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Example ServiceRequest/physiotherapy (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 ServiceRequest .


Generated Narrative: ServiceRequest physiotherapy

Resource ServiceRequest "physiotherapy"

identifier : Placer: 20170201-0001 Placer/20170201-0001

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

status : completed Completed

intent : order Order

Codes

- Concept
* Physiotherapy of chest (regime/therapy) ( SNOMED CT #34431008)

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

occurrence : Duration 15days, 1-1 15days , 1-4 per 1 days asNeeded : as needed to clear mucus () day

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

requester : Practitioner/example: Dr Adam Careful "Adam CAREFUL"

Reasons

- Reference
* Condition Cystic fibrosis with pulmonary manifestations

clinicalStatus relevantHistory : Active ( Condition Clinical Status Codes Author's Signature #active)

verificationStatus : Confirmed ( ConditionVerificationStatus #confirmed)

category : Problem List Item ( Condition Category Codes #problem-list-item) Generated Narrative: Provenance #signature

severity : Mild ( SNOMED CT #255604002)

code : Cystic Fibrosis ( International Classification Provenance for ServiceRequest Physiotherapy of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) chest (regime/therapy) #E84.0 "Cystic fibrosis with pulmonary manifestations")

subject : Patient/example "Peter CHALMERS" Summary

onset : 2012-11-12
Recorded 2017-02-01T17:23:07Z

relevantHistory : target : ServiceRequest/physiotherapy/_history/1 recorded : 2 Feb 2017, 4:23:07 am Agents

- Role Who who
* author (originator) ( ParticipationType #AUT) Practitioner/example: Dr Adam Careful "Adam CAREFUL"
Signatures

-

Type Generated Narrative: Condition #cystic-fibrosis

When

Who clinicalStatus : Active

TargetFormat verificationStatus : Confirmed

SigFormat category : Problem List Item

Data severity : Mild

*

Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature') : Cystic Fibrosis 2 Feb 2017, 4:23:07 am

Practitioner/example: Dr Adam Careful subject : Jim Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing))) "Adam CAREFUL" application/fhir+xml application/signature+xml dGhpcyBibG9iIGlzIHNuaXBwZWQ=

onset : 2012-11-12


 

Other examples that reference this example: MedicationAdministration/IV Antibiotic MedicationRequest/PRN dose ServiceRequest/Physiotherapy Task/In Progress Lipid Panel Task 1  

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.