<?xml version="1.0" encoding="UTF-8"?><ClinicalImpression xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource &quot;example&quot; </p></div><p><b>identifier</b>: id: 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.html">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>encounter</b>: <a href="encounter-example.html">Encounter/example</a></p><p><b>effective</b>: 2014-12-06T20:00:00+11:00 --&gt; 2014-12-06T22:33:00+11:00</p><p><b>date</b>: 2014-12-06T22:33:00+11:00</p><p><b>assessor</b>: <a href="practitioner-example.html">Practitioner/example</a> &quot;Adam CAREFUL&quot;</p><p><b>problem</b>: <span>: MVA</span></p><h3>Investigations</h3><table class="grid"><tr><td>-</td><td><b>Code</b></td><td><b>Item</b></td></tr><tr><td>*</td><td>Initial Examination <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></td><td><span>: deep laceration of the scalp (left temporo-occipital)</span>, <span>: decreased level of consciousness</span>, <span>: disoriented to time and place</span>, <span>: restless</span></td></tr></table><p><b>summary</b>: provisional diagnoses of laceration of head and traumatic brain injury (TBI)</p><h3>Findings</h3><table class="grid"><tr><td>-</td><td><b>ItemCodeableConcept</b></td></tr><tr><td>*</td><td>850.0 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (ICD-9#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>  
  <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"/>
  <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>