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Example Observation/abdo-tender (Narrative)

Maturity Level : N/A
Responsible Owner: Orders and Observations Work Group Standards Status : Informative Compartments : Device , Encounter , Group , 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

Resource Observation "abdo-tender"

status : final Final

category : Exam ( Observation Category Codes #exam)

code : Abdominal tenderness ( SNOMED CT #43478001 "Abdominal tenderness (finding)")

subject : Patient/example Jim Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing))) "Peter CHALMERS"

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

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

issued : 4 Apr 2018, 12:30:10 am 2018-04-03T15:30:10+01:00

value : true Present

interpretation : Abnormal ( ObservationInterpretation #A)

 

 

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.