Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Clinicalimpression-example

Example ClinicalImpression/example (Narrative)

Patient Care Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Patient , Practitioner

This is the narrative for the resource. See also the XML , JSON or Turtle format. This example conforms to the profile ClinicalImpression .

Generated Narrative Narrative: ClinicalImpression

Resource ClinicalImpression "example"

identifier : id: 12345 id: 12345

status : completed

description : This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident

subject : Patient/example "Peter CHALMERS"

encounter : Encounter/example

effective : 2014-12-06T20:00:00+11:00 --> 2014-12-06T22:33:00+11:00

date : 2014-12-06T22:33:00+11:00

assessor performer : Practitioner/example "Adam CAREFUL"

problem : : MVA

Investigations - Code Item * Initial Examination () : deep laceration of the scalp (left temporo-occipital) , : decreased level of consciousness , : disoriented to time and place , : restless

summary : provisional diagnoses of laceration of head and traumatic brain injury (TBI)

finding

Findings Items

- ItemCodeableConcept Concept
* 850.0 (ICD-9#850.0)

 

 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.