MedCom HomeCareObservation
1.0.0 - release
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
Generated Narrative: Bundle 73996cdc-3192-4d15-bd16-c365ef0085e7
Bundle 73996cdc-3192-4d15-bd16-c365ef0085e7 of type message
Entry 1 - fullUrl = MessageHeader/07eb074b-be00-47e5-8bcb-484990a1a97e
Resource MessageHeader:
Generated Narrative: MessageHeader 07eb074b-be00-47e5-8bcb-484990a1a97e
event: MedComMessagingEventCodes homecareobservation-message: HomeCare Observation Message
Destinations
Extension Receiver Organization Skødstrup Lægepraksis sender: Organization Pleje og Rehabilitering
source
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/cfa9e95b-b5ac-4cfe-abe7-ea29e6b67919
Resource DiagnosticReport:
Generated Narrative: DiagnosticReport cfa9e95b-b5ac-4cfe-abe7-ea29e6b67919
HomeCareDiagnosticReport
Subject Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989) Reported 2023-09-12 12:34:00+0200 Performers Organization Pleje og Rehabilitering PractitionerRole Sygeplejerske Report Details
Code Value Flags Note When For Pt—Respiration; frekvens = ? X 1/min 19 1/min Final, NI 2023-09-13 09:24:08+0200 Hjerte—Systole; frekv. = ? × 1/min 92 1/min Final, NI Patienten har været ud og går lige inden målingen. 2023-09-13 09:24:09+0200 Arm—Blodtryk(systolisk); tryk = ? mmHg 147 mmHg Final, NI 2023-09-13 09:24:10+0200 Pt—Bevidsthedsniveau; arb.antal(værdi 0-3) = ? 0 Final, NI 2023-09-13 09:24:11+0200 Pt—Legeme; temp. = ? °C 38.7 °C Final, NI 2023-09-13 09:24:12+0200 Pt—Tidlig Opsporing af Begyndende Sygdom (TOBS) score; antal (værdi 0-15) = ? 3 Final, NI 2023-09-13 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
Patienten har nægtet at spise og drikke i løbet af dagen.
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
/061654name: 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
/KAFname: 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
Occurrence 2023-09-13 12:24:00+0200 Recorded 2023-09-13 12:24:00+0200 Activity A new message has been sent Agents
who Organization Pleje og Rehabilitering
Entry 9 - fullUrl = Provenance/8ce47645-4d69-4fa6-a51d-c2bb49d87efb
Resource Provenance:
Generated Narrative: Provenance 8ce47645-4d69-4fa6-a51d-c2bb49d87efb
Provenance for MessageHeader: event[x] = HomeCare Observation Message (MedComMessagingEventCodes#homecareobservation-message)
Summary
Occurrence 2023-09-12 12:30:00+0200 Recorded 2023-09-12 12:30:00+0200 Activity A message has been modified Agents
who Organization Pleje og Rehabilitering
Entry 10 - 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 11 - 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 12 - 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 13 - 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 14 - 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 15 - 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