{ "resourceType": "ClinicalImpression", "id": "example", "text": { "status": "generated", "div": "

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

" }, "patient": { "reference": "Patient/example" }, "assessor": { "reference": "Practitioner/example" }, "status": "completed", "date": "2014-12-06T22:33:00+11:00", "description": "This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident", "problem": [ { "fhir_comments": [ " todo: reference to condition with snomed code 418399005 : Motor vehicle accident (event) " ], "display": "MVA" } ], "investigations": [ { "code": { "text": "Initial Examination" }, "item": [ { "fhir_comments": [ " todo: turn all of these into observations " ], "display": "deep laceration of the scalp (left temporo-occipital)" }, { "display": "decreased level of consciousness" }, { "display": "disoriented to time and place" }, { "display": "restless" } ] } ], "summary": "provisional diagnoses of laceration of head and traumatic brain injury (TBI)", "finding": [ { "item": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-9", "code": "850.0" } ] } } ], "plan": [ { "display": "hospital standard closed head injury management protocol ", "_display": { "fhir_comments": [ " in real life, this would be a reference " ] } } ] }