Release 5 Preview #2

Clinicalimpression-example

Patient Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile ClinicalImpression.


Generated Narrative

id: example

identifier: 12345

status: completed

description: This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident

subject: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25;

encounter: Generated Summary: id: example; status: in-progress; inpatient encounter

effective: Dec 6, 2014 8:00:00 PM --> Dec 6, 2014 10:33:00 PM

date: Dec 6, 2014 10:33:00 PM

performer: Generated Summary: id: example; 23; active; Adam Careful

problem: MVA

summary: provisional diagnoses of laceration of head and traumatic brain injury (TBI)

Findings

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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.