New Zealand Rheumatic Fever FHIR Implementation Guide
0.5.0 - draft
New Zealand Rheumatic Fever FHIR Implementation Guide
0.5.0 - draft
New Zealand Rheumatic Fever FHIR Implementation Guide - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
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"lastUpdated" : "2024-08-07T08:31:00Z",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Bundle"
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},
"type" : "transaction",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Encounter/1001",
"resource" : {
"resourceType" : "Encounter",
"id" : "1001",
"meta" : {
"lastUpdated" : "2024-08-07T08:31:00Z",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
],
"tag" : [
{
"system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "rf-nz",
"display" : "rheumatic fever"
}
]
},
"contained" : [
{
"resourceType" : "Location",
"id" : "RedDiamondWhangarei",
"meta" : {
"profile" : [
🔗 "http://hl7.org.nz/fhir/StructureDefinition/NzLocation"
]
},
"identifier" : [
{
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
"value" : "FZZ860-D"
}
],
"name" : "Red Diamond Generic Medical Centre- Whangarei",
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "PC"
}
]
}
]
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "58718002",
"display" : "Rheumatic fever (disorder)"
}
]
}
],
"serviceType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "360271000",
"display" : "Prophylaxis - procedure intent (qualifier value)"
}
]
},
"subject" : {
"type" : "Patient",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/nhi-id",
"value" : "ZKC7284"
},
"display" : "Sage Westbrook"
},
"participant" : [
{
"individual" : {
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"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/hpi-practitioner-id",
"value" : "98ZZQJ"
},
"display" : "Isabel Injecta"
}
},
{
"individual" : {
"type" : "Patient",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/nhi-id",
"value" : "ZKC7284"
},
"display" : "Sage Westbrook"
}
}
],
"appointment" : [
{
🔗 "reference" : "Appointment/SecondaryProphylaxisAppointment-August-Fulfilled"
}
],
"period" : {
"start" : "2023-08-08T02:10:00Z",
"end" : "2023-08-08T03:15:00Z"
},
"location" : [
{
"location" : {
"reference" : "#RedDiamondWhangarei"
}
}
],
"serviceProvider" : {
"type" : "Organization",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/hpi-organisation-id",
"value" : "GZZ866-A"
},
"display" : "Red Diamond Medical Limited"
}
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationStatement/1002",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "1002",
"meta" : {
"lastUpdated" : "2024-08-07T08:31:00Z",
"tag" : [
{
"system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "rf-nz",
"display" : "rheumatic fever"
}
]
},
"contained" : [
{
"resourceType" : "MedicationStatement",
"id" : "contained-Lignocaine-dose",
"partOf" : [
{
🔗 "reference" : "MedicationStatement/MedicationStatement-August"
}
],
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://nzmt.org.nz",
"code" : "10747581000116100",
"display" : "lidocaine hydrochloride anhydrous 1% (20 mg/2 mL) injection, ampoule"
}
]
},
"subject" : {
"type" : "Patient",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/nhi-id",
"value" : "ZKC7284"
},
"display" : "Sage Westbrook"
},
"dosage" : [
{
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 0.25,
"unit" : "ml",
"system" : "http://unitsofmeasure.org",
"code" : "ml"
}
}
]
}
]
}
],
"basedOn" : [
{
🔗 "reference" : "MedicationRequest/PlannedBenzathineMedication"
}
],
"partOf" : [
{
"reference" : "#contained-Lignocaine-dose"
}
],
"status" : "completed",
"category" : {
"coding" : [
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"system" : "http://snomed.info/sct",
"code" : "58718002",
"display" : "Rheumatic fever (disorder)"
}
]
},
"medicationReference" : {
🔗 "reference" : "Medication/BenzathineMedication"
},
"subject" : {
"type" : "Patient",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/nhi-id",
"value" : "ZKC7284"
},
"display" : "Sage Westbrook"
},
"context" : {
"reference" : "http://example.org/fhir/Encounter/1"
},
"effectiveDateTime" : "2023-08-08T03:15:00Z",
"dateAsserted" : "2023-08-18T03:15:00Z",
"dosage" : [
{
"site" : {
"coding" : [
{
"system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "299151000210101",
"display" : "Structure of left ventrogluteal region (body structure)"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "78421000",
"display" : "Intramuscular route (qualifier value)"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 25,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
]
}
]
},
"request" : {
"method" : "POST",
"url" : "MedicationStatement"
}
},
{
"fullUrl" : "http://example.org/fhir/QuestionnaireResponse/1003",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "1003",
"meta" : {
"lastUpdated" : "2024-08-07T08:31:00Z",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
],
"tag" : [
{
"system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code" : "rf-nz",
"display" : "rheumatic fever"
}
]
},
"basedOn" : [
{
🔗 "reference" : "CarePlan/AllAppointmentsCompleted"
}
],
"questionnaire" : "https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/SecondaryProphylaxisHealthAssessmentQuestionnaire",
"status" : "completed",
"subject" : {
"type" : "Patient",
"identifier" : {
"use" : "official",
"system" : "https://standards.digital.health.nz/ns/nhi-id",
"value" : "ZKC7284"
},
"display" : "Sage Westbrook"
},
"encounter" : {
"reference" : "http://example.org/fhir/Encounter/1"
},
"authored" : "2023-08-08T01:08:00.504Z",
"author" : {
"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"
},
"item" : [
{
"linkId" : "ReasonsInjectionOverdue",
"text" : "Reason(s) injection was give late? (multiple choice)",
"answer" : [
{
"valueString" : "Patient Not Available on the Day"
},
{
"valueString" : "Other"
}
]
},
{
"linkId" : "OverdueInjectionOtherDetail",
"text" : "Other details for late injection (enter text)",
"answer" : [
{
"valueString" : "The patient couldn't find a park for the classic Hilux."
}
]
},
{
"linkId" : "OtherPainManagementToolsUsed",
"text" : "Pain management tools used? (multiple choice)",
"answer" : [
{
"valueString" : "Ice pack"
},
{
"valueString" : "Numbing spray"
},
{
"valueString" : "Distraction"
},
{
"valueString" : "Other"
}
]
},
{
"linkId" : "PainManagementOtherDetails",
"text" : "Details of other pain management (enter text)",
"answer" : [
{
"valueString" : "We discovered in this appointment that Chocolate Chip Cookie ice cream helps a lot!"
}
]
},
{
"linkId" : "PostInjectionConcern",
"text" : "Post injection concern or possible reaction identified?",
"answer" : [
{
"valueBoolean" : true
}
]
},
{
"linkId" : "PostInjectionConcernDetails",
"text" : "If Yes, Record Details, Symptoms, Actions Taken and Follow-Up Plan (enter text)",
"answer" : [
{
"valueString" : "Sage had a bit more than the usual sensitivity at the injection site so we dished out extra ice cream, which was nice."
}
]
},
{
"linkId" : "AnyOtherConcerns",
"text" : "Were There Any Other Concerns or Issues Identified During the Visit?",
"answer" : [
{
"valueBoolean" : true
}
]
},
{
"linkId" : "OtherConcernsDetail",
"text" : "If yes, describe details, actions taken, and follow-up planned (enter text)",
"answer" : [
{
"valueString" : "A shortage of ice cream in our freezer led to some unnecessary worries for Sage."
}
]
},
{
"linkId" : "HealthEducationTopicsDiscussed",
"text" : "Health education topics discussed? (multiple choice)",
"answer" : [
{
"valueString" : "Secondary prophylaxis"
},
{
"valueString" : "Nutrition"
},
{
"valueString" : "Other"
}
]
},
{
"linkId" : "HealthEducationOtherDetail",
"text" : "Enter details of other health education topic discussed (enter text)",
"answer" : [
{
"valueString" : "Sage and I discussed the importance of punctuality and the benefits of planning ahead."
}
]
},
{
"linkId" : "RecentOrUpcomingAppointments",
"text" : "Any recent or upcoming follow-up appointments?",
"answer" : [
{
"valueBoolean" : true
}
]
},
{
"linkId" : "RecentOrUpcomingAppointmentsDetails",
"text" : "Enter details and dates of any recent or upcoming follow-up appointments (enter text)",
"answer" : [
{
"valueString" : "Sage has an upcoming follow-up appointment covering iOS calendar basics"
}
]
},
{
"linkId" : "PlanForNextMedicationAppointment",
"text" : "Comments for the next appointment (enter text)",
"answer" : [
{
"valueString" : "The plan for the next medication appointment is to keep up the good work"
}
]
}
]
},
"request" : {
"method" : "POST",
"url" : "QuestionnaireResponse"
}
}
]
}