MedCom HomeCareObservation
1.1.0 - draft Denmark flag

MedCom HomeCareObservation, published by MedCom. This guide is not an authorized publication; it is the continuous build for version 1.1.0 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

: HomeCareDiagnosticReport:TOBS and ABC examination - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:DiagnosticReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "efb1ed12-6a5d-4342-9572-861071644e46"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://medcomfhir.dk/ig/homecareobservation/StructureDefinition/medcom-homecareobservation-diagnosticreport"^^xsd:anyURI ;
fhir:link <http://medcomfhir.dk/ig/homecareobservation/StructureDefinition/medcom-homecareobservation-diagnosticreport>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport efb1ed12-6a5d-4342-9572-861071644e46</b></p><a name=\"efb1ed12-6a5d-4342-9572-861071644e46\"> </a><a name=\"hcefb1ed12-6a5d-4342-9572-861071644e46\"> </a><a name=\"efb1ed12-6a5d-4342-9572-861071644e46-da-DK\"> </a><h2><span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/MedComDiagnosticReportCodes HomeCareReport}\">HomeCareDiagnosticReport</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Elmer (official) (no stated gender), DoB Unknown ( urn:oid:1.2.208.176.1.2#2509479989)</td></tr><tr><td>Reported</td><td>2023-09-12 12:24:19+0200</td></tr><tr><td>Performers</td><td> <a href=\"Organization-a0330c62-fe29-4719-83fa-a94959084f29.html\">Organization Pleje og Rehabilitering</a> <a href=\"PractitionerRole-4b3b6f0f-a475-4b04-8a92-105e8ce6a7bf.html\">PractitionerRole Sygeplejerske</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><td><b>Note</b></td><td><b>When For</b></td></tr><tr><td><a href=\"Observation-3fd3835d-1758-4d22-8547-000182752817.html\"><span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-observation-codes MCS88122}\">Pt—Respiration; frekvens = ? X 1/min</span></a></td><td>19 1/min</td><td>Final, <span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-core-interpretation-codes NI}\">Not Interpreted</span></td><td/><td>2023-09-13 09:24:08+0200</td></tr><tr><td><a href=\"Observation-ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1.html\"><span title=\"Codes:{urn:oid:1.2.208.176.2.1 NPU21692}\">Hjerte—Systole; frekv. = ? × 1/min</span></a></td><td>92 1/min</td><td>Final, <span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-core-interpretation-codes NI}\">Not Interpreted</span></td><td>Patienten har været ud og går lige inden målingen.</td><td>2023-09-13 09:24:09+0200</td></tr><tr><td><a href=\"Observation-8917f29d-269c-4bb3-8ce9-d255c351d52b.html\"><span title=\"Codes:{urn:oid:1.2.208.176.2.1 DNK05472}\">Arm—Blodtryk(systolisk); tryk = ? mmHg</span></a></td><td>147 mmHg</td><td>Final, <span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-core-interpretation-codes NI}\">Not Interpreted</span></td><td/><td>2023-09-13 09:24:10+0200</td></tr><tr><td><a href=\"Observation-6bf03841-8397-4a2a-9f9a-8966b0cfa571.html\"><span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-observation-codes MCS88126}\">Pt—Bevidsthedsniveau; arb.antal(værdi 0-3) = ?</span></a></td><td>0 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>Final, <span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-core-interpretation-codes NI}\">Not Interpreted</span></td><td/><td>2023-09-13 09:24:11+0200</td></tr><tr><td><a href=\"Observation-85fd1372-cf02-49c6-bd45-7205f5541a66.html\"><span title=\"Codes:{urn:oid:1.2.208.176.2.1 NPU08676}\">Pt—Legeme; temp. = ? °C</span></a></td><td>38.7 °C</td><td>Final, <span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-core-interpretation-codes NI}\">Not Interpreted</span></td><td/><td>2023-09-13 09:24:12+0200</td></tr><tr><td><a href=\"Observation-f64a0a78-53cf-4a7f-9b89-4a2338a4935c.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, <span title=\"Codes:{http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-core-interpretation-codes NI}\">Not Interpreted</span></td><td/><td>2023-09-13 09:24:13+0200</td></tr></table><p>ABCDE\nSeFølLyt-Princippet\nA.	RF 19 - påskyndet men regelmæssig, fri respiration. SAT 93%\nB.	Puls 92 palperet på venstre håndled. Fyldig regelmæssig. Fin kapilærrespons\nC.	BT 147/83 - klamtsvedende. Kolde ekstremiteter. \nD.	Reagerer habituelt. Pupilreaktion i.a. VAS 7. Bl.s. 6,8\nE.	Temperatur 38,7 Målt rektalt</p></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://medcomfhir.dk/ig/terminology/CodeSystem/MedComDiagnosticReportCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "HomeCareReport" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/bbcd4817-1c4b-4089-a712-346f65ec16f9" ]
  ] ; # 
  fhir:issued [ fhir:v "2023-09-12T12:24:19+02:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Organization/a0330c62-fe29-4719-83fa-a94959084f29" ]
  ] [
fhir:reference [ fhir:v "PractitionerRole/4b3b6f0f-a475-4b04-8a92-105e8ce6a7bf" ]
  ] ) ; # 
  fhir:result ( [
fhir:reference [ fhir:v "Observation/3fd3835d-1758-4d22-8547-000182752817" ]
  ] [
fhir:reference [ fhir:v "Observation/ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1" ]
  ] [
fhir:reference [ fhir:v "Observation/8917f29d-269c-4bb3-8ce9-d255c351d52b" ]
  ] [
fhir:reference [ fhir:v "Observation/6bf03841-8397-4a2a-9f9a-8966b0cfa571" ]
  ] [
fhir:reference [ fhir:v "Observation/85fd1372-cf02-49c6-bd45-7205f5541a66" ]
  ] [
fhir:reference [ fhir:v "Observation/f64a0a78-53cf-4a7f-9b89-4a2338a4935c" ]
  ] ) ; # 
  fhir:conclusion [ fhir:v "ABCDE\nSeFølLyt-Princippet\nA.	RF 19 - påskyndet men regelmæssig, fri respiration. SAT 93%\nB.	Puls 92 palperet på venstre håndled. Fyldig regelmæssig. Fin kapilærrespons\nC.	BT 147/83 - klamtsvedende. Kolde ekstremiteter. \nD.	Reagerer habituelt. Pupilreaktion i.a. VAS 7. Bl.s. 6,8\nE.	Temperatur 38,7 Målt rektalt"] . #