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

Example Observation: DiagnosisDetail-StrepEvidence

Generated Narrative: Observation DiagnosisDetail-StrepEvidence

version: 2; Last updated: 2024-08-07 08:31:00+0000

Profile: Rheumatic Fever Diagnosis Group

Tag: rheumatic fever (Details: NZ-specific terminology in rheumatic fever data representation code rf-nz = ' rheumatic fever ', stated as ' rheumatic fever ')

identifier: Identifies an observation object in the NZ national RF Care Coordination System/OBSD-0102 (use: usual, )

status: Final

code: Evidence of preceding Streptococcus group A infection

subject: Sage Westbrook (Identifier: NHI/ZKC7284 (use: official, ))

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Rheumatic fever (disorder); serviceType = Hospital (environment); period = 2023-03-12 02:00:00+0000 --> (ongoing)

performer: Te Tai Tokerau Rheumatic Fever Secondary Prevention Service (Identifier: HPIOrganization/G0M086-B (use: official, ))

hasMember: Observation Evidence of preceding Streptococcus group A infection

component

code: Antistreptolysin O titer (procedure)

value: 480000 IU/litre (Details: UCUM code[iU]/L = '[iU]/L')

component

code: Antistreptolysin O titer (procedure)

value: 2023-06-02 02:00:00+0000

component

code: Anti-deoxyribonuclease B antibody level (procedure)

value: 680000 IU/litre (Details: UCUM code[iU]/L = '[iU]/L')

component

code: Anti-deoxyribonuclease B antibody level (procedure)

value: 2023-06-02 02:00:00+0000

component

code: Throat culture (procedure)

dataAbsentReason: Not performed

component

code: Polymerase chain reaction analysis (procedure)

interpretation: Positive

component

code: Antigen test (procedure)

dataAbsentReason: Unknown