MedCom HomeCareObservation
1.0.0 - release
This page is part of the The DK MedCom HomeCareObservation (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Bundle 73996cdc-3192-4d15-bd16-c365ef0085e7 of type message
Entry 1 - fullUrl = MessageHeader/07eb074b-be00-47e5-8bcb-484990a1a97e
Resource MessageHeader:
Generated Narrative: MessageHeader
Resource MessageHeader "07eb074b-be00-47e5-8bcb-484990a1a97e"
event: HomeCare Observation Message (Details: http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-messaging-eventCodes code homecareobservation-message = 'HomeCare Observation Message', stated as 'null')
Destinations
Extension Endpoint Receiver https://sor2.sum.dsdn.dk/#id=52581000016005 See above (Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1) sender: See above (Organization/a0330c62-fe29-4719-83fa-a94959084f29)
Sources
Endpoint https://sor2.sum.dsdn.dk/#id=1144561000016002 focus: See above (DiagnosticReport/cfa9e95b-b5ac-4cfe-abe7-ea29e6b67919)
Entry 2 - fullUrl = Subject/bbcd4817-1c4b-4089-a712-346f65ec16f9
Resource Patient:
Elmer (OFFICIAL) null, DoB: ( id: 2509479989)
Entry 3 - fullUrl = DiagnosticReport/cfa9e95b-b5ac-4cfe-abe7-ea29e6b67919
Resource DiagnosticReport:
HomeCareDiagnosticReport
Subject Elmer (OFFICIAL) (no stated gender), DoB Unknown ( id: 2509479989) Reported 2023-09-12 12:34:00+0200 Report Details
Code Value Flags Note When For Pt—Respiration; frekvens = ? X 1/min 19 1/min NI 2023-09-13 09:24:08+0200 Hjerte—Systole; frekv. = ? × 1/min 92 1/min NI Patienten har været ud og går lige inden målingen. 2023-09-13 09:24:09+0200 Arm—Blodtryk(systolisk); tryk = ? mmHg 147 mmHg NI 2023-09-13 09:24:10+0200 Pt—Bevidsthedsniveau; arb.antal(værdi 0-3) = ? 0 NI 2023-09-13 09:24:11+0200 Pt—Legeme; temp. = ? °C 38.7 °C NI 2023-09-13 09:24:12+0200 Pt—Tidlig Opsporing af Begyndende Sygdom (TOBS) score; antal (værdi 0-15) = ? 3 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
Resource PractitionerRole "80284c01-1674-45ca-98b7-d1e669bdeff6"
Profile: MedComCorePractitionerRole
practitioner: See above (Practitioner/70f14d25-0979-4192-8da2-0c0a3950f4b1)
code: Sygeplejerske (MedComCorePractitionerRolesSKSadministrativ#sygeplejerske)
Entry 5 - fullUrl = Practitioner/70f14d25-0979-4192-8da2-0c0a3950f4b1
Resource Practitioner:
Generated Narrative: Practitioner
Resource Practitioner "70f14d25-0979-4192-8da2-0c0a3950f4b1"
Profile: MedComCorePractitioner
name: Mia
telecom: +45 05577668
Entry 6 - fullUrl = Organization/1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1
Resource Organization:
Generated Narrative: Organization
Resource Organization "1ab9c2d9-c348-4d75-9122-60ea8a6fdcf1"
Profile: MedComMessagingRequesterOrganization
identifier: id: 5790000127092, id: 52581000016005, id: 061654
name: Skødstrup Lægepraksis
Contacts
Name O.K.M.
Entry 7 - fullUrl = Organization/a0330c62-fe29-4719-83fa-a94959084f29
Resource Organization:
Generated Narrative: Organization
Resource Organization "a0330c62-fe29-4719-83fa-a94959084f29"
Profile: MedComCoreProducerOrganization
identifier: id: 5790000123117, id: 1144561000016002, id: KAF
name: Pleje og Rehabilitering
Entry 8 - fullUrl = Provenance/008e1c02-605d-458e-8cb8-3eeb16a69aac
Resource Provenance:
Provenance for MessageHeader/489de4f2-0d8d-4de2-a7ce-ccb93568799f
Summary
Occurrence 2023-09-13 12:24:00+0200 Recorded 13. sep. 2023 12.24.00 Activity A new message has been sent Agents
who See above (Organization/a0330c62-fe29-4719-83fa-a94959084f29)
Entry 9 - fullUrl = Provenance/8ce47645-4d69-4fa6-a51d-c2bb49d87efb
Resource Provenance:
Provenance for See above (MessageHeader/07eb074b-be00-47e5-8bcb-484990a1a97e)
Summary
Occurrence 2023-09-12 12:30:00+0200 Recorded 12. sep. 2023 12.30.00 Activity A message has been modified Agents
who See above (Organization/a0330c62-fe29-4719-83fa-a94959084f29)
Entry 10 - fullUrl = Observation/3fd3835d-1758-4d22-8547-000182752817
Resource Observation:
Generated Narrative: Observation
Resource Observation "3fd3835d-1758-4d22-8547-000182752817"
Profile: MedComHomeCareObservation
status: FINAL
code: Pt—Respiration; frekvens = ? X 1/min (observation-code#MCS88122)
subject: See above (Patient/bbcd4817-1c4b-4089-a712-346f65ec16f9)
effective: 2023-09-13 09:24:08+0200
value: 19 1/min
interpretation: NI ([not stated]#NI)
Entry 11 - fullUrl = Observation/ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1
Resource Observation:
Generated Narrative: Observation
Resource Observation "ba691ee4-6d38-4f5b-82f1-40b54e3b8ad1"
Profile: MedComHomeCareObservation
status: FINAL
code: Hjerte—Systole; frekv. = ? × 1/min (unknown#NPU21692)
subject: See above (Patient/bbcd4817-1c4b-4089-a712-346f65ec16f9)
effective: 2023-09-13 09:24:09+0200
value: 92 1/min
interpretation: NI ([not stated]#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
Resource Observation "8917f29d-269c-4bb3-8ce9-d255c351d52b"
Profile: MedComHomeCareObservation
status: FINAL
code: Arm—Blodtryk(systolisk); tryk = ? mmHg (unknown#DNK05472)
subject: See above (Patient/bbcd4817-1c4b-4089-a712-346f65ec16f9)
effective: 2023-09-13 09:24:10+0200
value: 147 mmHg
interpretation: NI ([not stated]#NI)
Entry 13 - fullUrl = Observation/6bf03841-8397-4a2a-9f9a-8966b0cfa571
Resource Observation:
Generated Narrative: Observation
Resource Observation "6bf03841-8397-4a2a-9f9a-8966b0cfa571"
Profile: MedComHomeCareObservation
status: FINAL
code: Pt—Bevidsthedsniveau; arb.antal(værdi 0-3) = ? (observation-code#MCS88126)
subject: See above (Patient/bbcd4817-1c4b-4089-a712-346f65ec16f9)
effective: 2023-09-13 09:24:11+0200
value: 0
interpretation: NI ([not stated]#NI)
Entry 14 - fullUrl = Observation/85fd1372-cf02-49c6-bd45-7205f5541a66
Resource Observation:
Generated Narrative: Observation
Resource Observation "85fd1372-cf02-49c6-bd45-7205f5541a66"
Profile: MedComHomeCareObservation
status: FINAL
code: Pt—Legeme; temp. = ? °C (unknown#NPU08676)
subject: See above (Patient/bbcd4817-1c4b-4089-a712-346f65ec16f9)
effective: 2023-09-13 09:24:12+0200
value: 38.7 °C
interpretation: NI ([not stated]#NI)
Entry 15 - fullUrl = Observation/f64a0a78-53cf-4a7f-9b89-4a2338a4935c
Resource Observation:
Generated Narrative: Observation
Resource Observation "f64a0a78-53cf-4a7f-9b89-4a2338a4935c"
Profile: MedComHomeCareObservation
status: FINAL
code: Pt—Tidlig Opsporing af Begyndende Sygdom (TOBS) score; antal (værdi 0-15) = ? (observation-code#MCS88125)
subject: See above (Patient/bbcd4817-1c4b-4089-a712-346f65ec16f9)
effective: 2023-09-13 09:24:13+0200
value: 3
interpretation: NI ([not stated]#NI)