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

• Narrative Content
• XML
• JSON
• TTL

: DiagnosisDetail-ECHO - JSON Representation

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{
  "resourceType" : "Observation",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2024-08-07T08:31:00Z",
    "profile" : [
      🔗 "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-diagnosisgroup"
    ],
    "tag" : [
      {
        "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code" : "rf-nz",
        "display" : "rheumatic fever"
      }
    ]
  },
  "identifier" : [
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
            "code" : "rfccs-observation-id"
          }
        ]
      },
      "system" : "https://standards.digital.health.nz/ns/rf-ccs-id",
      "value" : "OBSD-0100"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code" : "439238004",
        "display" : "Echocardiography test interpretation (observable entity)"
      }
    ]
  },
  "subject" : {
    "type" : "Patient",
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/nhi-id",
      "value" : "ZKC7284"
    },
    "display" : "Sage Westbrook"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/DiagnosisEncounter"
  },
  "effectiveDateTime" : "2023-06-02T02:00:00Z",
  "performer" : [
    {
      "type" : "Organization",
      "identifier" : {
        "use" : "official",
        "system" : "https://standards.digital.health.nz/ns/hpi-organisation-id",
        "value" : "G0M086-B"
      },
      "display" : "Te Tai Tokerau Rheumatic Fever Secondary Prevention Service"
    }
  ],
  "note" : [
    {
      "text" : "- Around and around and around with its own sound\n- A sound that no one has to hear"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "48724000",
            "display" : "Mitral valve regurgitation (disorder)"
          }
        ],
        "text" : "{display}"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1255665007",
            "display" : "Moderate (qualifier value)"
          }
        ],
        "text" : "Moderate (qualifier value)"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "79619009",
            "display" : "Mitral valve stenosis (disorder)"
          }
        ],
        "text" : "{display}"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "24484000",
            "display" : "Severe (severity modifier) (qualifier value)"
          }
        ],
        "text" : "Severe (severity modifier) (qualifier value)"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "60234000",
            "display" : "Aortic valve regurgitation (disorder)"
          }
        ],
        "text" : "{display}"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1255665007",
            "display" : "Moderate (qualifier value)"
          }
        ],
        "text" : "Moderate (qualifier value)"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "60573004",
            "display" : "Aortic valve stenosis (disorder)"
          }
        ],
        "text" : "{display}"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "24484000",
            "display" : "Severe (severity modifier) (qualifier value)"
          }
        ],
        "text" : "Severe (severity modifier) (qualifier value)"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "111287006",
            "display" : "Tricuspid valve regurgitation (disorder)"
          }
        ],
        "text" : "{display}"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1255665007",
            "display" : "Moderate (qualifier value)"
          }
        ],
        "text" : "Moderate (qualifier value)"
      }
    }
  ]
}