Generated Narrative: Condition ma-ma-schema-1-Condition-encounter-diagnosis-3002

Last updated: 2023-12-18 23:07:47+0000;

Information Source: urn:telus:emr:ma:ma-schema-1

Profile: DwCondition

Security Label: normal (Details: Confidentiality code N = 'normal')

identifier: urn:telus:emr:ma:ma-schema-1:Condition/encounter-diagnosis-3002 (use: official, )

clinicalStatus: Resolved

verificationStatus: Confirmed

category: Encounter Diagnosis

severity: Mild

code: Acute Upper Respiratory Infection

bodySite: Nasal structure

subject: John Michael Smith

encounter: Encounter: identifier = urn:telus:emr:ma:ma-schema-1:Encounter#2001 (use: official, ); status = finished; class = ambulatory (ActCode#AMB); type = Patient encounter procedure; serviceType = General practice service; priority = routine; period = 2023-12-18 10:00:00+0000 --> 2023-12-18 10:45:00+0000; reasonCode = Follow-up encounter

onset: 2023-12-15

abatement: 2023-12-22

recordedDate: 2023-12-18 10:30:00+0000

recorder: Dr. Sarah Johnson

asserter: Dr. Sarah Johnson

note:

Patient presented with sore throat, nasal congestion, and mild cough. Diagnosed with acute upper respiratory infection. Advised rest, fluids, and symptomatic treatment.