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

<id value="example"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<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>