Gives information about the Clinical Narrative section
Important: This specification is based on the Professional Records Standards Body's Pharmacy information flows standard which provides further information on document headings and content: https://theprsb.org/standards/pharmacyinformationflows1and2/
Clinical Narrative Section Content
The Clinical Narrative section carries information about the Clinical Narrative details used. PRSB Elements should be formatted as subheadings in any HTML sent.
CLINICAL NARRATIVE | |||||
---|---|---|---|---|---|
Data Item | Description | Cardinality | Values | Mandatory/required/ optional | FHIR Target |
Clinical narrative | A description detailing a patient’s reason for attendance, any red flags, results from the diagnostic and treatment process. | 1 ONLY | Free text | Mandatory | Composition.section.text |
Example Clinical Narrative Section
Note: These examples have not been clinically assured against Digital Medicines use cases.
Examples are illustrative only.
Examples are illustrative only.
<!--<xml>-->
<!--Clinical Narrative-->
<section>
<title value="Clinical Narrative"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1077901000000108"/>
<display value="Clinical narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Clinical Narrative</th>
<td>A description detailing a patient’s reason for attendance, any red flags, results from the diagnostic and treatment process.</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--</xml>-->