New Zealand Rheumatic Fever FHIR Implementation Guide
1.0.0 - draft

New Zealand Rheumatic Fever FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: SecondaryProphylaxisAugustEncounterBundle - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:meta [
fhir:versionId [ fhir:v "2" ] ;
fhir:lastUpdated [ fhir:v "2024-08-07T08:31:00Z"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Bundle"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Bundle>     ] )
  ] ; # 
  fhir:type [ fhir:v "transaction"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Encounter/1001"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Encounter/1001> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Encounter"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/MedicationStatement/1002"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/MedicationStatement/1002> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "MedicationStatement"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/QuestionnaireResponse/1003"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/QuestionnaireResponse/1003> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "QuestionnaireResponse"^^xsd:anyURI ]     ]
  ] ) . # 

<http://example.org/fhir/Encounter/1001> a fhir:Encounter ;
  fhir:id [ fhir:v "1001"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2024-08-07T08:31:00Z"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>     ] ) ;
    ( fhir:tag [
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rf-nz" ] ;
fhir:display [ fhir:v "rheumatic fever" ]     ] )
  ] ; # 
  fhir:contained ( [
a fhir:Location ;
fhir:id [ fhir:v "RedDiamondWhangarei" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "http://hl7.org.nz/fhir/StructureDefinition/NzLocation"^^xsd:anyURI ;
fhir:link <http://hl7.org.nz/fhir/StructureDefinition/NzLocation>       ] )     ] ;
    ( fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/hpi-facility-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "FZZ860-D" ]     ] ) ;
fhir:name [ fhir:v "Red Diamond Generic Medical Centre- Whangarei" ] ;
    ( fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PC" ]       ] )     ] )
  ] ) ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "ambulatory" ]
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
a sct:58718002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "58718002" ] ;
fhir:display [ fhir:v "Rheumatic fever (disorder)" ]     ] )
  ] ) ; # 
  fhir:serviceType [
    ( fhir:coding [
a sct:360271000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "360271000" ] ;
fhir:display [ fhir:v "Prophylaxis - procedure intent (qualifier value)" ]     ] )
  ] ; # 
  fhir:subject [
fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/nhi-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ZKC7284" ]     ] ;
fhir:display [ fhir:v "Sage Westbrook" ]
  ] ; # 
  fhir:participant ( [
fhir:individual [
fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/hpi-practitioner-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "98ZZQJ" ]       ] ;
fhir:display [ fhir:v "Isabel Injecta" ]     ]
  ] [
fhir:individual [
fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/nhi-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ZKC7284" ]       ] ;
fhir:display [ fhir:v "Sage Westbrook" ]     ]
  ] ) ; # 
  fhir:appointment ( [
fhir:reference [ fhir:v "Appointment/SecondaryProphylaxisAppointment-August-Fulfilled" ]
  ] ) ; # 
  fhir:period [
fhir:start [ fhir:v "2023-08-08T02:10:00Z"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2023-08-08T03:15:00Z"^^xsd:dateTime ]
  ] ; # 
  fhir:location ( [
fhir:location [
fhir:reference [ fhir:v "#RedDiamondWhangarei" ]     ]
  ] ) ; # 
  fhir:serviceProvider [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/hpi-organisation-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "GZZ866-A" ]     ] ;
fhir:display [ fhir:v "Red Diamond Medical Limited" ]
  ] . # 

<http://example.org/fhir/MedicationStatement/1002> a fhir:MedicationStatement ;
  fhir:id [ fhir:v "1002"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2024-08-07T08:31:00Z"^^xsd:dateTime ] ;
    ( fhir:tag [
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rf-nz" ] ;
fhir:display [ fhir:v "rheumatic fever" ]     ] )
  ] ; # 
  fhir:contained ( [
a fhir:MedicationStatement ;
fhir:id [ fhir:v "contained-Lignocaine-dose" ] ;
    ( fhir:partOf [
fhir:reference [ fhir:v "MedicationStatement/MedicationStatement-August" ]     ] ) ;
fhir:status [ fhir:v "completed" ] ;
fhir:medication [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://nzmt.org.nz"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10747581000116100" ] ;
fhir:display [ fhir:v "lidocaine hydrochloride anhydrous 1% (20 mg/2 mL) injection, ampoule" ]       ] )     ] ;
fhir:subject [
fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/nhi-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ZKC7284" ]       ] ;
fhir:display [ fhir:v "Sage Westbrook" ]     ] ;
    ( fhir:dosage [
      ( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "0.25"^^xsd:decimal ] ;
fhir:unit [ fhir:v "ml" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ml" ]         ]       ] )     ] )
  ] ) ; # 
  fhir:basedOn ( [
fhir:reference [ fhir:v "MedicationRequest/PlannedBenzathineMedication" ]
  ] ) ; # 
  fhir:partOf ( [
fhir:reference [ fhir:v "#contained-Lignocaine-dose" ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:category [
    ( fhir:coding [
a sct:58718002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "58718002" ] ;
fhir:display [ fhir:v "Rheumatic fever (disorder)" ]     ] )
  ] ; # 
  fhir:medication [
a fhir:Reference ;
fhir:reference [ fhir:v "Medication/BenzathineMedication" ]
  ] ; # 
  fhir:subject [
fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/nhi-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ZKC7284" ]     ] ;
fhir:display [ fhir:v "Sage Westbrook" ]
  ] ; # 
  fhir:context [
fhir:link <http://example.org/fhir/Encounter/1> ;
fhir:reference [ fhir:v "http://example.org/fhir/Encounter/1" ]
  ] ; # 
  fhir:effective [ fhir:v "2023-08-08T03:15:00Z"^^xsd:dateTime] ; # 
  fhir:dateAsserted [ fhir:v "2023-08-18T03:15:00Z"^^xsd:dateTime] ; # 
  fhir:dosage ( [
fhir:site [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "299151000210101" ] ;
fhir:display [ fhir:v "Structure of left ventrogluteal region (body structure)" ]       ] )     ] ;
fhir:route [
      ( fhir:coding [
a sct:78421000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "78421000" ] ;
fhir:display [ fhir:v "Intramuscular route (qualifier value)" ]       ] )     ] ;
    ( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg" ]       ]     ] )
  ] ) . # 

<http://example.org/fhir/QuestionnaireResponse/1003> a fhir:QuestionnaireResponse ;
  fhir:id [ fhir:v "1003"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2024-08-07T08:31:00Z"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse>     ] ) ;
    ( fhir:tag [
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rf-nz" ] ;
fhir:display [ fhir:v "rheumatic fever" ]     ] )
  ] ; # 
  fhir:basedOn ( [
fhir:reference [ fhir:v "CarePlan/AllAppointmentsCompleted" ]
  ] ) ; # 
  fhir:questionnaire [
fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/SecondaryProphylaxisHealthAssessmentQuestionnaire"^^xsd:anyURI ;
fhir:link <https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/SecondaryProphylaxisHealthAssessmentQuestionnaire>
  ] ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:subject [
fhir:type [ fhir:v "Patient"^^xsd:anyURI ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/nhi-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ZKC7284" ]     ] ;
fhir:display [ fhir:v "Sage Westbrook" ]
  ] ; # 
  fhir:encounter [
fhir:link <http://example.org/fhir/Encounter/1> ;
fhir:reference [ fhir:v "http://example.org/fhir/Encounter/1" ]
  ] ; # 
  fhir:authored [ fhir:v "2023-08-08T01:08:00.504Z"^^xsd:dateTime] ; # 
  fhir:author [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/hpi-organisation-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "G0M086-B" ]     ] ;
fhir:display [ fhir:v "Te Tai Tokerau Rheumatic Fever Secondary Prevention Service" ]
  ] ; # 
  fhir:item ( [
fhir:linkId [ fhir:v "ReasonsInjectionOverdue" ] ;
fhir:text [ fhir:v "Reason(s) injection was give late? (multiple choice)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Patient Not Available on the Day" ]     ] [
fhir:value [ fhir:v "Other" ]     ] )
  ] [
fhir:linkId [ fhir:v "OverdueInjectionOtherDetail" ] ;
fhir:text [ fhir:v "Other details for late injection (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "The patient couldn't find a park for the classic Hilux." ]     ] )
  ] [
fhir:linkId [ fhir:v "OtherPainManagementToolsUsed" ] ;
fhir:text [ fhir:v "Pain management tools used? (multiple choice)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Ice pack" ]     ] [
fhir:value [ fhir:v "Numbing spray" ]     ] [
fhir:value [ fhir:v "Distraction" ]     ] [
fhir:value [ fhir:v "Other" ]     ] )
  ] [
fhir:linkId [ fhir:v "PainManagementOtherDetails" ] ;
fhir:text [ fhir:v "Details of other pain management (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "We discovered in this appointment that Chocolate Chip Cookie ice cream helps a lot!" ]     ] )
  ] [
fhir:linkId [ fhir:v "PostInjectionConcern" ] ;
fhir:text [ fhir:v "Post injection concern or possible reaction identified?" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "PostInjectionConcernDetails" ] ;
fhir:text [ fhir:v "If Yes, Record Details, Symptoms, Actions Taken and Follow-Up Plan (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Sage had a bit more than the usual sensitivity at the injection site so we dished out extra ice cream, which was nice." ]     ] )
  ] [
fhir:linkId [ fhir:v "AnyOtherConcerns" ] ;
fhir:text [ fhir:v "Were There Any Other Concerns or Issues Identified During the Visit?" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "OtherConcernsDetail" ] ;
fhir:text [ fhir:v "If yes, describe details, actions taken, and follow-up planned (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "A shortage of ice cream in our freezer led to some unnecessary worries for Sage." ]     ] )
  ] [
fhir:linkId [ fhir:v "HealthEducationTopicsDiscussed" ] ;
fhir:text [ fhir:v "Health education topics discussed? (multiple choice)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Secondary prophylaxis" ]     ] [
fhir:value [ fhir:v "Nutrition" ]     ] [
fhir:value [ fhir:v "Other" ]     ] )
  ] [
fhir:linkId [ fhir:v "HealthEducationOtherDetail" ] ;
fhir:text [ fhir:v "Enter details of other health education topic discussed (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Sage and I discussed the importance of punctuality and the benefits of planning ahead." ]     ] )
  ] [
fhir:linkId [ fhir:v "RecentOrUpcomingAppointments" ] ;
fhir:text [ fhir:v "Any recent or upcoming follow-up appointments?" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "RecentOrUpcomingAppointmentsDetails" ] ;
fhir:text [ fhir:v "Enter details and dates of any recent or upcoming follow-up appointments (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Sage has an upcoming follow-up appointment covering iOS calendar basics" ]     ] )
  ] [
fhir:linkId [ fhir:v "PlanForNextMedicationAppointment" ] ;
fhir:text [ fhir:v "Comments for the next appointment (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "The plan for the next medication appointment is to keep up the good work" ]     ] )
  ] ) . #