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

: SevereRfConditionWithDiagnosisEvidence - 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:Condition ;
  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 "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-condition"^^xsd:anyURI ;
fhir:link <https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-condition>     ] ) ;
    ( 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:extension ( [
fhir:url [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-rhdseverity"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "59391000119102" ] ;
fhir:display [ fhir:v "History of heart valve repair (situation)" ]     ]
  ] [
fhir:url [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-diagnosticcertainty"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "probable" ] ;
fhir:display [ fhir:v "probable" ]     ]
  ] [
fhir:url [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-assessmentdate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2023-03-12T02:00:00Z"^^xsd:dateTime ]
  ] [
fhir:url [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-condition-symptomaticAtDiagnosis"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding, sct:264931009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "264931009" ] ;
fhir:display [ fhir:v "Symptomatic (qualifier value)" ]     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rfccs-condition-id" ]       ] )     ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/rf-ccs-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "CON-0206" ]
  ] [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "episurv-number" ]       ] )     ] ;
fhir:system [ fhir:v "https://episurv.esr.cri.nz/"^^xsd:anyURI ] ;
fhir:value [ fhir:v "21-383414-AK" ]
  ] ) ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ]     ] ) ;
fhir:text [ fhir:v "Active" ]
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ] ;
fhir:display [ fhir:v "Confirmed" ]     ] ) ;
fhir:text [ fhir:v "Confirmed" ]
  ] ; # 
  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:coding [
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:severity [
    ( fhir:coding [
a sct:24484000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "24484000" ] ;
fhir:display [ fhir:v "Severe" ]     ] )
  ] ; # 
  fhir:code [
    ( fhir:coding [
a sct:195528001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "195528001" ] ;
fhir:display [ fhir:v "Acute rheumatic fever (disorder)" ]     ] )
  ] ; # 
  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:reference [ fhir:v "Encounter/DiagnosisEncounter" ]
  ] ; # 
  fhir:onset [ fhir:v "2023-02-05T02:00:00Z"^^xsd:dateTime] ; # 
  fhir:recordedDate [ fhir:v "2023-03-12T02:00:00Z"^^xsd:dateTime] ; # 
  fhir:recorder [
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 "99ZZFX" ]     ] ;
fhir:display [ fhir:v "Dottie McStuffins" ]
  ] ; # 
  fhir:evidence ( [
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "439238004" ] ;
fhir:display [ fhir:v "Echocardiography test interpretation (observable entity)" ]       ] )     ] ) ;
    ( fhir:detail [
fhir:reference [ fhir:v "Observation/DiagnosisDetail-ECHO" ]     ] )
  ] [
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "447541000210107" ] ;
fhir:display [ fhir:v "New Zealand Jones Criteria Assessment (observable entity)" ]       ] )     ] ) ;
    ( fhir:detail [
fhir:reference [ fhir:v "Observation/DiagnosisDetail-JonesCriteria" ]     ] )
  ] [
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "448011000210101" ] ;
fhir:display [ fhir:v "Evidence of preceding Streptococcus group A infection (observation entity)" ]       ] )     ] ) ;
    ( fhir:detail [
fhir:reference [ fhir:v "Observation/DiagnosisDetail-StrepEvidence" ]     ] )
  ] ) . #