Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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

Patient Care Work Group

Maturity Level: N/A

Standards Status: Informative

Compartments: Encounter, Patient, Practitioner

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile ClinicalImpression.

Generated Narrative

identifier: id: 12345

status: completed

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

subject: Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25;

encounter: Generated Summary: status: in-progress; inpatient encounter

effective: 6 Dec. 2014, 8:00:00 pm --> 6 Dec. 2014, 10:33:00 pm

date: 6 Dec. 2014, 10:33:00 pm

performer: Generated Summary: id: 23; active; Adam Careful

problem: MVA

summary: provisional diagnoses of laceration of head and traumatic brain injury (TBI)

finding
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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.