US Core Implementation Guide
9.0.0 - STU 9 US

US Core Implementation Guide - Downloaded Version 9.0.0 See the Directory of published versions

Example DocumentReference: Clinician Authored Discharge Summary Example

Page standards status: Informative

Profile: US Core DocumentReference Profile version: 9.0.0

status: Current

type: Discharge Summary

category: Clinical No

subject: Amy V. Baxter (no stated gender), DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

content

Attachments

-ContentTypeData
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Contexts

-Encounter
*Encounter: extension = Yes (qualifier value) (SNOMED CT[US]#373066001); status = finished; class = ambulatory (v3 Code System ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional; period = 2015-11-01 17:00:14-0500 --> 2015-11-01 18:00:14-0500