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
<Observation xmlns="http://hl7.org/fhir">
<meta>
<versionId value="2"/>
<lastUpdated value="2024-08-07T08:31:00Z"/>
<profile
value="https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-diagnosisgroup"/>
<tag>
<system
value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
<code value="rf-nz"/>
<display value="rheumatic fever"/>
</tag>
</meta>
<identifier>
<use value="usual"/>
<type>
<coding>
<system
value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
<code value="rfccs-observation-id"/>
</coding>
</type>
<system value="https://standards.digital.health.nz/ns/rf-ccs-id"/>
<value value="OBSD-0101"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system
value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
<code value="447541000210107"/>
<display
value="New Zealand Jones Criteria Assessment (observable entity)"/>
</coding>
</code>
<subject>
<type value="Patient"/>
<identifier>
<use value="official"/>
<system value="https://standards.digital.health.nz/ns/nhi-id"/>
<value value="ZKC7284"/>
</identifier>
<display value="Sage Westbrook"/>
</subject>
<encounter>🔗
<reference value="Encounter/DiagnosisEncounter"/>
</encounter>
<performer>
<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"/>
</performer>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="703119002"/>
<display value="Carditis due to rheumatic fever (disorder)"/>
</coding>
<text value="Carditis due to rheumatic fever (disorder)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
<code value="448021000210106"/>
<display value="Indolent carditis (disorder)"/>
</coding>
<text value="Indolent carditis (disorder)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="95325000"/>
<display value="Subcutaneous nodule (finding)"/>
</coding>
<text value="Subcutaneous nodule (finding)"/>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="200951007"/>
<display
value="Erythema marginatum in acute rheumatic fever (disorder)"/>
</coding>
<text value="Erythema marginatum in acute rheumatic fever (disorder)"/>
</code>
<dataAbsentReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="unknown"/>
<display value="Unknown"/>
</coding>
</dataAbsentReason>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="111211002"/>
<display value="Migratory polyarthritis (disorder)"/>
</coding>
<text value="Migratory polyarthritis (disorder)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="699462004"/>
<display value="Monoarthritis (disorder)"/>
</coding>
<text value="Monoarthritis (disorder)"/>
</code>
<dataAbsentReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="unknown"/>
<display value="Unknown"/>
</coding>
</dataAbsentReason>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="46826000"/>
<display value="Rheumatic chorea (disorder)"/>
</coding>
<text value="Rheumatic chorea (disorder)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="35678005"/>
<display value="Multiple joint pain (finding)"/>
</coding>
<text value="Multiple joint pain (finding)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="165468009"/>
<display
value="Erythrocyte sedimentation rate above reference range (finding)"/>
</coding>
<text
value="Erythrocyte sedimentation rate above reference range (finding)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="416838001"/>
<display
value="Erythrocyte sedimentation rate measurement (procedure)"/>
</coding>
<text value="Erythrocyte sedimentation rate measurement (procedure)"/>
</code>
<valueQuantity>
<value value="30"/>
<unit value="mm/h"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm/h"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="119971000119104"/>
<display value="C-reactive protein above reference range (finding)"/>
</coding>
<text value="C-reactive protein above reference range (finding)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="55235003"/>
<display value="C-reactive protein measurement (procedure)"/>
</coding>
<text value="C-reactive protein measurement (procedure)"/>
</code>
<valueQuantity>
<value value="12"/>
<unit value="mg/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/L"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="251207006"/>
<display value="PR interval duration (observable entity)"/>
</coding>
<text value="PR interval duration (observable entity)"/>
</code>
<valueQuantity>
<value value="0.25"/>
<unit value="s"/>
<system value="http://unitsofmeasure.org"/>
<code value="s"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="164947007"/>
<display value="Prolonged PR interval (finding)"/>
</coding>
<text value="Prolonged PR interval (finding)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="386661006"/>
<display value="Fever (finding)"/>
</coding>
<text value="Fever (finding)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="44808001"/>
<display value="Conduction disorder of the heart (disorder)"/>
</coding>
<text value="Conduction disorder of the heart (disorder)"/>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="44808001"/>
<display value="Conduction disorder of the heart (disorder)"/>
</coding>
<text value="Conduction disorder of the heart (disorder)"/>
</code>
<valueString
value="Conduction was considered abnormally low in such a young patient"/>
</component>
</Observation>