This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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
Example ClinicalImpression/example (XML)
Raw XML (canonical form + also see XML Format Specification)
Jump past Narrative
Example of clinicalimpression (id = "example")
<?xml version="1.0" encoding="UTF-8"?>
<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="example"/>
<text> <status value="generated"/> <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="
<investigation>
<code>
<text value="Initial Examination"/>
</code>
<item>
<display value="deep laceration of the scalp (left temporo-occipital)"/>
;
</item>
<item>
<display value="decreased level of consciousness"/>
</item>
<item>
<display value="disoriented to time and place"/>
</item>
<item>
<display value="restless"/>
</item>
</investigation>
">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> </text> <identifier>
<value value="12345"/>
</identifier>
<status value="completed"/>
<description value="This 26 yo male patient is brought into ER by ambulance after being involved in
a motor vehicle accident"/>
<subject>
<reference value="Patient/example"/>
</subject>
<encounter>
<reference value="Encounter/example"/>
</encounter>
<effectivePeriod>
<start value="2014-12-06T20:00:00+11:00"/>
<end value="2014-12-06T22:33:00+11:00"/>
</effectivePeriod>
<date value="2014-12-06T22:33:00+11:00"/>
<performer>
<reference value="Practitioner/example"/>
</performer>
<problem>
<display value="MVA"/>
</problem>
<summary value="provisional diagnoses of laceration of head and traumatic brain injury (TBI)"/>
<finding>
<item>
<concept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-9"/>
<code value="850.0"/>
</coding>
</concept>
</item>
</finding>
</ClinicalImpression>
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.