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 - XML Representation

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<ClinicalAssessment xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <text>
    <status value="generated"/>
    <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>
</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>
  </text>
  <identifier>
    <value value="12345"/>
  </identifier>
  <status value="completed"/>
  <description
               value="This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident"/>
  <subject>
    <reference value="Patient/example"/>
  </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"/>
  <performer>
    <reference value="Practitioner/example"/>
  </performer>
  <!--  todo: reference to condition with snomed code 418399005 : Motor vehicle accident (event)  -->
  <problem>
    <display value="MVA"/>
  </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="provisional diagnoses of laceration of head and traumatic brain injury (TBI)"/>
  <finding>
    <item>
      <concept>
        <coding>
          <system value="http://hl7.org/fhir/sid/icd-9"/>
          <code value="850.0"/>
        </coding>
      </concept>
    </item>
  </finding>
</ClinicalAssessment>