This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). 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><div><p>Resource "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>Patient/example</a> "Peter CHALMERS"</p><p><b>encounter</b>: <a>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>assessor</b>: <a>Practitioner/example</a> "Adam CAREFUL"</p><p><b>problem</b>: <span>: MVA</span></p><h3>Investigations</h3><table><tr><td>-</td><td><b>Code</b></td><td><b>Item</b></td></tr><tr><td>*</td><td>Initial Examination <span> ()</span></td><td><span>: deep laceration of the scalp (left temporo-occipital)</span>, <span>: decreased level of consciousness</span>, <span>: disoriented to time and place</span>, <span>: restless</span></td></tr></table><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>ItemCodeableConcept</b></td></tr><tr><td>*</td><td>850.0 <span> (ICD-9#850.0)</span></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", "assessor": { "reference": "Practitioner/example" }, "problem": [ { "display": "MVA" } ], "investigation": [ { "code": { "text": "Initial Examination" }, "item": [ { "display": "deep laceration of the scalp (left temporo-occipital)" }, { "display": "decreased level of consciousness" }, { "display": "disoriented to time and place" }, { "display": "restless" } ] } ], "summary": "provisional diagnoses of laceration of head and traumatic brain injury (TBI)", "finding": [ { "itemCodeableConcept": { "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.