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-StrepEvidence - 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-0102"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system
              value="https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
      <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>
  <hasMember>🔗 
    <reference value="Observation/DiagnosisDetail-StrepEvidence-Secondary"/>
  </hasMember>
  <component>
    <code>
      <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"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82703001"/>
        <display value="Antistreptolysin O titer (procedure)"/>
      </coding>
      <text value="Antistreptolysin O titer (procedure)"/>
    </code>
    <valueDateTime value="2023-06-02T02:00:00Z"/>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="394723001"/>
        <display value="Anti-deoxyribonuclease B antibody level (procedure)"/>
      </coding>
      <text value="Anti-deoxyribonuclease B antibody level (procedure)"/>
    </code>
    <valueQuantity>
      <value value="680000"/>
      <unit value="IU/litre"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="[iU]/L"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="394723001"/>
        <display value="Anti-deoxyribonuclease B antibody level (procedure)"/>
      </coding>
      <text value="Anti-deoxyribonuclease B antibody level (procedure)"/>
    </code>
    <valueDateTime value="2023-06-02T02:00:00Z"/>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="117015009"/>
        <display value="Throat culture (procedure)"/>
      </coding>
      <text value="Throat culture (procedure)"/>
    </code>
    <dataAbsentReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
        <code value="not-performed"/>
        <display value="Not performed"/>
      </coding>
    </dataAbsentReason>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="9718006"/>
        <display value="Polymerase chain reaction analysis (procedure)"/>
      </coding>
      <text value="Polymerase chain reaction analysis (procedure)"/>
    </code>
    <interpretation>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
        <code value="POS"/>
        <display value="Positive"/>
      </coding>
    </interpretation>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="312504002"/>
        <display value="Antigen test (procedure)"/>
      </coding>
      <text value="Antigen test (procedure)"/>
    </code>
    <dataAbsentReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
        <code value="unknown"/>
        <display value="Unknown"/>
      </coding>
    </dataAbsentReason>
  </component>
</Observation>