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Example ClinicalImpression/example (Narrative)

Patient Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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: ClinicalImpression example

identifier: 12345

status: completed

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

subject: Jim male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

encounter: Encounter: status = in-progress; class = inpatient encounter; subjectStatus = Receiving Care

effective: 2014-12-06T20:00:00+11:00 --> 2014-12-06T22:33:00+11:00

date: 2014-12-06T22:33:00+11:00

performer: Practitioner Adam Careful

problem: MVA

summary:

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

finding

Items

-Concept
* 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.