FHIR IG analytics| Package | uk.nhsdigital.bars.r4 |
| Resource Type | Bundle |
| Id | REFREQ9A - Referral Service Request - CAD Out of Area C2(3 of 3 - Final Update).json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
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"text": "CONSULTATION SUMMARY /n PRINTED ON 18/09/2024 15:10:18 Pathways R45.2.0 System Settings: MERS virus Call Handler Triage Cut Off: Set to 0 Clinician Triage Cut Off: Set to 0 PATIENT: Julie Bloggs TELEPHONE: AGE GROUP: Adult GENDER: Female PARTY: 3 POSTCODE: LS10 4YU NOTES: SKILLSET: 999 Call Handler CALL HANDLER USER ID: John.Jone@nhs.net PATHWAY: PFA3 - Calling About Someone Else. SYMPTOM GROUP: SG1118 - Labour and Childbirth. SYMPTOM DISCRIMINATOR: SD4088 - AMB imminent birth. DISPOSITION: Dx0115 - Emergency Ambulance Response for Labour Complications (Category 2). SELECTED SERVICE: No care service selected. CONSULTATION SUMMARY: Conscious. Labour/childbirth. Baby not yet born. More than 20 weeks pregnant.Warm to touch. Severe pain in abdomen. Vaginal bleeding present. Advanced labour, passage of meconium. No presenting part visible. Someone staying with individual. No indication scene unsafe. PATHWAYS ASSESSMENT: Cardiac arrest not identified at this point. The individual was conscious at the time of the assessment. The call was not from a health professional. Labour or childbirth was the main problem. The baby had not been born at the time of the assessment. The individual had been pregnant for 20 weeks or more. The individual was not fighting for breath. The skin on the torso felt normal, warm or hot. The individual had severe pain in the abdomen. The pain was not new and constant. There was vaginal bleeding at the time of the assessment. There was no heavy vaginal bleeding. There was no abdominal tenderness. The individual had not felt faint or passed out. There was a passage of meconium-stained fluid. No part of the baby could be seen. There was no further information to help with dispatch. There was someone staying with the individual. There was no safeguarding concern. The scene was safe. Pre-arrival instructions were considered appropriate. The baby did not appear to be emerging. It was not a water birth. ADVICE GIVEN: Help the mother into the position that is most comfortable for her. If she needs back support, put pillows or cushions behind her shoulders or let her lean back against someone. If you can, ask for someone to meet and direct the vehicle. Shut any dogs away. If you do need to contact somebody do so now, then try and keep the line free as we may need to call you back. If there are any new symptoms, or their condition gets worse, changes or you have any other concerns call 999. NO INSTRUCTIONS GIVEN AS NOT SAFE AND/OR APPROPRIATE."
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