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Packagenictiz.fhir.nl.r4.nl-core
Resource TypeComposition
Idnl-core-SOAPReport-01.json
FHIR VersionR4

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Narrative

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

Geneesmiddelbijwerking
Samengestelde informatie. Status: definitiefAuteur: Healthcare professional (role), H.A. Janszens
Typepatiƫntcontactverslag
Gemaakt21 juli 2019

Source1

{
  "resourceType": "Composition",
  "id": "nl-core-SOAPReport-01",
  "meta": {
    "profile": [
      "http://nictiz.nl/fhir/StructureDefinition/nl-core-SOAPReport"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "11591000146107",
        "display": "patiƫntcontactverslag"
      }
    ]
  },
  "date": "2019-07-21",
  "author": [
    {
      "reference": "PractitionerRole/nl-core-SOAPReport-01-PractitionerRole-01",
      "type": "PractitionerRole",
      "display": "Healthcare professional (role), H.A. Janszens"
    }
  ],
  "title": "Geneesmiddelbijwerking",
  "section": [
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255362007",
            "display": "Subjective"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SOAPLineText: Sinds 2 maanden hoesten. Begonnen na start enalapril. Een weekje gestopt, klachten toen weg. Na hervatten klachten weer terug gekomen. (SOAPLineCode: Hoesten)</div>"
      },
      "entry": [
        {
          "reference": "Observation/nl-core-SOAPReport.SOAPLine-01",
          "type": "Observation",
          "display": "SOAP line observation, Subjective, code Hoesten"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260224007",
            "display": "Objective"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SOAPLineText: Keelinspectie geen bijzonderheden, pulmonaal vesiculair ademgeruis (VAG)</div>"
      },
      "entry": [
        {
          "reference": "Observation/nl-core-SOAPReport.SOAPLine-02",
          "type": "Observation",
          "display": "SOAP line observation, Objective"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "129265001",
            "display": "Evaluatie"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SOAPLineText: bijwerking ACE-remmer (SOAPLineCode: Geneesmiddelbijwerking)</div>"
      },
      "entry": [
        {
          "reference": "Observation/nl-core-SOAPReport.SOAPLine-03",
          "type": "Observation",
          "display": "SOAP line observation, Evaluatie, code Geneesmiddelbijwerking"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "129271007",
            "display": "Beleid"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SOAPLineText: Overzetten van enalapril naar telmisartan. Evaluatie over 2 weken.</div>"
      },
      "entry": [
        {
          "reference": "Observation/nl-core-SOAPReport.SOAPLine-04",
          "type": "Observation",
          "display": "SOAP line observation, Beleid"
        }
      ]
    }
  ]
}