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Example Procedure/f003 (Narrative)

Maturity Level : N/A
Responsible Owner: Patient Care Work Group Standards Status : Informative Compartments : 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 Procedure .

Generated Narrative: Procedure f003

Resource Procedure "f003"

status : completed Completed

code : Incision of retropharyngeal abscess ( SNOMED CT #172960003)

subject : Patient/f001: P. van de Heuvel "Pieter VAN DE HEUVEL"

encounter : Encounter/f003 Encounter: identifier = http://www.bmc.nl/zorgportal/identifiers/encounters#v6751 (use: official, ); status = completed; class = ambulatory; priority = Non-urgent ear, nose and throat admission; type = Patient-initiated encounter

occurrence : 2013-03-24T09:30:10+01:00 --> 2013-03-24T10:30:10+01:00

Performers

- Function Actor
* Care role (unknown#01.000 "Arts") Practitioner/f001: E.M.J.M. van den broek "Eric VAN DEN BROEK"

Reasons

- Concept
* abcess in retropharyngeal area ()

bodySite : Retropharyngeal area ( SNOMED CT #83030008)

Outcomes

- outcome : Concept
* removal of the retropharyngeal abscess ()

report : DiagnosticReport/f001: Lab results blood test

FollowUps

- followUp : Concept
* described in care plan ()

 

 

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.