This page is part of the FHIR Specification (v4.5.0: R5 Preview #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 R2
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</b></p><p><b>id</b>: example</p><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>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a>Generated Summary: id: example; status: in-progress; <span>inpatient encounter</span></a></p><p><b>effective</b>: 06/12/2014 8:00:00 PM --> 06/12/2014 10:33:00 PM</p><p><b>date</b>: 06/12/2014 10:33:00 PM</p><p><b>performer</b>: <a>Generated Summary: id: example; id: 23; active; Adam Careful </a></p><p><b>problem</b>: <span>MVA</span></p><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>Item</b></td></tr><tr><td>*</td><td/></tr></table></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" }, "encounter": { "reference": "Encounter/example" }, "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", "performer": { "reference": "Practitioner/example" }, "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.