This page is part of the MCC eCare Plan Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="clinical-impression-example"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="ClinicalImpression Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is a ClinicalImpression example for the MCC ClinicalImpression Profile."/>
</extension>
<versionId value="1"/>
<lastUpdated value="2022-08-24T08:56:30.155+00:00"/>
<source value="#LPmVXruLEtHDcUZ5"/>
<profile
value="http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ClinicalImpression clinical-impression-example</b></p><a name="clinical-impression-example"> </a><a name="hcclinical-impression-example"> </a><a name="clinical-impression-example-en-US"> </a><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">version: 1; Last updated: 2022-08-24 08:56:30+0000; </p><p style="margin-bottom: 0px">Information Source: #LPmVXruLEtHDcUZ5</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MCCClinicalImpression.html">Multiple Chronic Condition Care Plan Clinical Impression</a></p></div><p><b>status</b>: Completed</p><p><b>description</b>: patient was highly distressed in waiting room prior to appointment for CKD about her health</p><p><b>subject</b>: <a href="Patient-cc-pat-pnoelle.html">Patricia Noelle</a></p><p><b>effective</b>: 2014-12-06 20:00:00+1100 --> 2014-12-06 22:33:00+1100</p><p><b>date</b>: 2014-12-06 22:33:00+1100</p><p><b>problem</b>: <a href="Condition-ConditionCKD.html">Condition Chronic kidney disease stage 3B (disorder)</a></p><p><b>summary</b>: signs of worsening depression and Anxiety, concerns about deteriorating health</p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal">
<valueReference>🔗
<reference value="Goal/HPT-WNL"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/mcc/StructureDefinition/changePattern">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260388006"/>
<display value="No status change"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="completed"/>
<description
value="patient was highly distressed in waiting room prior to appointment for CKD about her health"/>
<subject>🔗
<reference value="Patient/cc-pat-pnoelle"/>
<display value="Patricia Noelle"/>
</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"/>
<problem>🔗
<reference value="Condition/ConditionCKD"/>
</problem>
<!-- <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> -->
<summary
value="signs of worsening depression and Anxiety, concerns about deteriorating health"/>
</ClinicalImpression>