<?xml version=“1.0” encoding=“UTF-8”?><ClinicalImpression xmlns=“hl7.org/fhir”>

<id value="example"/>
<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>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>Patient/example</a></p><p><b>context</b>: <a>Encounter/example</a></p><p><b>effective</b>: Dec 6, 2014 8:00:00 PM --&gt; Dec 6, 2014 10:33:00 PM</p><p><b>date</b>: Dec 6, 2014 10:33:00 PM</p><p><b>assessor</b>: <a>Practitioner/example</a></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[x]</b></td></tr><tr><td>*</td><td>850.0 <span>(Details : {ICD-9 code &#39;850.0&#39; = &#39;850.0)</span></td></tr></table></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>  
<context>
  <reference value="Encounter/example"/>
</context>
<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"/>
<assessor>
  <reference value="Practitioner/example"/>
</assessor>
<problem>
  <display value="MVA"/> <!--   todo: reference to condition with snomed code 418399005 : Motor vehicle accident (event)   -->
</problem>
<investigation>
  <code>
    <text value="Initial Examination"/>
  </code>
  <!--   todo: turn all of these into observations   -->
  <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>
  <itemCodeableConcept>
    <coding>
      <system value="http://hl7.org/fhir/sid/icd-9"/>
      <code value="850.0"/>
    </coding>
  </itemCodeableConcept>
</finding>

</ClinicalImpression>