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ClinicalImpression "example" Version "2"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example

patient: Patient/example

assessor: Practitioner/example

status: completed

date: 06/12/2014 10:33:00 PM

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

problem: MVA

Investigations

-CodeItem
*Initial Examination (Details )deep laceration of the scalp (left temporo-occipital)

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

Findings

-Item
*?? (Details : {ICD-9 code '850.0' = '??)

plan: hospital standard closed head injury management protocol


<?xml version="1.0" encoding="UTF-8"?>
<ClinicalImpression xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2020-07-27T18:58:22.610Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: example</p>
      <p>
        <b>patient</b>:
        <a>Patient/example</a>
      </p>
      <p>
        <b>assessor</b>:
        <a>Practitioner/example</a>
      </p>
      <p>
        <b>status</b>: completed</p>
      <p>
        <b>date</b>: 06/12/2014 10:33:00 PM</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>problem</b>: MVA</p>
      <h3>Investigations</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>Item</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>Initial Examination
            <span>(Details )</span>
          </td>
          <td>deep laceration of the scalp (left temporo-occipital)</td>
        </tr>
      </table>
      <p>
        <b>summary</b>: provisional diagnoses of laceration of head and traumatic brain injury (TBI)</p>
      <h3>Findings</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Item</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>??
            <span>(Details : {ICD-9 code '850.0' = '??)</span>
          </td>
        </tr>
      </table>
      <p>
        <b>plan</b>: hospital standard closed head injury management protocol </p>
    </div>
  </text>
  <patient>
    <reference value="Patient/example"/>
  </patient>
  <assessor>
    <reference value="Practitioner/example"/>
  </assessor>
  <status value="completed"/>
  <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"/>
  </problem>
  <investigations>
    <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>
  </investigations>
  <summary value="provisional diagnoses of laceration of head and traumatic brain injury (TBI)"/>
  <finding>
    <item>
      <coding>
        <system value="http://hl7.org/fhir/sid/icd-9"/>
        <code value="850.0"/>
      </coding>
    </item>
  </finding>
  <plan>
    <display value="hospital standard closed head injury management protocol "/>
  </plan>
</ClinicalImpression>

ClinicalImpression "example" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example

patient: Patient/example

assessor: Practitioner/example

status: completed

date: 06/12/2014 10:33:00 PM

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

problem: MVA

Investigations

-CodeItem
*Initial Examination (Details )deep laceration of the scalp (left temporo-occipital)

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

Findings

-Item
*?? (Details : {ICD-9 code '850.0' = '??)

plan: hospital standard closed head injury management protocol


<?xml version="1.0" encoding="UTF-8"?>
<ClinicalImpression xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-05-25T19:15:57.577Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: example</p>
      <p>
        <b>patient</b>:
        <a>Patient/example</a>
      </p>
      <p>
        <b>assessor</b>:
        <a>Practitioner/example</a>
      </p>
      <p>
        <b>status</b>: completed</p>
      <p>
        <b>date</b>: 06/12/2014 10:33:00 PM</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>problem</b>: MVA</p>
      <h3>Investigations</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>Item</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>Initial Examination
            <span>(Details )</span>
          </td>
          <td>deep laceration of the scalp (left temporo-occipital)</td>
        </tr>
      </table>
      <p>
        <b>summary</b>: provisional diagnoses of laceration of head and traumatic brain injury (TBI)</p>
      <h3>Findings</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Item</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>??
            <span>(Details : {ICD-9 code '850.0' = '??)</span>
          </td>
        </tr>
      </table>
      <p>
        <b>plan</b>: hospital standard closed head injury management protocol </p>
    </div>
  </text>
  <patient>
    <reference value="Patient/example"/>
  </patient>
  <assessor>
    <reference value="Practitioner/example"/>
  </assessor>
  <status value="completed"/>
  <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"/>
  </problem>
  <investigations>
    <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>
  </investigations>
  <summary value="provisional diagnoses of laceration of head and traumatic brain injury (TBI)"/>
  <finding>
    <item>
      <coding>
        <system value="http://hl7.org/fhir/sid/icd-9"/>
        <code value="850.0"/>
      </coding>
    </item>
  </finding>
  <plan>
    <display value="hospital standard closed head injury management protocol "/>
  </plan>
</ClinicalImpression>