Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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.json

Example ClinicalImpression/example (JSON)

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

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

Example of clinicalimpression

{
  "resourceType": "ClinicalImpression",
  "id": "example",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>identifier</b>: 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>Patient/example</a></p><p><b>encounter</b>: <a>Encounter/example</a></p><p><b>effective</b>: 06/12/2014 8:00:00 PM --&gt; 06/12/2014 10:33:00 PM</p><p><b>date</b>: 06/12/2014 10:33:00 PM</p><p><b>assessor</b>: <a>Practitioner/example</a></p><p><b>problem</b>: MVA</p><h3>Investigations</h3><table><tr><td>-</td><td><b>Code</b></td><td><b>Item</b></td></tr><tr><td>*</td><td>Initial Examination <span>(Details )</span></td><td>deep laceration of the scalp (left temporo-occipital)</td></tr></table><p><b>summary</b>: provisional diagnoses of laceration of head and traumatic brain injury (TBI)</p><h3>Findings</h3><table><tr><td>-</td><td><b>ItemCodeableConcept</b></td></tr><tr><td>*</td><td>850.0 <span>(Details : {ICD-9 code '850.0' = '850.0)</span></td></tr></table></div>"

  "resourceType" : "ClinicalImpression",
  "id" : "example",
  "text" : {
    "status" : "generated",
    "div" : "<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:\u00a012345</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=\" \n   &lt;investigation&gt;\n    &lt;code&gt;\n      &lt;text value=&quot;Initial Examination&quot;/&gt;\n    &lt;/code&gt;\n    &lt;item&gt;\n      &lt;display value=&quot;deep laceration of the scalp (left temporo-occipital)&quot;/&gt;\n    &lt;/item&gt;\n    &lt;item&gt;\n      &lt;display value=&quot;decreased level of consciousness&quot;/&gt;\n    &lt;/item&gt;\n    &lt;item&gt;\n      &lt;display value=&quot;disoriented to time and place&quot;/&gt;\n    &lt;/item&gt;\n    &lt;item&gt;\n      &lt;display value=&quot;restless&quot;/&gt;\n    &lt;/item&gt;\n  &lt;/investigation&gt;\n   \">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>"

  },
  "identifier": [
    {
      "value": "12345"
    }
  ],
  "status": "completed",
  "description": "This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident",
  "subject": {
    "reference": "Patient/example"

  "identifier" : [{
    "value" : "12345"
  }],
  "status" : "completed",
  "description" : "This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident",
  "subject" : {
    "reference" : "Patient/example"

  },
  "encounter": {
    "reference": "Encounter/example"

  "encounter" : {
    "reference" : "Encounter/example"

  },
  "effectivePeriod": {
    "start": "2014-12-06T20:00:00+11:00",
    "end": "2014-12-06T22:33:00+11:00"

  "effectivePeriod" : {
    "start" : "2014-12-06T20:00:00+11:00",
    "end" : "2014-12-06T22:33:00+11:00"

  },
  "date": "2014-12-06T22:33:00+11:00",
  "assessor": {
    "reference": "Practitioner/example"

  "date" : "2014-12-06T22:33:00+11:00",
  "performer" : {
    "reference" : "Practitioner/example"

  },
  "problem": [
    {
      "display": "MVA"
    }
  ],
  "investigation": [
    {
      "code": {
        "text": "Initial Examination"
      },
      "item": [
        {
          "display": "deep laceration of the scalp (left temporo-occipital)"
        },
        {
          "display": "decreased level of consciousness"
        },
        {
          "display": "disoriented to time and place"
        },
        {
          "display": "restless"
        }
      ]
    }
  ],
  "summary": "provisional diagnoses of laceration of head and traumatic brain injury (TBI)",
  "finding": [
    {
      "itemCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/icd-9",
            "code": "850.0"
          }
        ]

  "problem" : [{
    "display" : "MVA"
  }],
  "summary" : "provisional diagnoses of laceration of head and traumatic brain injury (TBI)",
  "finding" : [{
    "item" : {
      "concept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/icd-9",
          "code" : "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.