STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). 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. This example conforms to the profile ClinicalImpression.

Generated Narrative with Details

id: example

status: completed

description: This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident

subject: Patient/example

assessor: Practitioner/example

date: 06/12/2014 10:33:00 PM

problem: MVA

Investigations

-

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

-

Item[x]

*

?? (Details : {ICD-9 code '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.