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

: SevereRfCondition - JSON Representation

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{
  "resourceType" : "Condition",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2024-08-07T08:31:00Z",
    "profile" : [
      🔗 "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/StructureDefinition/nz-rheumaticfever-condition"
    ],
    "tag" : [
      {
        "system" : "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code" : "rf-nz",
        "display" : "rheumatic fever"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Condition SevereRfCondition</b></p><a name=\"SevereRfCondition\"> </a><a name=\"hcSevereRfCondition\"> </a><a name=\"SevereRfCondition-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 2; Last updated: 2024-08-07 08:31:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-nz-rheumaticfever-condition.html\">Rheumatic Fever Condition</a></p><p style=\"margin-bottom: 0px\">Tag: rheumatic fever (Details: NZ-specific terminology in rheumatic fever data representation code rf-nz  = ' rheumatic fever ', stated as ' rheumatic fever ')</p></div><p><b>identifier</b>: Identifies a patient Condition object in the NZ national RF Care Coordination System/CON-0206\u00a0(use:\u00a0usual,\u00a0), Identifies a notifiable disease surveillance case number in ESR's EpiSurv national system/21-383414-AK\u00a0(use:\u00a0usual,\u00a0)</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 58718002}\">Rheumatic fever (disorder)</span>, <span title=\"Codes:{https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem rf-nz}\">rheumatic fever</span></p><p><b>severity</b>: <span title=\"Codes:{http://snomed.info/sct 24484000}\">Severe</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 195528001}\">Acute rheumatic fever (disorder)</span></p><p><b>subject</b>: Sage Westbrook (Identifier: NHI/ZKC7284\u00a0(use:\u00a0official,\u00a0))</p><p><b>onset</b>: 2023-02-05 02:00:00+0000</p><p><b>recordedDate</b>: 2023-03-12 02:00:00+0000</p><p><b>recorder</b>: Dottie McStuffins (Identifier: <code>https://standards.digital.health.nz/ns/hpi-practitioner-id</code>/99ZZFX\u00a0(use:\u00a0official,\u00a0))</p></div>"
  },
  "extension" : [
    {
      "url" : "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/StructureDefinition/rf-condition-rhdseverity",
      "valueCoding" : {
        "system" : "http://snomed.info/sct",
        "code" : "24484000",
        "display" : "Severe (severity modifier) (qualifier value)"
      }
    },
    {
      "url" : "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/StructureDefinition/rf-condition-diagnosticcertainty",
      "valueCoding" : {
        "system" : "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code" : "probable",
        "display" : "probable"
      }
    },
    {
      "url" : "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/StructureDefinition/rf-condition-assessmentdate",
      "valueDateTime" : "2023-03-12T02:00:00Z"
    },
    {
      "url" : "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/StructureDefinition/rf-condition-symptomaticAtDiagnosis",
      "valueCoding" : {
        "system" : "http://snomed.info/sct",
        "code" : "264931009",
        "display" : "Symptomatic (qualifier value)"
      }
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/external-system-identifier-type-codesystem",
            "code" : "salesforce-condition-id"
          }
        ]
      },
      "system" : "https://developer.salesforce.com/docs",
      "value" : "CON-0206"
    },
    {
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/external-system-identifier-type-codesystem",
            "code" : "episurv-number"
          }
        ]
      },
      "system" : "https://episurv.esr.cri.nz/",
      "value" : "21-383414-AK"
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active",
        "display" : "Active"
      }
    ],
    "text" : "Active"
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed",
        "display" : "Confirmed"
      }
    ],
    "text" : "Confirmed"
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "58718002",
          "display" : "Rheumatic fever (disorder)"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "https://build.fhir.org/ig/tewhatuora/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
          "code" : "rf-nz",
          "display" : "rheumatic fever"
        }
      ]
    }
  ],
  "severity" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "24484000",
        "display" : "Severe"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "195528001",
        "display" : "Acute rheumatic fever (disorder)"
      }
    ]
  },
  "subject" : {
    "type" : "Patient",
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/nhi-id",
      "value" : "ZKC7284"
    },
    "display" : "Sage Westbrook"
  },
  "onsetDateTime" : "2023-02-05T02:00:00Z",
  "recordedDate" : "2023-03-12T02:00:00Z",
  "recorder" : {
    "type" : "Practitioner",
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/hpi-practitioner-id",
      "value" : "99ZZFX"
    },
    "display" : "Dottie McStuffins"
  }
}