FHIR IG analytics| Package | tewhatuora.rheumaticfever |
| Resource Type | Bundle |
| Id | Bundle-SecondaryProphylaxisAugustEncounterBundle.json |
| FHIR Version | R4 |
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FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "SecondaryProphylaxisAugustEncounterBundle",
"meta": {
"versionId": "2",
"lastUpdated": "2024-08-07T08:31:00Z",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Bundle"
]
},
"type": "transaction",
"entry": [
{
"fullUrl": "http://example.org/fhir/Encounter/1001",
"resource": {
"resourceType": "Encounter",
"id": "1001",
"meta": {
"lastUpdated": "2024-08-07T08:31:00Z",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Encounter"
],
"tag": [
{
"system": "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code": "rf-nz",
"display": "rheumatic fever"
}
]
},
"contained": [
{
"resourceType": "Location",
"id": "RedDiamondWhangarei",
"meta": {
"profile": [
"http://hl7.org.nz/fhir/StructureDefinition/NzLocation"
]
},
"identifier": [
{
"use": "official",
"system": "https://standards.digital.health.nz/ns/hpi-facility-id",
"value": "FZZ860-D"
}
],
"name": "Red Diamond Generic Medical Centre- Whangarei",
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "PC"
}
]
}
]
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "58718002",
"display": "Rheumatic fever (disorder)"
}
]
}
],
"serviceType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "360271000",
"display": "Prophylaxis - procedure intent (qualifier value)"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"use": "official",
"system": "https://standards.digital.health.nz/ns/nhi-id",
"value": "ZKC7284"
},
"display": "Sage Westbrook"
},
"participant": [
{
"individual": {
"type": "Practitioner",
"identifier": {
"use": "official",
"system": "https://standards.digital.health.nz/ns/hpi-practitioner-id",
"value": "98ZZQJ"
},
"display": "Isabel Injecta"
}
},
{
"individual": {
"type": "Patient",
"identifier": {
"use": "official",
"system": "https://standards.digital.health.nz/ns/nhi-id",
"value": "ZKC7284"
},
"display": "Sage Westbrook"
}
}
],
"appointment": [
{
"reference": "Appointment/SecondaryProphylaxisAppointment-August-Fulfilled"
}
],
"period": {
"start": "2023-08-08T02:10:00Z",
"end": "2023-08-08T03:15:00Z"
},
"location": [
{
"location": {
"reference": "#RedDiamondWhangarei"
}
}
],
"serviceProvider": {
"type": "Organization",
"identifier": {
"use": "official",
"system": "https://standards.digital.health.nz/ns/hpi-organisation-id",
"value": "GZZ866-A"
},
"display": "Red Diamond Medical Limited"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "http://example.org/fhir/MedicationStatement/1002",
"resource": {
"resourceType": "MedicationStatement",
"id": "1002",
"meta": {
"lastUpdated": "2024-08-07T08:31:00Z",
"tag": [
{
"system": "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code": "rf-nz",
"display": "rheumatic fever"
}
]
},
"contained": [
{
"resourceType": "MedicationStatement",
"id": "contained-Lignocaine-dose",
"partOf": [
{
"reference": "MedicationStatement/MedicationStatement-August"
}
],
"status": "completed",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://nzmt.org.nz",
"code": "10747581000116100",
"display": "lidocaine hydrochloride anhydrous 1% (20 mg/2 mL) injection, ampoule"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"use": "official",
"system": "https://standards.digital.health.nz/ns/nhi-id",
"value": "ZKC7284"
},
"display": "Sage Westbrook"
},
"dosage": [
{
"doseAndRate": [
{
"doseQuantity": {
"value": 0.25,
"unit": "ml",
"system": "http://unitsofmeasure.org",
"code": "ml"
}
}
]
}
]
}
],
"basedOn": [
{
"reference": "MedicationRequest/PlannedBenzathineMedication"
}
],
"partOf": [
{
"reference": "#contained-Lignocaine-dose"
}
],
"status": "completed",
"category": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "58718002",
"display": "Rheumatic fever (disorder)"
}
]
},
"medicationReference": {
"reference": "Medication/BenzathineMedication"
},
"subject": {
"type": "Patient",
"identifier": {
"use": "official",
"system": "https://standards.digital.health.nz/ns/nhi-id",
"value": "ZKC7284"
},
"display": "Sage Westbrook"
},
"context": {
"reference": "http://example.org/fhir/Encounter/1"
},
"effectiveDateTime": "2023-08-08T03:15:00Z",
"dateAsserted": "2023-08-18T03:15:00Z",
"dosage": [
{
"site": {
"coding": [
{
"system": "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code": "299151000210101",
"display": "Structure of left ventrogluteal region (body structure)"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "78421000",
"display": "Intramuscular route (qualifier value)"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 25,
"unit": "mg",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
}
]
},
"request": {
"method": "POST",
"url": "MedicationStatement"
}
},
{
"fullUrl": "http://example.org/fhir/QuestionnaireResponse/1003",
"resource": {
"resourceType": "QuestionnaireResponse",
"id": "1003",
"meta": {
"lastUpdated": "2024-08-07T08:31:00Z",
"profile": [
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
],
"tag": [
{
"system": "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
"code": "rf-nz",
"display": "rheumatic fever"
}
]
},
"basedOn": [
{
"reference": "CarePlan/AllAppointmentsCompleted"
}
],
"questionnaire": "https://fhir-ig.digital.health.nz/rheumatic-fever/Questionnaire/SecondaryProphylaxisHealthAssessmentQuestionnaire",
"status": "completed",
"subject": {
"type": "Patient",
"identifier": {
"use": "official",
"system": "https://standards.digital.health.nz/ns/nhi-id",
"value": "ZKC7284"
},
"display": "Sage Westbrook"
},
"encounter": {
"reference": "http://example.org/fhir/Encounter/1"
},
"authored": "2023-08-08T01:08:00.504Z",
"author": {
"type": "Organization",
"identifier": {
"use": "official",
"system": "https://standards.digital.health.nz/ns/hpi-organisation-id",
"value": "G0M086-B"
},
"display": "Te Tai Tokerau Rheumatic Fever Secondary Prevention Service"
},
"item": [
{
"linkId": "ReasonsInjectionOverdue",
"text": "Reason(s) injection was give late? (multiple choice)",
"answer": [
{
"valueString": "Patient Not Available on the Day"
},
{
"valueString": "Other"
}
]
},
{
"linkId": "OverdueInjectionOtherDetail",
"text": "Other details for late injection (enter text)",
"answer": [
{
"valueString": "The patient couldn't find a park for the classic Hilux."
}
]
},
{
"linkId": "OtherPainManagementToolsUsed",
"text": "Pain management tools used? (multiple choice)",
"answer": [
{
"valueString": "Ice pack"
},
{
"valueString": "Numbing spray"
},
{
"valueString": "Distraction"
},
{
"valueString": "Other"
}
]
},
{
"linkId": "PainManagementOtherDetails",
"text": "Details of other pain management (enter text)",
"answer": [
{
"valueString": "We discovered in this appointment that Chocolate Chip Cookie ice cream helps a lot!"
}
]
},
{
"linkId": "PostInjectionConcern",
"text": "Post injection concern or possible reaction identified?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "PostInjectionConcernDetails",
"text": "If Yes, Record Details, Symptoms, Actions Taken and Follow-Up Plan (enter text)",
"answer": [
{
"valueString": "Sage had a bit more than the usual sensitivity at the injection site so we dished out extra ice cream, which was nice."
}
]
},
{
"linkId": "AnyOtherConcerns",
"text": "Were There Any Other Concerns or Issues Identified During the Visit?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "OtherConcernsDetail",
"text": "If yes, describe details, actions taken, and follow-up planned (enter text)",
"answer": [
{
"valueString": "A shortage of ice cream in our freezer led to some unnecessary worries for Sage."
}
]
},
{
"linkId": "HealthEducationTopicsDiscussed",
"text": "Health education topics discussed? (multiple choice)",
"answer": [
{
"valueString": "Secondary prophylaxis"
},
{
"valueString": "Nutrition"
},
{
"valueString": "Other"
}
]
},
{
"linkId": "HealthEducationOtherDetail",
"text": "Enter details of other health education topic discussed (enter text)",
"answer": [
{
"valueString": "Sage and I discussed the importance of punctuality and the benefits of planning ahead."
}
]
},
{
"linkId": "RecentOrUpcomingAppointments",
"text": "Any recent or upcoming follow-up appointments?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "RecentOrUpcomingAppointmentsDetails",
"text": "Enter details and dates of any recent or upcoming follow-up appointments (enter text)",
"answer": [
{
"valueString": "Sage has an upcoming follow-up appointment covering iOS calendar basics"
}
]
},
{
"linkId": "PlanForNextMedicationAppointment",
"text": "Comments for the next appointment (enter text)",
"answer": [
{
"valueString": "The plan for the next medication appointment is to keep up the good work"
}
]
}
]
},
"request": {
"method": "POST",
"url": "QuestionnaireResponse"
}
}
]
}