Generated Narrative: StructureDefinition AdmissionEvaluationEhnEn Name Flags Card. Type Description & Constraints AdmissionEvaluationEhnEn 0..* Base A.2.4 - Admission evaluation (eHN) #xD; objectiveFindings 0..1 Base A.2.4.1 - Objective findings #xD; date 0..1 dateTime A.2.4.1.1 - Date and time #xD; <a href="StructureDefinition-AdmissionEvaluationEhnEn-definitions.html#AdmissionEvaluationEhnEn.objectiveFindings.anthropometricObservations" title="Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.#xA;Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.">anthropometricObservations 0..* Base A.2.4.1.3 - Anthropometric observations #xD; details 0..1 Base A.2.4.1.3.1 - Observation details #xD; <a href="StructureDefinition-AdmissionEvaluationEhnEn-definitions.html#AdmissionEvaluationEhnEn.objectiveFindings.anthropometricObservations.result" title="Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.">result 1..1 Base A.2.4.1.3.2 - Observation result #xD; vitalSigns 0..* Base A.2.4.1.4 - Vital signs #xD; description 1..1 string A.2.4.1.4.1 - Result description #xD; details 1..1 Base A.2.4.1.4.2 - Observation details #xD; <a href="StructureDefinition-AdmissionEvaluationEhnEn-definitions.html#AdmissionEvaluationEhnEn.objectiveFindings.vitalSigns.result" title="Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.">result 1..1 Base A.2.4.1.4.3 - Observation result #xD; <a href="StructureDefinition-AdmissionEvaluationEhnEn-definitions.html#AdmissionEvaluationEhnEn.objectiveFindings.physicalExamination" title="Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.">physicalExamination 0..1 Base A.2.4.1.5 - Physical examination #xD; note 1..1 string A.2.4.1.5.1 - Observation Note #xD; functionalStatus 0..1 Base A.2.4.2 - Functional status #xD; description 1..1 string A.2.4.2.1 - Description #xD; onsetDate 0..1 dateTime A.2.4.2.2 - Onset Date #xD; assessmentType 1..1 CodeableConcept A.2.4.2.3 - Functional assessment description #xD; assessmentDate 0..1 dateTime A.2.4.2.4 - Functional assessment date #xD; assessmentResult 1..1 CodeableConcept A.2.4.2.5 - Functional assessment result #xD; Documentation for this format
Hospital Discharge Report - Admission evaluation - A.2.4 eHN
Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness. Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.
Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation..
Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.
Narrative representation of the observation result and findings.
Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.
Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.
A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)
Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments
A.2.4.2.3 - Functional assessment description
Description of the functional assessment
A.2.4.2.5 - Functional assessment result