Generated Narrative with Details
id: example
patient: Patient/example
assessor: Practitioner/example
status: completed
date: Dec 6, 2014 10:33:00 PM
description: This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident
problem: MVA
- | Code | Item |
* | Initial Examination (Details ) | deep laceration of the scalp (left temporo-occipital) |
summary: provisional diagnoses of laceration of head and traumatic brain injury (TBI)
- | Item |
* | ?? (Details : {ICD-9 code '850.0' = '??) |
plan: hospital standard closed head injury management protocol