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Narrative

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Source1

{
  "resourceType": "Encounter",
  "id": "PediatricConsultationExample",
  "meta": {
    "profile": [
      "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-pediatric-consultation"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-medical-history-summary",
      "valueString": "Fever began 2 days ago, no cough, feeding normally."
    },
    {
      "extension": [
        {
          "url": "chronicDiseases",
          "valueBoolean": false
        },
        {
          "url": "medicationAllergies",
          "valueBoolean": false
        }
      ],
      "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-past-pathological-history"
    },
    {
      "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-pediatric-danger-sign-present",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-pediatric-danger-sign",
            "code": "lethargic",
            "display": "Lethargic"
          }
        ]
      }
    },
    {
      "extension": [
        {
          "url": "generalState",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-general-state-degree",
                "code": "good",
                "display": "Good"
              }
            ]
          }
        },
        {
          "url": "biotype",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-biotype",
                "code": "mesomorph",
                "display": "Mesomorph (muscular, athletic build)"
              }
            ]
          }
        }
      ],
      "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-general-state-and-biotype"
    },
    {
      "extension": [
        {
          "url": "site",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-pulse-site",
                "code": "radial",
                "display": "Radial"
              }
            ]
          }
        },
        {
          "url": "rate",
          "valueInteger": 110
        },
        {
          "url": "rhythm",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-pulse-rhythm",
                "code": "regular",
                "display": "Regular"
              }
            ]
          }
        }
      ],
      "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-pulse-assessment"
    },
    {
      "extension": [
        {
          "url": "hiv",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-screening-result",
                "code": "not-done",
                "display": "Not done"
              }
            ]
          }
        },
        {
          "url": "tb",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-screening-result",
                "code": "negative",
                "display": "Negative/Not suspected"
              }
            ]
          }
        }
      ],
      "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-disease-screening-pediatric"
    },
    {
      "extension": [
        {
          "url": "present",
          "valueBoolean": false
        }
      ],
      "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-abnormal-masses"
    }
  ],
  "status": "finished",
  "class": {
    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code": "AMB",
    "display": "ambulatory"
  },
  "subject": {
    "reference": "Patient/PatientRegistrationExample"
  },
  "reasonCode": [
    {
      "text": "Fever for 2 days"
    }
  ]
}