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 - JSON Representation

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{
  "resourceType" : "ClinicalImpression",
  "id" : "NursingStatusMark",
  "meta" : {
    "profile" : [
      "http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialInformationGathering"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<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>"
  },
  "extension" : [
    {
      "url" : "http://fhir.kl.dk/core/StructureDefinition/BasedOnServiceRequest",
      "valueReference" : {
        "reference" : "ServiceRequest/HenvendelseVedrSygeplejeMark"
      }
    }
  ],
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://fhir.kl.dk/term/CodeSystem/CareSocialCodes",
        "code" : "47fd1468-89da-4803-9d7a-ecc039a30d92",
        "display" : "sygeplejefaglig udredning, FSIII"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/Mark"
  },
  "encounter" : {
    "reference" : "Encounter/MarkogUdredningSygepleje"
  },
  "effectiveDateTime" : "2020-06-05",
  "assessor" : {
    "reference" : "Practitioner/HanneFraVisitationenAalborg"
  },
  "investigation" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.208.176.2.21",
            "code" : "I7",
            "display" : "Respiration og cirkulation"
          }
        ]
      },
      "item" : [
        {
          "reference" : "Observation/RespirationCirculationInformationMark"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "urn:oid:1.2.208.176.2.21",
            "code" : "I4",
            "display" : "Hud og slimhinder"
          }
        ]
      },
      "item" : [
        {
          "reference" : "Observation/SkinInformationMark"
        }
      ]
    }
  ],
  "finding" : [
    {
      "itemReference" : {
        "reference" : "Condition/ConditionPressureUlcer"
      }
    }
  ]
}