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

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: DiagnosisDetail-JonesCriteria - 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-0101"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code" : "447541000210107",
        "display" : "New Zealand Jones Criteria Assessment (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"
  },
  "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"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "703119002",
            "display" : "Carditis due to rheumatic fever (disorder)"
          }
        ],
        "text" : "Carditis due to rheumatic fever (disorder)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
            "code" : "448021000210106",
            "display" : "Indolent carditis (disorder)"
          }
        ],
        "text" : "Indolent carditis (disorder)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "95325000",
            "display" : "Subcutaneous nodule (finding)"
          }
        ],
        "text" : "Subcutaneous nodule (finding)"
      },
      "valueBoolean" : false
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "200951007",
            "display" : "Erythema marginatum in acute rheumatic fever (disorder)"
          }
        ],
        "text" : "Erythema marginatum in acute rheumatic fever (disorder)"
      },
      "dataAbsentReason" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
            "code" : "unknown",
            "display" : "Unknown"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "111211002",
            "display" : "Migratory polyarthritis (disorder)"
          }
        ],
        "text" : "Migratory polyarthritis (disorder)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "699462004",
            "display" : "Monoarthritis (disorder)"
          }
        ],
        "text" : "Monoarthritis (disorder)"
      },
      "dataAbsentReason" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
            "code" : "unknown",
            "display" : "Unknown"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "46826000",
            "display" : "Rheumatic chorea (disorder)"
          }
        ],
        "text" : "Rheumatic chorea (disorder)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "35678005",
            "display" : "Multiple joint pain (finding)"
          }
        ],
        "text" : "Multiple joint pain (finding)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "165468009",
            "display" : "Erythrocyte sedimentation rate above reference range (finding)"
          }
        ],
        "text" : "Erythrocyte sedimentation rate above reference range (finding)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "416838001",
            "display" : "Erythrocyte sedimentation rate measurement (procedure)"
          }
        ],
        "text" : "Erythrocyte sedimentation rate measurement (procedure)"
      },
      "valueQuantity" : {
        "value" : 30,
        "unit" : "mm/h",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm/h"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "119971000119104",
            "display" : "C-reactive protein above reference range (finding)"
          }
        ],
        "text" : "C-reactive protein above reference range (finding)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "55235003",
            "display" : "C-reactive protein measurement (procedure)"
          }
        ],
        "text" : "C-reactive protein measurement (procedure)"
      },
      "valueQuantity" : {
        "value" : 12,
        "unit" : "mg/l",
        "system" : "http://unitsofmeasure.org",
        "code" : "mg/L"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "251207006",
            "display" : "PR interval duration (observable entity)"
          }
        ],
        "text" : "PR interval duration (observable entity)"
      },
      "valueQuantity" : {
        "value" : 0.25,
        "unit" : "s",
        "system" : "http://unitsofmeasure.org",
        "code" : "s"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "164947007",
            "display" : "Prolonged PR interval (finding)"
          }
        ],
        "text" : "Prolonged PR interval (finding)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "386661006",
            "display" : "Fever (finding)"
          }
        ],
        "text" : "Fever (finding)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "44808001",
            "display" : "Conduction disorder of the heart (disorder)"
          }
        ],
        "text" : "Conduction disorder of the heart (disorder)"
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "44808001",
            "display" : "Conduction disorder of the heart (disorder)"
          }
        ],
        "text" : "Conduction disorder of the heart (disorder)"
      },
      "valueString" : "Conduction was considered abnormally low in such a young patient"
    }
  ]
}