New Zealand rheumatic fever FHIR Implementation Guide
0.4.6 - draft
New Zealand rheumatic fever FHIR Implementation Guide
0.4.6 - 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 0.4.6 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/rheumatic-fever/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<meta>
<versionId value="2"/>
<lastUpdated value="2024-08-07T08:31:00Z"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
</meta>
<type value="transaction"/>
<entry>
<fullUrl value="http://example.org/fhir/Encounter/1001"/>
<resource>
<Encounter>
<id value="1001"/>
<meta>
<lastUpdated value="2024-08-07T08:31:00Z"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<tag>
<system
value="https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
<code value="rf-nz"/>
<display value="rheumatic fever"/>
</tag>
</meta>
<contained>
<Location>
<id value="RedDiamondWhangarei"/>
<meta>
<profile
value="http://hl7.org.nz/fhir/StructureDefinition/NzLocation"/>
</meta>
<identifier>
<use value="official"/>
<system
value="https://standards.digital.health.nz/ns/hpi-facility-id"/>
<value value="FZZ860-D"/>
</identifier>
<name value="Red Diamond Generic Medical Centre- Whangarei"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="PC"/>
</coding>
</type>
</Location>
</contained>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="58718002"/>
<display value="Rheumatic fever (disorder)"/>
</coding>
</type>
<serviceType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="360271000"/>
<display
value="Prophylaxis - procedure intent (qualifier value)"/>
</coding>
</serviceType>
<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>
<participant>
<individual>
<type value="Practitioner"/>
<identifier>
<use value="official"/>
<system
value="https://standards.digital.health.nz/ns/hpi-practitioner-id"/>
<value value="98ZZQJ"/>
</identifier>
<display value="Isabel Injecta"/>
</individual>
</participant>
<participant>
<individual>
<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"/>
</individual>
</participant>
<appointment>🔗
<reference
value="Appointment/SecondaryProphylaxisAppointment-August-Fulfilled"/>
</appointment>
<period>
<start value="2023-08-08T02:10:00Z"/>
<end value="2023-08-08T03:15:00Z"/>
</period>
<location>
<location>
<reference value="#RedDiamondWhangarei"/>
</location>
</location>
<serviceProvider>
<type value="Organization"/>
<identifier>
<use value="official"/>
<system
value="https://standards.digital.health.nz/ns/hpi-organisation-id"/>
<value value="GZZ866-A"/>
</identifier>
<display value="Red Diamond Medical Limited"/>
</serviceProvider>
</Encounter>
</resource>
<request>
<method value="POST"/>
<url value="Encounter"/>
</request>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/MedicationStatement/1002"/>
<resource>
<MedicationStatement>
<id value="1002"/>
<meta>
<lastUpdated value="2024-08-07T08:31:00Z"/>
<tag>
<system
value="https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
<code value="rf-nz"/>
<display value="rheumatic fever"/>
</tag>
</meta>
<contained>
<MedicationStatement>
<id value="contained-Lignocaine-dose"/>
<partOf>🔗
<reference
value="MedicationStatement/MedicationStatement-August"/>
</partOf>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://nzmt.org.nz"/>
<code value="10747581000116100"/>
<display
value="lidocaine hydrochloride anhydrous 1% (20 mg/2 mL) injection, ampoule"/>
</coding>
</medicationCodeableConcept>
<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>
<dosage>
<doseAndRate>
<doseQuantity>
<value value="0.25"/>
<unit value="ml"/>
<system value="http://unitsofmeasure.org"/>
<code value="ml"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</contained>
<basedOn>🔗
<reference value="MedicationRequest/PlannedBenzathineMedication"/>
</basedOn>
<partOf>
<reference value="#contained-Lignocaine-dose"/>
</partOf>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="58718002"/>
<display value="Rheumatic fever (disorder)"/>
</coding>
</category>
<medicationReference>🔗
<reference value="Medication/BenzathineMedication"/>
</medicationReference>
<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>
<context>
<reference value="http://example.org/fhir/Encounter/1"/>
</context>
<effectiveDateTime value="2023-08-08T03:15:00Z"/>
<dateAsserted value="2023-08-18T03:15:00Z"/>
<dosage>
<site>
<coding>
<system
value="https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
<code value="299151000210101"/>
<display
value="Structure of left ventrogluteal region (body structure)"/>
</coding>
</site>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="78421000"/>
<display value="Intramuscular route (qualifier value)"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="25"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
<request>
<method value="POST"/>
<url value="MedicationStatement"/>
</request>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/QuestionnaireResponse/1003"/>
<resource>
<QuestionnaireResponse>
<id value="1003"/>
<meta>
<lastUpdated value="2024-08-07T08:31:00Z"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
<tag>
<system
value="https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem"/>
<code value="rf-nz"/>
<display value="rheumatic fever"/>
</tag>
</meta>
<basedOn>🔗
<reference value="CarePlan/AllAppointmentsCompleted"/>
</basedOn>
<questionnaire
value="https://build.fhir.org/ig/tewhatuora/rheumatic-fever/Questionnaire/SecondaryProphylaxisHealthAssessmentQuestionnaire"/>
<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="http://example.org/fhir/Encounter/1"/>
</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="ReasonsInjectionOverdue"/>
<text value="Reason(s) injection was give late? (multiple choice)"/>
<answer>
<valueString value="Patient Not Available on the Day"/>
</answer>
<answer>
<valueString value="Other"/>
</answer>
</item>
<item>
<linkId value="OverdueInjectionOtherDetail"/>
<text value="Other details for late injection (enter text)"/>
<answer>
<valueString
value="The patient couldn't find a park for the classic Hilux."/>
</answer>
</item>
<item>
<linkId value="OtherPainManagementToolsUsed"/>
<text value="Pain management tools used? (multiple choice)"/>
<answer>
<valueString value="Ice pack"/>
</answer>
<answer>
<valueString value="Numbing spray"/>
</answer>
<answer>
<valueString value="Distraction"/>
</answer>
<answer>
<valueString value="Other"/>
</answer>
</item>
<item>
<linkId value="PainManagementOtherDetails"/>
<text value="Details of other pain management (enter text)"/>
<answer>
<valueString
value="We discovered in this appointment that Chocolate Chip Cookie ice cream helps a lot!"/>
</answer>
</item>
<item>
<linkId value="PostInjectionConcern"/>
<text
value="Post injection concern or possible reaction identified?"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
<item>
<linkId value="PostInjectionConcernDetails"/>
<text
value="If Yes, Record Details, Symptoms, Actions Taken and Follow-Up Plan (enter text)"/>
<answer>
<valueString
value="Sage had a bit more than the usual sensitivity at the injection site so we dished out extra ice cream, which was nice."/>
</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="A shortage of ice cream in our freezer led to some unnecessary worries for Sage."/>
</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 discussed the importance of punctuality and the benefits of planning ahead."/>
</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 appointment covering iOS calendar basics"/>
</answer>
</item>
<item>
<linkId value="PlanForNextMedicationAppointment"/>
<text value="Comments for the next appointment (enter text)"/>
<answer>
<valueString
value="The plan for the next medication appointment is to keep up the good work"/>
</answer>
</item>
</QuestionnaireResponse>
</resource>
<request>
<method value="POST"/>
<url value="QuestionnaireResponse"/>
</request>
</entry>
</Bundle>