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Packagestjohn.ambulance-care-summary
Resource TypeObservation
IdObservation-acs-cda-ecg.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Observation acs-cda-ecg

status: Final

category: Vital Signs

code: Heart rate rhythm

subject: Bob Bobby Bobson (official) Male, DoB: 1984-06-02 ( https://standards.digital.health.nz/ns/nhi-id#NHI#ABC1235)

encounter: Encounter: identifier = https://standards.digital.health.nz/ns/ambulance-master-incident-number#0450-1-2016/06/14,https://standards.digital.health.nz/ns/acc-claim-number#XA12345,https://standards.digital.health.nz/ns/ambulance-unit-call-sign#MTWELL1; status = finished; class = emergency (ActCode#EMER); type = Land ambulance; period = 2016-06-14 11:13:00+1200 --> 2016-06-14 12:42:00+1200

effective: 2016-06-14 11:35:00+1200

value: Atrial flutter

note: ,

A note about the observations

CDA structured entry coded Atrial Fibrillation while narrative table displayed Atrial Flutter.

Source1

{
  "resourceType": "Observation",
  "id": "acs-cda-ecg",
  "meta": {
    "profile": [
      "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-ecg-interpretation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "vital-signs"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "8884-9",
        "display": "Heart rate rhythm"
      }
    ]
  },
  "subject": {
    "reference": "Patient/acs-cda-patient-bob"
  },
  "encounter": {
    "reference": "Encounter/acs-cda-encounter"
  },
  "effectiveDateTime": "2016-06-14T11:35:00+12:00",
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "https://fhir-ig.digital.health.nz/ambulance-care-summary/CodeSystem/acs-ecg-interpretation",
        "code": "aflutter",
        "display": "Atrial flutter"
      }
    ]
  },
  "note": [
    {
      "text": "A note about the observations"
    },
    {
      "text": "CDA structured entry coded Atrial Fibrillation while narrative table displayed Atrial Flutter."
    }
  ]
}