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

: DiagnosisDetail-StrepEvidence - 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:Observation ;
  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-diagnosisgroup"^^xsd:anyURI ;
fhir:link <https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-diagnosisgroup>     ] ) ;
    ( 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: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-observation-id" ]       ] )     ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/rf-ccs-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "OBSD-0102" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  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" ]     ] )
  ] ; # 
  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:performer ( [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://standards.digital.health.nz/ns/hpi-organisation-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "G0M086-B" ]     ] ;
fhir:display [ fhir:v "Te Tai Tokerau Rheumatic Fever Secondary Prevention Service" ]
  ] ) ; # 
  fhir:hasMember ( [
fhir:reference [ fhir:v "Observation/DiagnosisDetail-StrepEvidence-Secondary" ]
  ] ) ; # 
  fhir:component ( [
fhir:code [
      ( fhir:coding [
a sct:82703001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "82703001" ] ;
fhir:display [ fhir:v "Antistreptolysin O titer (procedure)" ]       ] ) ;
fhir:text [ fhir:v "Antistreptolysin O titer (procedure)" ]     ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "480000"^^xsd:decimal ] ;
fhir:unit [ fhir:v "IU/litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "[iU]/L" ]     ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:82703001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "82703001" ] ;
fhir:display [ fhir:v "Antistreptolysin O titer (procedure)" ]       ] ) ;
fhir:text [ fhir:v "Antistreptolysin O titer (procedure)" ]     ] ;
fhir:value [ fhir:v "2023-06-02T02:00:00Z"^^xsd:dateTime ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:394723001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "394723001" ] ;
fhir:display [ fhir:v "Anti-deoxyribonuclease B antibody level (procedure)" ]       ] ) ;
fhir:text [ fhir:v "Anti-deoxyribonuclease B antibody level (procedure)" ]     ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "680000"^^xsd:decimal ] ;
fhir:unit [ fhir:v "IU/litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "[iU]/L" ]     ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:394723001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "394723001" ] ;
fhir:display [ fhir:v "Anti-deoxyribonuclease B antibody level (procedure)" ]       ] ) ;
fhir:text [ fhir:v "Anti-deoxyribonuclease B antibody level (procedure)" ]     ] ;
fhir:value [ fhir:v "2023-06-02T02:00:00Z"^^xsd:dateTime ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:117015009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "117015009" ] ;
fhir:display [ fhir:v "Throat culture (procedure)" ]       ] ) ;
fhir:text [ fhir:v "Throat culture (procedure)" ]     ] ;
fhir:dataAbsentReason [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "not-performed" ] ;
fhir:display [ fhir:v "Not performed" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:9718006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "9718006" ] ;
fhir:display [ fhir:v "Polymerase chain reaction analysis (procedure)" ]       ] ) ;
fhir:text [ fhir:v "Polymerase chain reaction analysis (procedure)" ]     ] ;
    ( fhir:interpretation [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "POS" ] ;
fhir:display [ fhir:v "Positive" ]       ] )     ] )
  ] [
fhir:code [
      ( fhir:coding [
a sct:312504002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "312504002" ] ;
fhir:display [ fhir:v "Antigen test (procedure)" ]       ] ) ;
fhir:text [ fhir:v "Antigen test (procedure)" ]     ] ;
fhir:dataAbsentReason [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "unknown" ] ;
fhir:display [ fhir:v "Unknown" ]       ] )     ]
  ] ) . #