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

: DiagnosisDetail-ECHO - XML Representation

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<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-0100"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system
              value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
      <code value="439238004"/>
      <display
               value="Echocardiography test interpretation (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>
  <effectiveDateTime value="2023-06-02T02:00:00Z"/>
  <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>
  <note>
    <text
          value="- Around and around and around with its own sound
- A sound that no one has to hear"/>
  </note>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="48724000"/>
        <display value="Mitral valve regurgitation (disorder)"/>
      </coding>
      <text value="{display}"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="1255665007"/>
        <display value="Moderate (qualifier value)"/>
      </coding>
      <text value="Moderate (qualifier value)"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="79619009"/>
        <display value="Mitral valve stenosis (disorder)"/>
      </coding>
      <text value="{display}"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="24484000"/>
        <display value="Severe (severity modifier) (qualifier value)"/>
      </coding>
      <text value="Severe (severity modifier) (qualifier value)"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="60234000"/>
        <display value="Aortic valve regurgitation (disorder)"/>
      </coding>
      <text value="{display}"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="1255665007"/>
        <display value="Moderate (qualifier value)"/>
      </coding>
      <text value="Moderate (qualifier value)"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="60573004"/>
        <display value="Aortic valve stenosis (disorder)"/>
      </coding>
      <text value="{display}"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="24484000"/>
        <display value="Severe (severity modifier) (qualifier value)"/>
      </coding>
      <text value="Severe (severity modifier) (qualifier value)"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="111287006"/>
        <display value="Tricuspid valve regurgitation (disorder)"/>
      </coding>
      <text value="{display}"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="1255665007"/>
        <display value="Moderate (qualifier value)"/>
      </coding>
      <text value="Moderate (qualifier value)"/>
    </valueCodeableConcept>
  </component>
</Observation>