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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• XML
• JSON
• TTL

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