FHIR R6 Patient Care Incubator
0.1.0 - ci-build International flag

FHIR R6 Patient Care Incubator, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/pc-incubator/ and changes regularly. See the Directory of published versions

: assessment-example - JSON Representation

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{
  "resourceType" : "ClinicalAssessment",
  "resourceDefinition" : "http://hl7.org/fhir/StructureDefinition/ClinicalAssessment|0.1.0",
  "id" : "example",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClinicalAssessment example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><p><b>identifier</b>: 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\">Patient/example</a></p><p><b>encounter</b>: <a href=\"Encounter/example\">Encounter/example</a></p><p><b>effective</b>: 2014-12-06 20:00:00+1100 --&gt; 2014-12-06 22:33:00+1100</p><p><b>date</b>: 2014-12-06 22:33:00+1100</p><p><b>performer</b>: <a href=\"Practitioner/example\">Practitioner/example</a></p><p><b>problem</b>: MVA</p><p><b>summary</b>: </p><div><p>provisional diagnoses of laceration of head and traumatic brain injury (TBI)</p>\n</div><blockquote><p><b>finding</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-9 850.0}\">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" : [
    //  todo: reference to condition with snomed code 418399005 : Motor vehicle accident (event) 
    {
      "display" : "MVA"
    }
  ],
  "summary" : "provisional diagnoses of laceration of head and traumatic brain injury (TBI)",
  "finding" : [
    // 
   <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>
  
    {
      "item" : {
        "concept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-9",
              "code" : "850.0"
            }
          ]
        }
      }
    }
  ]
}