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Example Procedure/ventilator-setting (Narrative)

Responsible Owner: Patient Care Work GroupStandards Status: InformativeCompartments: Encounter, Group, Patient, Practitioner, RelatedPerson

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile Procedure.

Generated Narrative: Procedure ventilator-setting

status: Completed

code: Mechanical Ventilation

subject: Jim Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

occurrence: 2015-04-05

Performers

-Actor
* Dr Cecil Surgeon

Reasons

-Concept
* Acute Respiratory Distress Syndrome (ARDS)

Outcomes

-ConceptReference
* Respiratory rate 24 bpm
* Tidal volume 500 mL
* FiO2 40%
* PEEP 5 cmH2O

FollowUps

-Concept
* Daily chest x-rays and ongoing ventilation monitoring

note:

ARDS due to sepsis

FocalDevices

-ActionManipulated
* Nasotracheal intubation (procedure) Device: manufacturer = Medtronic, Inc; lotNumber = 1234-9876; type = Artificial respiration

Generated Narrative: Device #vent-device-1

manufacturer: Medtronic, Inc

lotNumber: 1234-9876

type: Ventilator, device

Generated Narrative: Observation #tidal-volume-obs

status: Final

code: Tidal volume Ventilator

subject: Jim Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

value: 500 mL (Details: UCUM codemL = 'mL')

Generated Narrative: Observation #fio2-obs

status: Final

code: Inhaled oxygen concentration

subject: Jim Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

value: 40 % (Details: UCUM code% = '%')

Generated Narrative: Observation #peep-obs

status: Final

code: PEEP Ventilator

subject: Jim Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

value: 5 cm[H2O] (Details: UCUM codecm[H2O] = 'cmH2O')

 

 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.