Clinicalimpression-example.xml - FHIR v5.0.0-snapshot3

~~Release 4~~ Snapshot 3: Connectathon 32 Base

This ~~page~~ is ~~part of the~~ Snapshot #3 for FHIR ~~Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0~~ R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . ~~Page versions: R5 R4B R4~~

~~Content Examples Detailed Descriptions Mappings Profiles & Extensions R3 Conversions 6.2.13 Resource Consent - R3/R4 Conversions~~

Example ClinicalImpression/example (XML)

~~Community Based Collaborative~~ Patient Care Work Group

Maturity Level : N/A

Standards Status : Informative ~~Security Category : Patient~~

Compartments : Encounter , Patient , Practitioner

~~R3 : R4 Conversion maps for Consent. Functional status for this map: 12 tests that all execute ok. All tests pass round-trip testing and 12 r3 resources are invalid (0 errors). ( see documentation)~~

~~6.2.13.1~~ Narrative ~~R3 to R4~~
XML map "http://hl7.org/fhir/StructureMap/Consent3to4" = "R3 to R4 Conversions for Consent" uses "http://hl7.org/fhir/3.0/StructureDefinition/Consent" alias ConsentR3 as source uses "http://hl7.org/fhir/StructureDefinition/Consent" alias Consent as target imports "http://hl7.org/fhir/StructureMap/*3to4" group Consent(source src : ConsentR3, target tgt : Consent) extends DomainResource <<type+>> { src.identifier -> tgt.identifier; src.status -> tgt.status; src.category -> tgt.category; src.patient -> tgt.patient; src.dateTime -> tgt.dateTime; src.consentingParty -> tgt.performer; src.organization -> tgt.organization; src.source -> tgt.source; src.policy as vs -> tgt.policy as vt then policy(vs, vt); src.policyRule as v -> tgt.policyRule as cc, cc.coding as c, c.system = 'urn:ietf:rfc:3986', c.code = v; src where securityLabel.exists() or period.exists() or actor.exists() or action.exists() or purpose.exists() or dataPeriod.exists() or data.exists() or except.exists() -> tgt.provision as vt then base(src, vt) "securityLabel"; } group base(source src, target tgt) { src.period -> tgt.period; src.actor as vs -> tgt.actor as vt then actor(vs, vt); src.action -> tgt.action; src.securityLabel -> tgt.securityLabel; src.purpose -> tgt.purpose; src.dataPeriod -> tgt.dataPeriod; src.data as vs -> tgt.data as vt then data(vs, vt); src.except as vs -> tgt.provision as vt then provision(vs, vt); } group policy(source src, target tgt) extends BackboneElement { src.authority -> tgt.authority; src.uri -> tgt.uri; } group provision(source src, target tgt) extends BackboneElement { src.type -> tgt.type; src.period -> tgt.period; src.actor as vs -> tgt.actor as vt then actor(vs, vt); src.action -> tgt.action; src.securityLabel -> tgt.securityLabel; src.purpose -> tgt.purpose; src.class -> tgt.class; src.code -> tgt.code; src.dataPeriod -> tgt.dataPeriod; src.data as vs -> tgt.data as vt then data(vs, vt); } group actor(source src, target tgt) extends BackboneElement { src.role -> tgt.role; src.reference -> tgt.reference; } group data(source src, target tgt) extends BackboneElement { src.meaning -> tgt.meaning; src.reference -> tgt.reference; }

~~6.2.13.2~~

JSON ~~R4 to R3~~
TTL

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative map "http://hl7.org/fhir/StructureMap/Consent4to3" = "R4 to R3 Conversion for Consent" uses "http://hl7.org/fhir/StructureDefinition/Consent" alias Consent as source uses "http://hl7.org/fhir/3.0/StructureDefinition/Consent" alias ConsentR3 as target imports "http://hl7.org/fhir/StructureMap/*4to3" group Consent(source src : Consent, target tgt : ConsentR3) extends DomainResource <<type+>> { src.identifier -> tgt.identifier; src.status -> tgt.status; src.category -> tgt.category; src.patient -> tgt.patient; src.dateTime -> tgt.dateTime; src.performer -> tgt.consentingParty; src.organization -> tgt.organization; src.source -> tgt.source; src.policy as vs -> tgt.policy as vt then policy(vs, vt); src.policyRule as cc then { cc.coding as c where system = 'urn:ietf:rfc:3986' then { c.code -> tgt.policyRule; }; }; src.provision as vs then baseProvision(vs, tgt); } group baseProvision(source src, target tgt) { src.period -> tgt.period; src.actor as vs -> tgt.actor as vt then actor(vs, vt); src.action -> tgt.action; src.securityLabel -> tgt.securityLabel; src.purpose -> tgt.purpose; src.dataPeriod -> tgt.dataPeriod; src.data as vs -> tgt.data as vt then data(vs, vt); src.provision as vs -> tgt.except as vt then provision(vs, vt); } group policy(source src, target tgt) extends BackboneElement { src.authority -> tgt.authority; src.uri -> tgt.uri; } group provision(source src, target tgt) extends BackboneElement { src.type -> tgt.type; src.period -> tgt.period; src.actor as vs -> tgt.actor as vt then actor(vs, vt); src.action -> tgt.action; src.securityLabel -> tgt.securityLabel; src.purpose -> tgt.purpose; src.class -> tgt.class; src.code -> tgt.code; src.dataPeriod -> tgt.dataPeriod; src.data as vs -> tgt.data as vt then data(vs, vt); } group actor(source src, target tgt) extends BackboneElement { src.role -> tgt.role; src.reference -> tgt.reference; } group data(source src, target tgt) extends BackboneElement { src.meaning -> tgt.meaning; src.reference -> tgt.reference; }

Example of clinicalimpression (id = "example")


<?xml version="1.0" encoding="UTF-8"?>


<ClinicalImpression xmlns="http://hl7.org/fhir">
  <id value="example"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: ClinicalImpression</b> <a name="example"> </a> </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 ClinicalImpression &quot;example&quot; </p> </div> <p> <b> identifier</b> : id: 12345</p> <p> <b> status</b> : completed</p> <p> <b> description</b> : This 26 yo male patient is brought into ER by ambulance after being involved
         in a motor vehicle accident</p> <p> <b> subject</b> : <a href="patient-example.html">Patient/example</a>  &quot;Peter CHALMERS&quot;</p> <p> <b> encounter</b> : <a href="encounter-example.html">Encounter/example</a> </p> <p> <b> effective</b> : 2014-12-06T20:00:00+11:00 --&gt; 2014-12-06T22:33:00+11:00</p> <p> <b> date</b> : 2014-12-06T22:33:00+11:00</p> <p> <b> performer</b> : <a href="practitioner-example.html">Practitioner/example</a>  &quot;Adam CAREFUL&quot;</p> <p> <b> problem</b> : <span> : MVA</span> </p> <p> <b> summary</b> : <span title=" 
   &lt;investigation&gt;
    &lt;code&gt;
      &lt;text value=&quot;Initial Examination&quot;/&gt;
    &lt;/code&gt;
    &lt;item&gt;
      &lt;display value=&quot;deep laceration of the scalp (left temporo-occipital)&quot;/&gt
        ;
    &lt;/item&gt;
    &lt;item&gt;
      &lt;display value=&quot;decreased level of consciousness&quot;/&gt;
    &lt;/item&gt;
    &lt;item&gt;
      &lt;display value=&quot;disoriented to time and place&quot;/&gt;
    &lt;/item&gt;
    &lt;item&gt;
      &lt;display value=&quot;restless&quot;/&gt;
    &lt;/item&gt;
  &lt;/investigation&gt;
   ">provisional diagnoses of laceration of head and traumatic brain injury (TBI)</span> </p> <blockquote> <p> <b> finding</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> 850.0 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (ICD-9#850.0)</span> </td> </tr> </table> </blockquote> </div> </text> <identifier> 
       <value value="12345"/> 
  </identifier> 
  <status value="completed"/> 
  <description value="This 26 yo male patient is brought into ER by ambulance after being involved in

   a motor vehicle accident"/> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject>   
  <encounter> 
    <reference value="Encounter/example"/> 
  </encounter> 
  <effectivePeriod> 
      <start value="2014-12-06T20:00:00+11:00"/> 
      <end value="2014-12-06T22:33:00+11:00"/> 
  </effectivePeriod> 
  <date value="2014-12-06T22:33:00+11:00"/> 
  <performer> 
    <reference value="Practitioner/example"/> 
  </performer> 
  <problem> 
    <display value="MVA"/>      <!--    todo: reference to condition with snomed code 418399005 : Motor vehicle accident

     (event)    -->
  </problem> 
     <!--   

   <investigation>
    <code>
      <text value="Initial Examination"/>
    </code>
    <item>
      <display value="deep laceration of the scalp (left temporo-occipital)"/>
    </item>
    <item>
      <display value="decreased level of consciousness"/>
    </item>
    <item>
      <display value="disoriented to time and place"/>
    </item>
    <item>
      <display value="restless"/>
    </item>
  </investigation>
     -->
  <summary value="provisional diagnoses of laceration of head and traumatic brain injury (TBI)"/> 
  <finding> 
    <item> 
      <concept> 
        <coding> 
          <system value="http://hl7.org/fhir/sid/icd-9"/> 
          <code value="850.0"/> 
        </coding> 
      </concept> 
    </item> 
  </finding> 

6.2.13.3


</

ClinicalImpression


>


R4
Validation
Errors



<p>No
validation
errors
-
all
conversions

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