New Zealand Rheumatic Fever FHIR Implementation Guide
1.0.0 - draft

New Zealand Rheumatic Fever FHIR Implementation Guide, published by Te Whatu Ora. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/fhir-rheumatic-fever/ and changes regularly. See the Directory of published versions

: SecondaryProphylaxisAugustEncounterBundle - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2024-08-07T08:31:00Z"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
  </meta>
  <type value="transaction"/>
  <entry>
    <fullUrl value="http://example.org/fhir/Encounter/1001"/>
    <resource>
      <Encounter>
        <id value="1001"/>
        <meta>
          <lastUpdated value="2024-08-07T08:31:00Z"/>
          <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
          <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>
        <contained>
          <Location>
            <id value="RedDiamondWhangarei"/>
            <meta>
              <profile
                       value="http://hl7.org.nz/fhir/StructureDefinition/NzLocation"/>
            </meta>
            <identifier>
              <use value="official"/>
              <system
                      value="https://standards.digital.health.nz/ns/hpi-facility-id"/>
              <value value="FZZ860-D"/>
            </identifier>
            <name value="Red Diamond Generic Medical Centre- Whangarei"/>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                <code value="PC"/>
              </coding>
            </type>
          </Location>
        </contained>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="58718002"/>
            <display value="Rheumatic fever (disorder)"/>
          </coding>
        </type>
        <serviceType>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="360271000"/>
            <display
                     value="Prophylaxis - procedure intent (qualifier value)"/>
          </coding>
        </serviceType>
        <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>
        <participant>
          <individual>
            <type value="Practitioner"/>
            <identifier>
              <use value="official"/>
              <system
                      value="https://standards.digital.health.nz/ns/hpi-practitioner-id"/>
              <value value="98ZZQJ"/>
            </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="ZKC7284"/>
            </identifier>
            <display value="Sage Westbrook"/>
          </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>
            <reference value="#RedDiamondWhangarei"/>
          </location>
        </location>
        <serviceProvider>
          <type value="Organization"/>
          <identifier>
            <use value="official"/>
            <system
                    value="https://standards.digital.health.nz/ns/hpi-organisation-id"/>
            <value value="GZZ866-A"/>
          </identifier>
          <display value="Red Diamond Medical Limited"/>
        </serviceProvider>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/MedicationStatement/1002"/>
    <resource>
      <MedicationStatement>
        <id value="1002"/>
        <meta>
          <lastUpdated value="2024-08-07T08:31:00Z"/>
          <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>
        <contained>
          <MedicationStatement>
            <id value="contained-Lignocaine-dose"/>
            <partOf>🔗 
              <reference
                         value="MedicationStatement/MedicationStatement-August"/>
            </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="ZKC7284"/>
              </identifier>
              <display value="Sage Westbrook"/>
            </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/PlannedBenzathineMedication"/>
        </basedOn>
        <partOf>
          <reference value="#contained-Lignocaine-dose"/>
        </partOf>
        <status value="completed"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="58718002"/>
            <display value="Rheumatic fever (disorder)"/>
          </coding>
        </category>
        <medicationReference>🔗 
          <reference value="Medication/BenzathineMedication"/>
        </medicationReference>
        <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>
        <context>
          <reference value="http://example.org/fhir/Encounter/1"/>
        </context>
        <effectiveDateTime value="2023-08-08T03:15:00Z"/>
        <dateAsserted value="2023-08-18T03:15:00Z"/>
        <dosage>
          <site>
            <coding>
              <system
                      value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
              <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/1003"/>
    <resource>
      <QuestionnaireResponse>
        <id value="1003"/>
        <meta>
          <lastUpdated value="2024-08-07T08:31:00Z"/>
          <profile
                   value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
          <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>
        <basedOn>🔗 
          <reference value="CarePlan/AllAppointmentsCompleted"/>
        </basedOn>
        <questionnaire
                       value="https://fhir-ig.digital.health.nz/rheumatic-fever/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="ZKC7284"/>
          </identifier>
          <display value="Sage Westbrook"/>
        </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="Sage 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 Sage."/>
          </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="Sage 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="Sage 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>