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

: HealthAssessmentAtOralProphylaxisEncounter - JSON Representation

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{
  "resourceType" : "QuestionnaireResponse",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2024-08-07T08:31:00Z",
    "profile" : [
      🔗 "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
    ],
    "tag" : [
      {
        "system" : "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code" : "rf-nz",
        "display" : "rheumatic fever"
      }
    ]
  },
  "basedOn" : [
    {
      🔗 "reference" : "CarePlan/RegisteredPatient"
    }
  ],
  "questionnaire" : "https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/OralSecondaryProphylaxisHealthAssessmentQuestionnaire|1.0.0",
  "status" : "completed",
  "subject" : {
    "type" : "Patient",
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/nhi-id",
      "value" : "ZKC7284"
    },
    "display" : "Sage Westbrook"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/SecondaryProphylaxisEncounter"
  },
  "authored" : "2023-08-08T01:08:00.504Z",
  "author" : {
    "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"
  },
  "item" : [
    {
      "linkId" : "MedicationIssues",
      "text" : "Has the patient had any issues taking their medications?",
      "answer" : [
        {
          "valueBoolean" : false
        }
      ]
    },
    {
      "linkId" : "DelaysObtainingMedication",
      "text" : "Were there delays in obtaining medications that interrupted the patient’s treatment?",
      "answer" : [
        {
          "valueBoolean" : true
        }
      ]
    },
    {
      "linkId" : "DelaysObtainingMedicationDetail",
      "text" : "Enter details of delays in obtaining medication that interrupted patient's treatment (enter text)",
      "answer" : [
        {
          "valueString" : "Due to a spike in oral medication prescriptions throughout Northland, Sage had difficulties obtaining medication"
        }
      ]
    },
    {
      "linkId" : "SufficientMedication",
      "text" : "Does the patient have enough medication to last until their next check-in?",
      "answer" : [
        {
          "valueBoolean" : true
        }
      ]
    },
    {
      "linkId" : "PlanForObtainingMedications",
      "text" : "Plan for obtaining medications to last until next check-in (enter text)",
      "answer" : [
        {
          "valueString" : "Get more"
        }
      ]
    },
    {
      "linkId" : "AnyOtherConcerns",
      "text" : "Were There Any Other Concerns or Issues Identified During the Visit?",
      "answer" : [
        {
          "valueBoolean" : true
        }
      ]
    },
    {
      "linkId" : "OtherConcernsDetail",
      "text" : "If yes, describe details, actions taken, and follow-up planned (enter text)",
      "answer" : [
        {
          "valueString" : "Sage has decided to set up her own pharmaceutical company to resolve medication supply issues."
        }
      ]
    },
    {
      "linkId" : "HealthEducationTopicsDiscussed",
      "text" : "Health education topics discussed? (multiple choice)",
      "answer" : [
        {
          "valueString" : "Secondary prophylaxis"
        },
        {
          "valueString" : "Nutrition"
        },
        {
          "valueString" : "Other"
        }
      ]
    },
    {
      "linkId" : "HealthEducationOtherDetail",
      "text" : "Enter details of other health education topic discussed (enter text)",
      "answer" : [
        {
          "valueString" : "Sage and I were discussing the importance of punctuality but ran out of time."
        }
      ]
    },
    {
      "linkId" : "RecentOrUpcomingAppointments",
      "text" : "Any recent or upcoming follow-up appointments?",
      "answer" : [
        {
          "valueBoolean" : true
        }
      ]
    },
    {
      "linkId" : "RecentOrUpcomingAppointmentsDetails",
      "text" : "Enter details and dates of any recent or upcoming follow-up appointments (enter text)",
      "answer" : [
        {
          "valueString" : "Sage has an upcoming follow-up with the cardiologist."
        }
      ]
    },
    {
      "linkId" : "PlanForNextMedicationAppointment",
      "text" : "Comments for the next appointment (enter text)",
      "answer" : [
        {
          "valueString" : "Keep it rolling"
        }
      ]
    }
  ]
}