This
page
is
part
of
the
FHIR
Specification
(v4.3.0:
R4B
(v5.0.0:
R5
-
STU
).
The
This
is
the
current
published
version
which
supercedes
in
it's
permanent
home
(it
will
always
be
available
at
this
version
is
5.0.0
.
URL).
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R5
R4B
R4
R3
R2
Clinicalimpression-example.xml
Example
ClinicalImpression/example
(XML)
Raw
XML
(
canonical
form
+
also
see
XML
Format
Specification
)
Jump
past
Narrative
Example
of
clinicalimpression
(id
=
"example")
<?xml version="1.0" encoding="UTF-8"?>
display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px
solid #8da1b4; border-radius: 5px; line-height: 60%: This 26 yo male patient is brought into ER by ambulance after being involved in a motor
vehicle accident
This 26 yo male patient is brought into ER by ambulance after being involved in a motor
vehicle accident
<!-- todo: reference to condition with snomed code 418399005 : Motor vehicle accident (event)
-->
<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 "example" </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> "Peter CHALMERS"</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 --> 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> "Adam CAREFUL"</p> <p> <b> problem</b> : <span> : MVA</span> </p> <p> <b> summary</b> : <span title="
<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>
">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"/>
</problem>
<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>
</
ClinicalImpression
>
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.