R6 Ballot (2nd Draft)

Publish-box (todo)

Example Encounter/f203 (Narrative)

Patient Administration Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner, RelatedPerson

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile Encounter.


Generated Narrative: Encounter f203

identifier: Encounter_Roel_20130311 (use: temp, )

status: completed

class: inpatient encounter

priority: High priority

type: Inpatient stay 9 days

subject: Roel

episodeOfCare: EpisodeOfCare: identifier = http://example.org/sampleepisodeofcare-identifier#123; status = active; type = Home and Community Care; period = 2014-09-01 --> (ongoing)

basedOn: ServiceRequest Myringotomy and insertion of short-term grommet

partOf: Encounter: identifier = Encounter_Roel_20130311 (use: temp, ); status = completed; class = inpatient encounter; priority = High priority; type = Inpatient stay 9 days; actualPeriod = 2013-03-11 --> 2013-03-20; dietPreference = Fluid balance regulation; specialArrangement = Wheelchair; specialCourtesy = normal courtesy

serviceProvider: Organization XYZ Insurance

Participants

-TypeActor
* Participation Practitioner Dokter Bronsig(official)

appointment: Appointment: status = booked; class = ambulatory; serviceCategory = General Practice; specialty = General practice (specialty); appointmentType = A follow up visit from a previous appointment; description = Discussion on the results of your recent MRI; start = 2013-12-10T09:00:00Z; end = 2013-12-10T11:00:00Z; created = 2013-10-10; note = Further expand on the results of the MRI and determine the next actions that may be appropriate.

actualPeriod: 2013-03-11 --> 2013-03-20

reason

Values

-Concept
* The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy.

diagnosis

Conditions

-Reference
* Condition Ischemic stroke (disorder)

use: Admission diagnosis

diagnosis

Conditions

-Reference
* Condition Fever

use: Discharge diagnosis

account: Account HACC Funded Billing for Peter James Chalmers

dietPreference: Fluid balance regulation

specialArrangement: Wheelchair

specialCourtesy: normal courtesy

Admissions

-OriginAdmitSourceReAdmissionDestination
* Location South Wing Neuro OR 1 Clinical Oncology Department readmitted Location South Wing Neuro OR 1

 

 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.