Implementation Guide for fælleskommunal informationsmodel
1.2.0 - release

This page is part of the KLCore (v1.2.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Mark sygeplejefaglig udredning - XML Representation

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<ClinicalImpression xmlns="http://hl7.org/fhir">
  <id value="NursingStatusMark"/>
  <meta>
    <profile
             value="http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialInformationGathering"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ClinicalImpression</b><a name="NursingStatusMark"> </a></p><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">Resource ClinicalImpression &quot;NursingStatusMark&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-KLCommonCareSocialInformationGathering.html">InformationGathering</a></p></div><p><b>BasedOnServiceRequest</b>: <a href="ServiceRequest-HenvendelseVedrSygeplejeMark.html">ServiceRequest/HenvendelseVedrSygeplejeMark</a></p><p><b>status</b>: completed</p><p><b>code</b>: sygeplejefaglig udredning, FSIII <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://fhir.kl.dk/term/1.0.0/CodeSystem-CareSocialCodes.html">CareSocialCodes</a>#47fd1468-89da-4803-9d7a-ecc039a30d92)</span></p><p><b>subject</b>: <a href="Patient-Mark.html">Patient/Mark</a> &quot; JENSEN&quot;</p><p><b>encounter</b>: <a href="Encounter-MarkogUdredningSygepleje.html">Encounter/MarkogUdredningSygepleje</a></p><p><b>effective</b>: 2020-06-05</p><p><b>assessor</b>: <a href="Practitioner-HanneFraVisitationenAalborg.html">Practitioner/HanneFraVisitationenAalborg</a> &quot; SIMONSEN&quot;</p><blockquote><p><b>investigation</b></p><p><b>code</b>: Respiration og cirkulation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://fhir.kl.dk/term/1.0.0/CodeSystem-FSIII.html">FSIII</a>#I7)</span></p><p><b>item</b>: <a href="Observation-RespirationCirculationInformationMark.html">Observation/RespirationCirculationInformationMark</a></p></blockquote><blockquote><p><b>investigation</b></p><p><b>code</b>: Hud og slimhinder <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://fhir.kl.dk/term/1.0.0/CodeSystem-FSIII.html">FSIII</a>#I4)</span></p><p><b>item</b>: <a href="Observation-SkinInformationMark.html">Observation/SkinInformationMark</a></p></blockquote><h3>Findings</h3><table class="grid"><tr><td>-</td><td><b>ItemReference</b></td></tr><tr><td>*</td><td><a href="Condition-ConditionPressureUlcer.html">Condition/ConditionPressureUlcer</a></td></tr></table></div>
  </text>
  <extension
             url="http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest">
    <valueReference>
      <reference value="ServiceRequest/HenvendelseVedrSygeplejeMark"/>
    </valueReference>
  </extension>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/>
      <code value="47fd1468-89da-4803-9d7a-ecc039a30d92"/>
      <display value="sygeplejefaglig udredning, FSIII"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/Mark"/>
  </subject>
  <encounter>
    <reference value="Encounter/MarkogUdredningSygepleje"/>
  </encounter>
  <effectiveDateTime value="2020-06-05"/>
  <assessor>
    <reference value="Practitioner/HanneFraVisitationenAalborg"/>
  </assessor>
  <investigation>
    <code>
      <coding>
        <system value="urn:oid:1.2.208.176.2.21"/>
        <code value="I7"/>
        <display value="Respiration og cirkulation"/>
      </coding>
    </code>
    <item>
      <reference value="Observation/RespirationCirculationInformationMark"/>
    </item>
  </investigation>
  <investigation>
    <code>
      <coding>
        <system value="urn:oid:1.2.208.176.2.21"/>
        <code value="I4"/>
        <display value="Hud og slimhinder"/>
      </coding>
    </code>
    <item>
      <reference value="Observation/SkinInformationMark"/>
    </item>
  </investigation>
  <finding>
    <itemReference>
      <reference value="Condition/ConditionPressureUlcer"/>
    </itemReference>
  </finding>
</ClinicalImpression>