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
<Observation xmlns="http://hl7.org/fhir">
<meta>
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<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
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<code value="rfccs-observation-id"/>
</coding>
</type>
<system value="https://standards.digital.health.nz/ns/rf-ccs-id"/>
<value value="OBSD-0103"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system
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<code value="448011000210101"/>
<display value="Evidence of preceding Streptococcus group A infection"/>
</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>
<derivedFrom>🔗
<reference value="Observation/DiagnosisDetail-StrepEvidence"/>
</derivedFrom>
<component>
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<coding>
<system value="http://snomed.info/sct"/>
<code value="82703001"/>
<display value="Antistreptolysin O titer (procedure)"/>
</coding>
<text value="Antistreptolysin O titer (procedure)"/>
</code>
<valueQuantity>
<value value="480000"/>
<unit value="IU/litre"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]/L"/>
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<code>
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<display value="Antistreptolysin O titer (procedure)"/>
</coding>
<text value="Antistreptolysin O titer (procedure)"/>
</code>
<valueDateTime value="2023-06-02T02:00:00Z"/>
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<code>
<coding>
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<display value="Anti-deoxyribonuclease B antibody level (procedure)"/>
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<text value="Anti-deoxyribonuclease B antibody level (procedure)"/>
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<display value="Anti-deoxyribonuclease B antibody level (procedure)"/>
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<text value="Anti-deoxyribonuclease B antibody level (procedure)"/>
</code>
<valueDateTime value="2023-06-02T02:00:00Z"/>
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</Observation>