valueString value="Ice pack"/>
          </answer>
          <answer>
            <valueString value="Numbing spray"/>
          </answer>
          <answer>
            <valueString value="Distraction"/>
          </answer>
          <answer>
            <valueString value="Other"/>
          </answer>
        </item>
        <item>
          <linkId value="PainManagementOtherDetails"/>
          <text value="Details of other pain management (enter text)"/>
          <answer>
            <valueString
                         value="We discovered in this appointment that Chocolate Chip Cookie ice cream helps a lot!"/>
          </answer>
        </item>
        <item>
          <linkId value="PostInjectionConcern"/>
          <text
                value="Post injection concern or possible reaction identified?"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
        <item>
          <linkId value="PostInjectionConcernDetails"/>
          <text
                value="If Yes, Record Details, Symptoms, Actions Taken and Follow-Up Plan (enter text)"/>
          <answer>
            <valueString
                         value="Madeleine had a bit more than the usual sensitivity at the injection site so we dished out extra ice cream, which was nice."/>
          </answer>
        </item>
        <item>
          <linkId value="AnyOtherConcerns"/>
          <text
                value="Were There Any Other Concerns or Issues Identified During the Visit?"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
        <item>
          <linkId value="OtherConcernsDetail"/>
          <text
                value="If yes, describe details, actions taken, and follow-up planned (enter text)"/>
          <answer>
            <valueString
                         value="A shortage of ice cream in our freezer led to some unnecessary worries for Madeleine."/>
          </answer>
        </item>
        <item>
          <linkId value="HealthEducationTopicsDiscussed"/>
          <text value="Health education topics discussed? (multiple choice)"/>
          <answer>
            <valueString value="Secondary prophylaxis"/>
          </answer>
          <answer>
            <valueString value="Nutrition"/>
          </answer>
          <answer>
            <valueString value="Other"/>
          </answer>
        </item>
        <item>
          <linkId value="HealthEducationOtherDetail"/>
          <text
                value="Enter details of other health education topic discussed (enter text)"/>
          <answer>
            <valueString
                         value="Madeleine and I discussed the importance of punctuality and the benefits of planning ahead."/>
          </answer>
        </item>
        <item>
          <linkId value="RecentOrUpcomingAppointments"/>
          <text value="Any recent or upcoming follow-up appointments?"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
        <item>
          <linkId value="RecentOrUpcomingAppointmentsDetails"/>
          <text
                value="Enter details and dates of any recent or upcoming follow-up appointments (enter text)"/>
          <answer>
            <valueString
                         value="Madeleine has an upcoming follow-up appointment covering iOS calendar basics"/>
          </answer>
        </item>
        <item>
          <linkId value="PlanForNextMedicationAppointment"/>
          <text value="Comments for the next appointment (enter text)"/>
          <answer>
            <valueString
                         value="The plan for the next medication appointment is to keep up the good work"/>
          </answer>
        </item>
      </QuestionnaireResponse>
    </resource>
    <request>
      <method value="POST"/>
      <url value="QuestionnaireResponse"/>
    </request>
  </entry>
</Bundle>