This page is part of the FHIR Specification (v0.0.82: DSTU 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
Example Index:
Example of clinicalimpression | XML | JSON |
XML
Example of clinicalimpression (id = "example")
<ClinicalImpression xmlns="http://hl7.org/fhir"> <id value="example"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div> </text> <patient> <reference value="Patient/example"/> </patient> <assessor> <reference value="Practitioner/example"/> </assessor> <date value="2014-12-06T22:33:00+11:00"/> <description value="This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident"/> <problem> <display value="MVA"/> </problem><!-- todo: reference to condition with snomed code 418399005 : Motor vehicle accident (event) --> <investigations> <code> <text value="Initial Examination"/> </code><!-- todo: turn all of these into observations --> <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> </investigations> <summary value="provisional diagnoses of laceration of head and traumatic brain injury (TBI)"/> <finding> <item> <coding> <system value="http://hl7.org/fhir/sid/icd-9"/> <code value="850.0"/> </coding> </item> </finding> <plan><!-- in real life, this would be a reference --> <display value="hospital standard closed head injury management protocol "/> </plan> </ClinicalImpression>
JSON
Example of clinicalimpression
{ "resourceType": "ClinicalImpression", "id": "example", "text": { "status": "generated", "div": "<div>!-- Snipped for Brevity --></div>" }, "patient": { "reference": "Patient/example" }, "assessor": { "reference": "Practitioner/example" }, "date": "2014-12-06T22:33:00+11:00", "description": "This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident", "problem": [ { "display": "MVA" } ], "investigations": [ { "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": [ { "item": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-9", "code": "850.0" } ] } } ], "plan": { "display": "hospital standard closed head injury management protocol " } }
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.