R6 Ballot (2nd Draft)

Publish-box (todo)

Example ClinicalImpression/example (Turtle)

Patient Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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:id [ fhir:v "example"] ; # 
  fhir:identifier ( [
     fhir:value [ fhir:v "12345" ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:description [ fhir:v "This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident"] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:encounter [
     fhir:reference [ fhir:v "Encounter/example" ]
  ] ; # 
  fhir:effective [
     a fhir:Period ;
     fhir:start [ fhir:v "2014-12-06T20:00:00+11:00"^^xsd:dateTime ] ;
     fhir:end [ fhir:v "2014-12-06T22:33:00+11:00"^^xsd:dateTime ]
  ] ; # 
  fhir:date [ fhir:v "2014-12-06T22:33:00+11:00"^^xsd:dateTime] ; # 
  fhir:performer [
     fhir:reference [ fhir:v "Practitioner/example" ]
  ] ; # 
  fhir:problem ( [
     fhir:display [ fhir:v "MVA" ]
  ] ) ; #   todo: reference to condition with snomed code 418399005 : Motor vehicle accident (event)  
  fhir:summary [ fhir:v "provisional diagnoses of laceration of head and traumatic brain injury (TBI)"] ; #  
#   <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>
#   
  fhir:finding ( [
     fhir:item [
       fhir:concept [
         fhir:coding ( [
           fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-9"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "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.