This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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
Patient Care Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw Turtle (+ also see Turtle/RDF Format Specification)
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 xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:ClinicalImpression; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "example"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ClinicalImpression</b><a name=\"example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ClinicalImpression "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 href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>encounter</b>: <a href=\"encounter-example.html\">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>performer</b>: <a href=\"practitioner-example.html\">Practitioner/example</a> "Adam CAREFUL"</p><p><b>problem</b>: <span>: MVA</span></p><p><b>summary</b>: <span title=\" \n <investigation>\n <code>\n <text value="Initial Examination"/>\n </code>\n <item>\n <display value="deep laceration of the scalp (left temporo-occipital)"/>\n </item>\n <item>\n <display value="decreased level of consciousness"/>\n </item>\n <item>\n <display value="disoriented to time and place"/>\n </item>\n <item>\n <display value="restless"/>\n </item>\n </investigation>\n \">provisional diagnoses of laceration of head and traumatic brain injury (TBI)</span></p><blockquote><p><b>finding</b></p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>850.0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (ICD-9#850.0)</span></td></tr></table></blockquote></div>" ]; fhir:ClinicalImpression.identifier [ fhir:index 0; fhir:Identifier.value [ fhir:value "12345" ] ]; fhir:ClinicalImpression.status [ fhir:value "completed"]; 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.subject [ fhir:Reference.reference [ fhir:value "Patient/example" ] ]; fhir:ClinicalImpression.encounter [ fhir:Reference.reference [ fhir:value "Encounter/example" ] ]; fhir:ClinicalImpression.effectivePeriod [ fhir:Period.start [ fhir:value "2014-12-06T20:00:00+11:00"^^xsd:dateTime ]; fhir:Period.end [ fhir:value "2014-12-06T22:33:00+11:00"^^xsd:dateTime ] ]; fhir:ClinicalImpression.date [ fhir:value "2014-12-06T22:33:00+11:00"^^xsd:dateTime]; fhir:ClinicalImpression.performer [ fhir:Reference.reference [ fhir:value "Practitioner/example" ] ]; fhir:ClinicalImpression.problem [ fhir:index 0; fhir:Reference.display [ fhir:value "MVA" ] ]; 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:CodeableReference.concept [ 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" ] ] ] ] ]] . # - ontology header ------------------------------------------------------------ [a owl:Ontology; owl:imports fhir:fhir.ttl] . # -------------------------------------------------------------------------------------
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.