Gives information about the Clinical review of systems section
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The latest version of the PRSB documentation should be consulted for further information regarding Section headings and content http://theprsb.org
Clinical Review of Systems Section content
The Clinical review of systems section carries a narrative summary of the information gathered on symptoms related to physiological systems where possible, very brief. PRSB Elements should be formatted as subheadings in any HTML sent.
Section | Description | Cardinality | MRO* | Values |
---|---|---|---|---|
Clinical review of systems | Information gathered on symptoms related to physiological systems. | 0 to 1 | O | Carried in the CodeableConcept of Composition.section.code FHIR element. |
PRSB Element | Description | Card. | MRO* | FHIR Target and Guidance |
Clinical review of systems | The clinical review of systems. The record of clinical information gathered in responses to questions to the patient about general symptoms from various physiological systems, including food intake (increasing/decreasing) weight change, swallowing difficulties etc. | 0 to 1 | O | This is the record of the review of systems as volunteered by the patient or their representative or carer. Text only. |
* M=Mandatory R=Required O=Optional |
Example Clinical Review of Systems Section
Coded Resources
This text section should be linked to the following FHIR Resources to provide the textual information in a coded format.
- The ITK3 FHIR Outpatient Letter does not currently support coded clinical review of systems information.