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 - XML Representation

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