PACIO Speech Language Swallowing Cognitive Communication and Hearing (SPLASCH) Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions
<Observation xmlns="http://hl7.org/fhir">
<id value="BSJ-ObservationSPLASCH-005"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "BSJ-ObservationSPLASCH-005" </p></div><p><b>status</b>: final</p><p><b>category</b>: Hearing <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-SPLASCHObservationCategoryCS.html">SPLASCH Observation Category Codes</a>#hearing)</span></p><p><b>code</b>: Audiology Comment Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-SPLASCHDiagnosticAudiologyResultsPanelCS.html">Diagnostic Audiology Results Panel</a>#98420-3)</span></p><p><b>subject</b>: <a href="Patient-BSJ-patientBSJ1.html">Patient/BSJ-patientBSJ1</a> " SMITH-JOHNSON"</p><p><b>effective</b>: 2020-11-06T10:45:00-05:00</p><p><b>performer</b>: </p><ul><li><a href="Practitioner-Practitioner-JillBradley.html">Practitioner/Practitioner-JillBradley</a> " BRADLEY"</li><li><a href="PractitionerRole-provider-role-audiologist-JillBradley.html">PractitionerRole/provider-role-audiologist-JillBradley</a></li><li><a href="Organization-Organization-Audiology-Advanced-Hearing-Care.html">Organization/Organization-Audiology-Advanced-Hearing-Care</a> "Audiology Advanced Hearing Care"</li></ul><p><b>value</b>: Upon otoscopic examination, bilateral cerumen impaction was noted. Following cerumen removal, no additional abnormalities were noted. Both tympanic membranes were intact and translucent with no visible fluid in the middle ear cavity. Tympanometry revealed bilateral Type-A tympanograms, suggesting normal middle ear function. Audiometric test results revealed bilateral moderate sensorineural hearing loss with relatively poor speech understanding. Mrs. Johnson was fitted with binaural in-the-ear hearing aids, and was offered two weeks of aural rehabilitation therapy</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://hl7.org/fhir/us/pacio-splasch/CodeSystem/SPLASCHObservationCategoryCS"/>
<code value="hearing"/>
<display value="Hearing"/>
</coding>
</category>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/pacio-splasch/CodeSystem/SPLASCHDiagnosticAudiologyResultsPanelCS"/>
<code value="98420-3"/>
<display value="Audiology Comment Narrative"/>
</coding>
</code>
<subject>
<reference value="Patient/BSJ-patientBSJ1"/>
</subject>
<effectiveDateTime value="2020-11-06T10:45:00-05:00"/>
<performer>
<reference value="Practitioner/Practitioner-JillBradley"/>
</performer>
<performer>
<reference value="PractitionerRole/provider-role-audiologist-JillBradley"/>
</performer>
<performer>
<reference value="Organization/Organization-Audiology-Advanced-Hearing-Care"/>
</performer>
<valueString
value="Upon otoscopic examination, bilateral cerumen impaction was noted. Following cerumen removal, no additional abnormalities were noted. Both tympanic membranes were intact and translucent with no visible fluid in the middle ear cavity. Tympanometry revealed bilateral Type-A tympanograms, suggesting normal middle ear function. Audiometric test results revealed bilateral moderate sensorineural hearing loss with relatively poor speech understanding. Mrs. Johnson was fitted with binaural in-the-ear hearing aids, and was offered two weeks of aural rehabilitation therapy"/>
</Observation>