Generated Narrative with Details Narrative: Encounter f203

id : f203

identifier : Encounter_Roel_20130311 (TEMP) Encounter_Roel_20130311 (use: temp, )

status : finished Completed

StatusHistories - Status Period * arrived 08/03/2013 --> (ongoing)

class : inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')

type priority : Inpatient stay for nine days (Details : {SNOMED CT code '183807002' = 'Inpatient stay 9 days', given as 'Inpatient stay for nine days'}) High priority

priority type : High priority (Details : {SNOMED CT code '394849002' = 'High priority', given as 'High priority'}) Inpatient stay 9 days

subject : Roel

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

basedOn : ServiceRequest/myringotomy 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

-	Type	Individual Actor
*	Participation (Details : {http://terminology.hl7.org/CodeSystem/v3-ParticipationType code 'PART' = 'Participation)	Practitioner/f201 Practitioner Dokter Bronsig(official)

appointment : Appointment/example 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.

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

reasonCode : reason

Values

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

diagnosis

Conditions

-	condition : Condition/stroke Reference
*	Condition Ischemic stroke (disorder)

use : Admission diagnosis (Details : {http://terminology.hl7.org/CodeSystem/diagnosis-role code 'AD' = 'Admission diagnosis', given as 'Admission diagnosis'})

rank : 1

diagnosis

Conditions

-	condition : Condition/f201 Reference
*	Condition Fever

use : Discharge diagnosis (Details : {http://terminology.hl7.org/CodeSystem/diagnosis-role code 'DD' = 'Discharge diagnosis', given as 'Discharge diagnosis'})

account : Account/example Account HACC Funded Billing for Peter James Chalmers

Hospitalizations

dietPreference : Fluid balance regulation -

Origin specialArrangement : Wheelchair

AdmitSource specialCourtesy : normal courtesy

Admissions

ReAdmission

-	DietPreference Origin	SpecialCourtesy AdmitSource	SpecialArrangement ReAdmission	Destination
*	Location/2 Location South Wing Neuro OR 1	Clinical Oncology Department (Details : {SNOMED CT code '309902002' = 'Clinical oncology department', given as 'Clinical Oncology Department'})	readmitted (Details : {[not stated] code 'null' = 'null', given as 'readmitted'}) Fluid balance regulation (Details : {SNOMED CT code '276026009' = 'Fluid balance regulation', given as 'Fluid balance regulation'}) normal courtesy (Details : {http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy code 'NRM' = 'normal courtesy', given as 'normal courtesy'}) Wheelchair (Details : {http://terminology.hl7.org/CodeSystem/encounter-special-arrangements code 'wheel' = 'Wheelchair', given as 'Wheelchair'}) readmitted	Location/2 Location South Wing Neuro OR 1

serviceProvider : Organization/2 partOf : Encounter/f203