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Packagehl7.fhir.dk.core
Resource TypeDiagnosticReport
IdDiagnosticReport-ElseHomeNursingMeasurements.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: DiagnosticReport ElseHomeNursingMeasurements

Progress note (hjemmesygepleje)

SubjectElse Test Lauridsen(official) Female, DoB: 1991-02-02 ( urn:oid:1.2.208.176.1.2#DK Central Person Registry (CPR)#0201919990)
When For2023-09-12 17:45:00+0000
Performer Practitioner Sidsel Andersen

Report Details

CodeValueFlags
Level of consciousnessResponds to painFinal
Blood pressure panel with all children optionalFinal
Body temperature38.7 grader celcius (Details: UCUM codeCel = 'Cel')Final
Heart rate92 slag/minut (Details: UCUM code/min = '/min')Final
Respiratory rate19 /min (Details: UCUM code/min = '/min')Final
Pt—Tidlig Opsporing af Begyndende Sygdom (TOBS) score; antal (værdi 0-15) = ?3 1 (Details: UCUM code1 = '1')Final
U—Leukocytes; arb.c.(proc.) = ?Påviselige leukocytterFinal

Elses lidt høje TOBS og leukocytter i urin gør det nødvendigt med lægetilsyn snarest.

Source1

{
  "resourceType": "DiagnosticReport",
  "id": "ElseHomeNursingMeasurements",
  "meta": {
    "profile": [
      "http://hl7.dk/fhir/core/StructureDefinition/dk-core-diagnostic-report"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "version": "http://snomed.info/sct/554471000005108",
          "code": "658161000005107",
          "display": "hjemmesygepleje"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "11506-3",
        "display": "Progress note"
      }
    ]
  },
  "subject": {
    "reference": "Patient/else"
  },
  "effectiveDateTime": "2023-09-12T17:45:00.000Z",
  "performer": [
    {
      "reference": "Practitioner/SidselSygeplejerske"
    }
  ],
  "result": [
    {
      "reference": "Observation/ElseConsciousness"
    },
    {
      "reference": "Observation/ElseBloodPressure"
    },
    {
      "reference": "Observation/ElseBodyTemperature"
    },
    {
      "reference": "Observation/ElseHeartRate"
    },
    {
      "reference": "Observation/ElseRespirationRate"
    },
    {
      "reference": "Observation/ElsesTOBSscore"
    },
    {
      "reference": "Observation/ElseUrinStix"
    }
  ],
  "conclusion": "Elses lidt høje TOBS og leukocytter i urin gør det nødvendigt med lægetilsyn snarest."
}