This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Example ClinicalImpression/example (Turtle)
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:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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: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.