HL7 FHIR Implementation Guide: DK Core, published by HL7 Denmark. This guide is not an authorized publication; it is the continuous build for version 3.7.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7dk/dk-core/ and changes regularly. See the Directory of published versions

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: Else's TOBS measurements and urin stix - JSON Representation

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{
  "resourceType" : "DiagnosticReport",
  "id" : "ElseHomeNursingMeasurements",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.dk/fhir/core/StructureDefinition/dk-core-diagnostic-report"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport ElseHomeNursingMeasurements</b></p><a name=\"ElseHomeNursingMeasurements\"> </a><a name=\"hcElseHomeNursingMeasurements\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dk-core-diagnostic-report.html\">Danish Core Diagnostic Report Profile</a></p></div><h2><span title=\"Codes:{http://loinc.org 11506-3}\">Progress note</span> (<span title=\"Codes:{http://snomed.info/sct 658161000005107}\">hjemmesygepleje</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Else Test Lauridsen(official) Female, DoB: 1991-02-02 ( urn:oid:1.2.208.176.1.2#DK Central Person Registry (CPR)#0201919990)</td></tr><tr><td>When For</td><td>2023-09-12 17:45:00+0000</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-SidselSygeplejerske.html\">Practitioner Sidsel Andersen</a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"Observation-ElseConsciousness.html\"><span title=\"Codes:{http://snomed.info/sct 6942003}\">Level of consciousness</span></a></td><td><span title=\"Codes:{http://snomed.info/sct 450847001}\">Responds to pain</span></td><td>Final</td></tr><tr><td><a href=\"Observation-ElseBloodPressure.html\"><span title=\"Codes:{http://loinc.org 85354-9}, {http://snomed.info/sct 75367002}\">Blood pressure panel with all children optional</span></a></td><td/><td>Final</td></tr><tr><td><a href=\"Observation-ElseBodyTemperature.html\"><span title=\"Codes:{http://loinc.org 8310-5}, {http://snomed.info/sct 276885007}\">Body temperature</span></a></td><td>38.7 grader celcius<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeCel = 'Cel')</span></td><td>Final</td></tr><tr><td><a href=\"Observation-ElseHeartRate.html\"><span title=\"Codes:{http://loinc.org 8867-4}, {http://snomed.info/sct 364075005}\">Heart rate</span></a></td><td>92 slag/minut<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/min = '/min')</span></td><td>Final</td></tr><tr><td><a href=\"Observation-ElseRespirationRate.html\"><span title=\"Codes:{http://loinc.org 9279-1}, {http://snomed.info/sct 86290005}\">Respiratory rate</span></a></td><td>19 /min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/min = '/min')</span></td><td>Final</td></tr><tr><td><a href=\"Observation-ElsesTOBSscore.html\"><span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-observation-codes MCS88125}\">Pt—Tidlig Opsporing af Begyndende Sygdom (TOBS) score; antal (værdi 0-15) = ?</span></a></td><td>3 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>Final</td></tr><tr><td><a href=\"Observation-ElseUrinStix.html\"><span title=\"Codes:{http://npu-terminology.org NPU03987}, {http://snomed.info/sct 252385000}\">U—Leukocytes; arb.c.(proc.) = ?</span></a></td><td>Påviselige leukocytter</td><td>Final</td></tr></table><p>Elses lidt høje TOBS og leukocytter i urin gør det nødvendigt med lægetilsyn snarest.</p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "version" : "http://snomed.info/sct/554471000005108",
          "code" : "658161000005107",
          "display" : "hjemmesygepleje"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "11506-3",
        "display" : "Progress note"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/else"
  },
  "effectiveDateTime" : "2023-09-12T17:45:00.000Z",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/SidselSygeplejerske"
    }
  ],
  "result" : [
    {
      🔗 "reference" : "Observation/ElseConsciousness"
    },
    {
      🔗 "reference" : "Observation/ElseBloodPressure"
    },
    {
      🔗 "reference" : "Observation/ElseBodyTemperature"
    },
    {
      🔗 "reference" : "Observation/ElseHeartRate"
    },
    {
      🔗 "reference" : "Observation/ElseRespirationRate"
    },
    {
      🔗 "reference" : "Observation/ElsesTOBSscore"
    },
    {
      🔗 "reference" : "Observation/ElseUrinStix"
    }
  ],
  "conclusion" : "Elses lidt høje TOBS og leukocytter i urin gør det nødvendigt med lægetilsyn snarest."
}