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Clinical Summary Section

Gives information about the Clinical summary section

Clinical Summary Section Content

The Clinical summary section carries a narrative summary of the episode. Where possible, very brief. PRSB Elements should be formatted as subheadings in any HTML sent:

Section Description Card. MRO* FHIR Target and Guidance
Clinical summary A brief description of the encounter. 1 only M Carried in the CodeableConcept of Composition.section.code FHIR element.
PRSB Element Description Card. MRO* FHIR Target and Guidance
Clinical summary Summary of the encounter. Where possible, very brief. This may include interpretation of findings and results; differential diagnoses, opinion and specific action(s). Planned actions will be recorded under 'plan'. 1 only M Free text
* M=Mandatory R=Required O=Optional

Example Clinical Summary 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 a coded clinical summary.
Tags: fhir

All content is available under the Open Government Licence v3.0, except where otherwise stated