R6 Ballot (2nd Draft)

Publish-box (todo)

Example ServiceRequest/physiotherapy (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 ServiceRequest.

Generated Narrative: ServiceRequest physiotherapy

identifier: Placer/20170201-0001

basedOn: CarePlan: status = active; intent = plan; period = 2013-01-01T10:30:00Z --> (ongoing)

status: completed

intent: order

Codes

-Concept
* Physiotherapy of chest (regime/therapy)

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

occurrence: Duration 15days , 1-4 per1 days

asNeeded: as needed to clear mucus

authoredOn: 2017-02-01T17:23:07Z

requester: Dr Adam Careful

Reasons

-Reference
* Condition Cystic fibrosis with pulmonary manifestations

relevantHistory: Author's Signature

Generated Narrative: Provenance #signature

Provenance for ServiceRequest Physiotherapy of chest (regime/therapy)

Summary

Recorded2017-02-01T17:23:07Z

Agents

Rolewho
Dr Adam Careful

Generated Narrative: Condition #cystic-fibrosis

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

severity: Mild

code: Cystic Fibrosis

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

onset: 2012-11-12

 

 

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.