DSTU2

This page is part of the FHIR Specification (v0.0.82: (v1.0.2: DSTU 1). 2). 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

This is the narrative for the resource. See also the XML or JSON format.

Generated Narrative with Details

id : example

patient : Generated Summary: Extensions: todo; MRN = 12345 (USUAL); Peter James Chalmers (OFFICIAL), Jim ; -unknown-(HOME), ph: (03) 5555 6473(WORK); MALE; birthDate: Dec 25, 1974; active Patient/example

assessor : Generated Summary: 23; Adam Careful Practitioner/example

status : completed

date : Dec 6, 2014 06/12/2014 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

Investigations

Id - 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)

Findings

Cause
Id - Item
* 850.0 ?? (Details : {http://hl7.org/fhir/sid/icd-9 {ICD-9 code '850.0' = '850.0) '??)

plan : hospital standard closed head injury management protocol

 

 

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.