Release 5 R6 Ballot (3rd Draft)
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Example Procedure/f002 (Narrative)

Patient Care Work Group Maturity Level : N/A 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 f002

Resource Procedure "f002"

status : completed

code : Partial lobectomy of lung ( SNOMED CT #359615001)

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

encounter : Encounter/f002 Encounter: identifier = http://www.bmc.nl/zorgportal/identifiers/encounters#v3251 (use: official, ); status = completed; class = ambulatory; priority = Urgent; type = Patient-initiated encounter

occurrence : 2013-03-08T09:00:10+01:00 --> 2013-03-08T09:30:10+01:00

Performers

- Function Actor Period
* Care role (unknown#01.000 "Arts") Practitioner/f003: M.I.M. Versteegh "Marc VERSTEEGH" 2013-03-08T09:00:10+01:00 --> 2013-03-08T09:30:10+01:00

Reasons

- Concept
* Malignant tumor of lung ()

bodySite : Lung structure ( SNOMED CT #39607008)

Outcomes

- outcome : Concept
* improved blood circulation ()

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.