This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Example Index:
Example of clinicalassessment | XML | JSON |
XML
Example of clinicalassessment (id = "example")
<ClinicalAssessment xmlns="http://hl7.org/fhir"> <id value="example"/> <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"/> <!-- todo: reference to condition with snomed code 418399005 : Motor vehicle accident (event) --> </problem> <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)"/> <diagnosis> <item> <coding> <system value="http://hl7.org/fhir/sid/icd-9"/> <code value="850.0"/> </coding> </item> </diagnosis> <plan> <!-- in real life, this would be a reference --> <display value="hospital standard closed head injury management protocol "/> </plan> </ClinicalAssessment>
JSON
Example of clinicalassessment
{ "resourceType": "ClinicalAssessment", "id": "example", "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)", "diagnosis": [ { "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.