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Packagetewhatuora.rheumaticfever
Resource TypeObservation
IdObservation-DiagnosisDetail-JonesCriteria.json
FHIR VersionR4

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Source1

{
  "resourceType": "Observation",
  "id": "DiagnosisDetail-JonesCriteria",
  "meta": {
    "versionId": "2",
    "lastUpdated": "2024-08-07T08:31:00Z",
    "profile": [
      "https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/nz-rheumaticfever-diagnosisgroup"
    ],
    "tag": [
      {
        "system": "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code": "rf-nz",
        "display": "rheumatic fever"
      }
    ]
  },
  "identifier": [
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
            "code": "rfccs-observation-id"
          }
        ]
      },
      "system": "https://standards.digital.health.nz/ns/rf-ccs-id",
      "value": "OBSD-0101"
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
        "code": "447541000210107",
        "display": "New Zealand Jones Criteria Assessment (observable entity)"
      }
    ]
  },
  "subject": {
    "type": "Patient",
    "identifier": {
      "use": "official",
      "system": "https://standards.digital.health.nz/ns/nhi-id",
      "value": "ZKC7284"
    },
    "display": "Sage Westbrook"
  },
  "encounter": {
    "reference": "Encounter/DiagnosisEncounter"
  },
  "performer": [
    {
      "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"
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "703119002",
            "display": "Carditis due to rheumatic fever (disorder)"
          }
        ],
        "text": "Carditis due to rheumatic fever (disorder)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
            "code": "448021000210106",
            "display": "Indolent carditis (disorder)"
          }
        ],
        "text": "Indolent carditis (disorder)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir-ig.digital.health.nz/rheumatic-fever/CodeSystem/nz-rheumaticfever-codesystem",
            "code": "599041000210109",
            "display": "Transient advanced atrioventricular block (disorder)"
          }
        ],
        "text": "Transient advanced atrioventricular block (disorder)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "1148763004",
            "display": "Acute rheumatic fever with carditis (disorder)"
          }
        ],
        "text": "Acute rheumatic fever with carditis (disorder)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "95325000",
            "display": "Subcutaneous nodule (finding)"
          }
        ],
        "text": "Subcutaneous nodule (finding)"
      },
      "valueBoolean": false
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "200951007",
            "display": "Erythema marginatum in acute rheumatic fever (disorder)"
          }
        ],
        "text": "Erythema marginatum in acute rheumatic fever (disorder)"
      },
      "dataAbsentReason": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
            "code": "unknown",
            "display": "Unknown"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "111211002",
            "display": "Migratory polyarthritis (disorder)"
          }
        ],
        "text": "Migratory polyarthritis (disorder)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "699462004",
            "display": "Monoarthritis (disorder)"
          }
        ],
        "text": "Monoarthritis (disorder)"
      },
      "dataAbsentReason": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
            "code": "unknown",
            "display": "Unknown"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "46826000",
            "display": "Rheumatic chorea (disorder)"
          }
        ],
        "text": "Rheumatic chorea (disorder)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "35678005",
            "display": "Multiple joint pain (finding)"
          }
        ],
        "text": "Multiple joint pain (finding)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "165468009",
            "display": "Erythrocyte sedimentation rate above reference range (finding)"
          }
        ],
        "text": "Erythrocyte sedimentation rate above reference range (finding)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "416838001",
            "display": "Erythrocyte sedimentation rate measurement (procedure)"
          }
        ],
        "text": "Erythrocyte sedimentation rate measurement (procedure)"
      },
      "valueQuantity": {
        "value": 30,
        "unit": "mm/h",
        "system": "http://unitsofmeasure.org",
        "code": "mm/h"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "119971000119104",
            "display": "C-reactive protein above reference range (finding)"
          }
        ],
        "text": "C-reactive protein above reference range (finding)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "55235003",
            "display": "C-reactive protein measurement (procedure)"
          }
        ],
        "text": "C-reactive protein measurement (procedure)"
      },
      "valueQuantity": {
        "value": 12,
        "unit": "mg/l",
        "system": "http://unitsofmeasure.org",
        "code": "mg/L"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "251207006",
            "display": "PR interval duration (observable entity)"
          }
        ],
        "text": "PR interval duration (observable entity)"
      },
      "valueQuantity": {
        "value": 0.25,
        "unit": "s",
        "system": "http://unitsofmeasure.org",
        "code": "s"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "164947007",
            "display": "Prolonged PR interval (finding)"
          }
        ],
        "text": "Prolonged PR interval (finding)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "386661006",
            "display": "Fever (finding)"
          }
        ],
        "text": "Fever (finding)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "44808001",
            "display": "Conduction disorder of the heart (disorder)"
          }
        ],
        "text": "Conduction disorder of the heart (disorder)"
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "44808001",
            "display": "Conduction disorder of the heart (disorder)"
          }
        ],
        "text": "Conduction disorder of the heart (disorder)"
      },
      "valueString": "Conduction was considered abnormally low in such a young patient"
    }
  ]
}