MedCom HomeCareObservation
1.0.0 - release Denmark flag

MedCom HomeCareObservation, published by MedCom. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medcomdk/dk_HomeCareObservations/ and changes regularly. See the Directory of published versions

Example Bundle: HomeCareObservation with clinical and analysis comment.

Generated Narrative: Bundle 401cbc36-db1e-4fe0-bf90-6df331dde179

Bundle 401cbc36-db1e-4fe0-bf90-6df331dde179 of type message

Entry 1 - fullUrl = MessageHeader/489de4f2-0d8d-4de2-a7ce-ccb93568799f

Resource MessageHeader:

Generated Narrative: MessageHeader 489de4f2-0d8d-4de2-a7ce-ccb93568799f

event: MedComMessagingEventCodes homecareobservation-message: HomeCare Observation Message

Destinations

-ExtensionReceiver
*Organization Skødstrup Lægepraksis

sender: Organization Pleje og Rehabilitering

source

focus: Diagnostic Report for 'HomeCareDiagnosticReport' for '->Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)'

Entry 2 - fullUrl = Subject/bbcd4817-1c4b-4089-a712-346f65ec16f9

Resource Patient:

Generated Narrative: Patient bbcd4817-1c4b-4089-a712-346f65ec16f9

Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)

Entry 3 - fullUrl = DiagnosticReport/efb1ed12-6a5d-4342-9572-861071644e46

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport efb1ed12-6a5d-4342-9572-861071644e46

HomeCareDiagnosticReport

SubjectElmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)
Reported2023-09-12 12:24:19+0200
Performers Organization Pleje og Rehabilitering PractitionerRole Sygeplejerske

Report Details

CodeValueFlagsNoteWhen For
Pt—Respiration; frekvens = ? X 1/min19 1/minFinal, NI2023-09-13 09:24:08+0200
Hjerte—Systole; frekv. = ? × 1/min92 1/minFinal, NIPatienten har været ud og går lige inden målingen.2023-09-13 09:24:09+0200
Arm—Blodtryk(systolisk); tryk = ? mmHg147 mmHgFinal, NI2023-09-13 09:24:10+0200
Pt—Bevidsthedsniveau; arb.antal(værdi 0-3) = ?0Final, NI2023-09-13 09:24:11+0200
Pt—Legeme; temp. = ? °C38.7 °CFinal, NI2023-09-13 09:24:12+0200
Pt—Tidlig Opsporing af Begyndende Sygdom (TOBS) score; antal (værdi 0-15) = ?3Final, NI2023-09-13 09:24:13+0200

ABCDE SeFølLyt-Princippet A. RF 19 – påskyndet men regelmæssig, fri respiration. SAT 93% B. Puls 92 palperet på venstre håndled. Fyldig regelmæssig. Fin kapilærrespons C. BT 147/83 – klamtsvedende. Kolde ekstremiteter. D. Reagerer habituelt. Pupilreaktion i.a. VAS 7. Bl.s. 6,8 E. Temperatur 38,7 Målt rektalt

Entry 4 - fullUrl = PractitionerRole/80284c01-1674-45ca-98b7-d1e669bdeff6

Resource PractitionerRole:

Generated Narrative: PractitionerRole 80284c01-1674-45ca-98b7-d1e669bdeff6

practitioner: Practitioner Mia

code: Sygeplejerske

Entry 5 - fullUrl = Practitioner/70f14d25-0979-4192-8da2-0c0a3950f4b1

Resource Practitioner:

Generated Narrative: Practitioner 70f14d25-0979-4192-8da2-0c0a3950f4b1

name: Mia

telecom: +45 05577668

Entry 6 - fullUrl = Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1

Resource Organization:

Generated Narrative: Organization 1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1

identifier: https://www.gs1.org/gln/5790000127092, urn:oid:1.2.208.176.1.1/52581000016005, urn:oid:1.2.208.176.1.4/061654

name: Skødstrup Lægepraksis

Contacts

-Name
*O.K.M.

Entry 7 - fullUrl = Organization/a0330c62-fe29-4719-83fa-a94959084f29

Resource Organization:

Generated Narrative: Organization a0330c62-fe29-4719-83fa-a94959084f29

identifier: https://www.gs1.org/gln/5790000123117, urn:oid:1.2.208.176.1.1/1144561000016002, http://medcomfhir.dk/ig/terminology/CodeSystem/MedComProducentID/KAF

name: Pleje og Rehabilitering

Entry 8 - fullUrl = Provenance/008e1c02-605d-458e-8cb8-3eeb16a69aac

Resource Provenance:

Generated Narrative: Provenance 008e1c02-605d-458e-8cb8-3eeb16a69aac

Provenance for MessageHeader: event[x] = HomeCare Observation Message (MedComMessagingEventCodes#homecareobservation-message)

Summary

Occurrence2023-09-13 12:24:00+0200
Recorded2023-09-13 12:24:00+0200
ActivityA new message has been sent

Agents

who
Organization Pleje og Rehabilitering

Entry 9 - fullUrl = Observation/3fd3835d-1758-4d22-8547-000182752817

Resource Observation:

Generated Narrative: Observation 3fd3835d-1758-4d22-8547-000182752817

status: Final

code: Pt—Respiration; frekvens = ? X 1/min

subject: Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)

effective: 2023-09-13 09:24:08+0200

value: 19 1/min

interpretation: NI

Entry 10 - fullUrl = Observation/ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1

Resource Observation:

Generated Narrative: Observation ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1

status: Final

code: Hjerte—Systole; frekv. = ? × 1/min

subject: Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)

effective: 2023-09-13 09:24:09+0200

value: 92 1/min

interpretation: NI

note: Patienten har været ud og går lige inden målingen.

Entry 11 - fullUrl = Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b

Resource Observation:

Generated Narrative: Observation 8917f29d-269c-4bb3-8ce9-d255c351d52b

status: Final

code: Arm—Blodtryk(systolisk); tryk = ? mmHg

subject: Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)

effective: 2023-09-13 09:24:10+0200

value: 147 mmHg

interpretation: NI

Entry 12 - fullUrl = Observation/6bf03841-8397-4a2a-9f9a-8966b0cfa571

Resource Observation:

Generated Narrative: Observation 6bf03841-8397-4a2a-9f9a-8966b0cfa571

status: Final

code: Pt—Bevidsthedsniveau; arb.antal(værdi 0-3) = ?

subject: Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)

effective: 2023-09-13 09:24:11+0200

value: 0

interpretation: NI

Entry 13 - fullUrl = Observation/85fd1372-cf02-49c6-bd45-7205f5541a66

Resource Observation:

Generated Narrative: Observation 85fd1372-cf02-49c6-bd45-7205f5541a66

status: Final

code: Pt—Legeme; temp. = ? °C

subject: Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)

effective: 2023-09-13 09:24:12+0200

value: 38.7 °C

interpretation: NI

Entry 14 - fullUrl = Observation/f64a0a78-53cf-4a7f-9b89-4a2338a4935c

Resource Observation:

Generated Narrative: Observation f64a0a78-53cf-4a7f-9b89-4a2338a4935c

status: Final

code: Pt—Tidlig Opsporing af Begyndende Sygdom (TOBS) score; antal (værdi 0-15) = ?

subject: Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)

effective: 2023-09-13 09:24:13+0200

value: 3

interpretation: NI