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 - 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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:QuestionnaireResponse ;
  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 "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse>     ] ) ;
    ( 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:basedOn ( [
fhir:reference [ fhir:v "CarePlan/RegisteredPatient" ]
  ] ) ; # 
  fhir:questionnaire [
fhir:v "https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/OralSecondaryProphylaxisHealthAssessmentQuestionnaire|1.0.0"^^xsd:anyURI ;
fhir:link <https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/OralSecondaryProphylaxisHealthAssessmentQuestionnaire|1.0.0>
  ] ; # 
  fhir:status [ fhir:v "completed"] ; # 
  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/SecondaryProphylaxisEncounter" ]
  ] ; # 
  fhir:authored [ fhir:v "2023-08-08T01:08:00.504Z"^^xsd:dateTime] ; # 
  fhir:author [
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:item ( [
fhir:linkId [ fhir:v "MedicationIssues" ] ;
fhir:text [ fhir:v "Has the patient had any issues taking their medications?" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "false"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "DelaysObtainingMedication" ] ;
fhir:text [ fhir:v "Were there delays in obtaining medications that interrupted the patient’s treatment?" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "DelaysObtainingMedicationDetail" ] ;
fhir:text [ fhir:v "Enter details of delays in obtaining medication that interrupted patient's treatment (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Due to a spike in oral medication prescriptions throughout Northland, Sage had difficulties obtaining medication" ]     ] )
  ] [
fhir:linkId [ fhir:v "SufficientMedication" ] ;
fhir:text [ fhir:v "Does the patient have enough medication to last until their next check-in?" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "PlanForObtainingMedications" ] ;
fhir:text [ fhir:v "Plan for obtaining medications to last until next check-in (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Get more" ]     ] )
  ] [
fhir:linkId [ fhir:v "AnyOtherConcerns" ] ;
fhir:text [ fhir:v "Were There Any Other Concerns or Issues Identified During the Visit?" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "OtherConcernsDetail" ] ;
fhir:text [ fhir:v "If yes, describe details, actions taken, and follow-up planned (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Sage has decided to set up her own pharmaceutical company to resolve medication supply issues." ]     ] )
  ] [
fhir:linkId [ fhir:v "HealthEducationTopicsDiscussed" ] ;
fhir:text [ fhir:v "Health education topics discussed? (multiple choice)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Secondary prophylaxis" ]     ] [
fhir:value [ fhir:v "Nutrition" ]     ] [
fhir:value [ fhir:v "Other" ]     ] )
  ] [
fhir:linkId [ fhir:v "HealthEducationOtherDetail" ] ;
fhir:text [ fhir:v "Enter details of other health education topic discussed (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Sage and I were discussing the importance of punctuality but ran out of time." ]     ] )
  ] [
fhir:linkId [ fhir:v "RecentOrUpcomingAppointments" ] ;
fhir:text [ fhir:v "Any recent or upcoming follow-up appointments?" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "RecentOrUpcomingAppointmentsDetails" ] ;
fhir:text [ fhir:v "Enter details and dates of any recent or upcoming follow-up appointments (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Sage has an upcoming follow-up with the cardiologist." ]     ] )
  ] [
fhir:linkId [ fhir:v "PlanForNextMedicationAppointment" ] ;
fhir:text [ fhir:v "Comments for the next appointment (enter text)" ] ;
    ( fhir:answer [
fhir:value [ fhir:v "Keep it rolling" ]     ] )
  ] ) . #