STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). 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

Clinicalimpression-example.ttl

Raw Turtle, JSON-LD

Example of clinicalimpression

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xs: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir//ClinicalImpression/example> a fhir:ClinicalImpression;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "example"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:ClinicalImpression.patient [
     fhir:reference <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:ClinicalImpression.assessor [
     fhir:reference <http://hl7.org/fhir/Practitioner/example>;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ]
  ];
  fhir:ClinicalImpression.status [ fhir:value "completed"];
  fhir:ClinicalImpression.date [ fhir:value "2014-12-06T22:33:00+11:00"^^xs:dateTime];
  fhir:ClinicalImpression.description [ fhir:value "This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident"];
  fhir:ClinicalImpression.problemReference [
     fhir:index 0;
     fhir:Reference.display [ fhir:value "MVA" ]
  ];
  fhir:ClinicalImpression.investigations [
     fhir:index 0;
     fhir:ClinicalImpression.investigations.code [
       fhir:CodeableConcept.text [ fhir:value "Initial Examination" ]     ];
     fhir:ClinicalImpression.investigations.itemReference [
       fhir:index 0;
       fhir:Reference.display [ fhir:value "deep laceration of the scalp (left temporo-occipital)" ]     ];
     fhir:ClinicalImpression.investigations.itemReference [
       fhir:index 1;
       fhir:Reference.display [ fhir:value "decreased level of consciousness" ]     ];
     fhir:ClinicalImpression.investigations.itemReference [
       fhir:index 2;
       fhir:Reference.display [ fhir:value "disoriented to time and place" ]     ];
     fhir:ClinicalImpression.investigations.itemReference [
       fhir:index 3;
       fhir:Reference.display [ fhir:value "restless" ]     ]
  ];
  fhir:ClinicalImpression.summary [ fhir:value "provisional diagnoses of laceration of head and traumatic brain injury (TBI)"];
  fhir:ClinicalImpression.finding [
     fhir:index 0;
     fhir:ClinicalImpression.finding.item [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-9" ];
         fhir:Coding.code [ fhir:value "850.0" ]       ]     ]
  ];
  fhir:ClinicalImpression.planReference [
     fhir:index 0;
     fhir:Reference.display [ fhir:value "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.