Discharge Summary CC: Dr. BettaB Careful status: final patient: Eve Everywoman author: Doctor Dave / Good Health Clinic encounter: Inpatient encounter, 2024-05-03 - 2024-05-07 confidentiality: N Contained sections: Reason for admission Medications on Discharge Known allergies
Subject's name was corrected becuase of a misspelling.
Details Acute Asthmatic attack. Was wheezing for days prior to admission.
Hospital discharge medications Narrative
Medication Last Change Last ChangeReason Theophylline 200mg BD after meals continued Ventolin Inhaler stopped Getting side effect of tremor
Allergies and adverse reactions Document
Allergen Reaction Doxycycline Hives
Generated Narrative: Organization revised-custodianOrganization identifier: <a href="http://terminology.hl7.org/7.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt #xD;#xA;#xD;#xA;This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: #xD;#xA;#xD;#xA;Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.#xD;#xA;#xD;#xA;This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)/urn:uuid:2.16.840.1.113883.19.5 name: Good Health Clinic
Generated Narrative: Practitioner Doctor1 Last updated: 2013-05-05 16:13:03+0000 identifier: http://www.acme.org/practitioners/23 name: Adam Careful
Generated Narrative: Practitioner Doctor2 Last updated: 2013-05-05 16:13:03+0000 identifier: http://www.acme.org/practitioners/27 name: BettaB Careful
Generated Narrative: Patient revised-Patient Eve Everywoman Female, DoB: 1955-01-06 Active: true Contact Detail ph: 555-555-2003(Work) 2222 Home Street (home)
Generated Narrative: Encounter revised-encounter-example Last updated: 2024-05-07 11:28:17+0000 identifier: S100 status: Finished class: v3 Code System ActCode: IMP (inpatient encounter) type: Orthopedic Admission subject: Eve Everywoman period: 2024-05-03 13:28:17+0000 --> 2024-05-07 11:28:17+0000 Hospitalizations - DischargeDisposition * Discharged to care of GP
Acute Asthmatic attack. Was wheezing for days prior to admission.
Generated Narrative: MedicationRequest revised-MedRequest-124a6916-5d84-4b8c-b250-10cefb8e6e86 Last updated: 2024-05-07 11:28:17+0000 status: Unknown intent: Order medication: Theophylline 200mg subject: Eve Everywoman requester: Peter Practitioner reasonCode: Management of Asthma dosageInstruction additionalInstruction: Take with Food timing: 2 per 1 day route: oral administration of treatment DoseAndRates - Type Dose[x] * Ordered 1 tablet (Details: UCUM code{tablet} = '{tablet}')
Generated Narrative: MedicationStatement revised-MedStatement-673f8db5-0ffd-4395-9657-6da00420bbc1 status: Active statusReason: Management of Asthma medication: Ventolin Inhaler subject: Eve Everywoman dateAsserted: 2024-05-07 11:28:17+0000
Generated Narrative: AllergyIntolerance revised-AllergyIntolerance-47600e0f-b6b5-4308-84b5-5dec157f7637 Last updated: 2024-05-07 11:28:17+0000 clinicalStatus: Active verificationStatus: Confirmed type: Allergy criticality: High Risk code: Doxycycline patient: Eve Everywoman recordedDate: 2012-09-17 Reactions - Manifestation * Hives
Generated Narrative: ServiceRequest revised-service1 Last updated: 2024-05-07 11:28:17+0000 status: Active intent: Order code: Discharge to home subject: Eve Everywoman
Generated Narrative: Consent revised-consent1 Last updated: 2024-05-07 11:28:17+0000 Participants Role Details Patient Eve Everywoman This consent is made under the regulation opt-in . The subject has given their consent.