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Example Procedure/f004 (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 f004

Resource Procedure "f004"

status : completed

code : Tracheotomy ( SNOMED CT #48387007)

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 : 2013-03-22T09:30:10+01:00 --> 2013-03-22T10:30:10+01:00

Performers

- Function Actor
* Care role (unknown#01.000 "Arts") Practitioner/f005: A. Langeveld "Langeveld ANNE"

Reasons

- Concept
* ensure breathing during surgery ()

bodySite : Retropharyngeal area ( SNOMED CT #83030008)

Outcomes

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

report : DiagnosticReport/f001: ???????????

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.