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Example ClinicalImpression/example (JSON)

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

Raw JSON (canonical form + also see JSON Format Specification)

Example of clinicalimpression

{
  "resourceType" : "ClinicalImpression",
  "id" : "example",
  "text" : {
    "status" : "generated",
    "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 &quot;example&quot; </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> &quot;Peter CHALMERS&quot;</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 --&gt; 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> &quot;Adam CAREFUL&quot;</p><p><b>problem</b>: <span>: MVA</span></p><p><b>summary</b>: <span title=\" \n   &lt;investigation&gt;\n    &lt;code&gt;\n      &lt;text value=&quot;Initial Examination&quot;/&gt;\n    &lt;/code&gt;\n    &lt;item&gt;\n      &lt;display value=&quot;deep laceration of the scalp (left temporo-occipital)&quot;/&gt;\n    &lt;/item&gt;\n    &lt;item&gt;\n      &lt;display value=&quot;decreased level of consciousness&quot;/&gt;\n    &lt;/item&gt;\n    &lt;item&gt;\n      &lt;display value=&quot;disoriented to time and place&quot;/&gt;\n    &lt;/item&gt;\n    &lt;item&gt;\n      &lt;display value=&quot;restless&quot;/&gt;\n    &lt;/item&gt;\n  &lt;/investigation&gt;\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>"
  },
  "identifier" : [{
    "value" : "12345"
  }],
  "status" : "completed",
  "description" : "This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident",
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "effectivePeriod" : {
    "start" : "2014-12-06T20:00:00+11:00",
    "end" : "2014-12-06T22:33:00+11:00"
  },
  "date" : "2014-12-06T22:33:00+11:00",
  "performer" : {
    "reference" : "Practitioner/example"
  },
  "problem" : [{
    "display" : "MVA"
  }],
  "summary" : "provisional diagnoses of laceration of head and traumatic brain injury (TBI)",
  "finding" : [{
    "item" : {
      "concept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/icd-9",
          "code" : "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.