Release 4 R6 Ballot (1st Full Ballot)

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Servicerequest-example2

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 with Details Narrative: ServiceRequest physiotherapy

id : physiotherapy contained : ,

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

- code : Concept
* Physiotherapy of chest (regime/therapy) (Details : {SNOMED CT code '34431008' = 'Physiotherapy of chest', given as 'Physiotherapy of chest (regime/therapy) '})

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

occurrence : Duration 15days, Do 1-1 15days , 1-4 per 1 days day

asNeeded authoredOn : as needed to clear mucus (Details ) 2017-02-01T17:23:07Z

authoredOn requester : 01/02/2017 5:23:07 PM Dr Adam Careful

Reasons

- Reference
* Condition Cystic fibrosis with pulmonary manifestations

requester relevantHistory : Author's Signature

Generated Narrative: Provenance #signature

Provenance for ServiceRequest Physiotherapy of chest (regime/therapy)

Summary

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

Agents

Role who
Dr Adam Careful

Generated Narrative: Condition #cystic-fibrosis

reasonReference clinicalStatus : id: cystic-fibrosis; Active (Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active) ;

verificationStatus : Confirmed (Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed) ;

category : Problem List Item (Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'}) ; Mild (Details : {SNOMED CT code '255604002' = 'Mild', given as 'Mild'}) ; Cystic Fibrosis (Details : {http://hl7.org/fhir/sid/icd-10-cm code 'E84.0' = 'E84.0', given as 'Cystic fibrosis with pulmonary manifestations'}) ; onset: 12/11/2012

relevantHistory severity : Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM; Mild  

Other examples that reference this example: MedicationAdministration/IV Antibiotic code : Cystic Fibrosis

MedicationRequest/PRN dose

subject : Jim Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

ServiceRequest/Physiotherapy

onset : 2012-11-12

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.