R6 Ballot (2nd Draft)

Publish-box (todo)

Example Observation/abdo-tender (Narrative)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, 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 Observation.

Generated Narrative: Observation abdo-tender

status: final

category: Exam

code: Abdominal tenderness

subject: Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

encounter: Encounter: status = in-progress; class = inpatient encounter; subjectStatus = Receiving Care

effective: 2018-04-02T10:30:10+01:00 --> (ongoing)

issued: 2018-04-03T15:30:10+01:00

value: true

interpretation: Abnormal

 

 

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.