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Source1

{
  "resourceType": "ClinicalImpression",
  "id": "clinicalImpression",
  "meta": {
    "profile": [
      "http://nictiz.nl/fhir/StructureDefinition/bc-ClinicalImpression"
    ]
  },
  "extension": [
    {
      "url": "http://nictiz.nl/fhir/StructureDefinition/bc-clinicalimpression-management",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "149861000146102",
            "display": "invasieve prenatale diagnostiek geïndiceerd (situatie)"
          }
        ]
      }
    }
  ],
  "status": "completed",
  "subject": {
    "reference": "Patient/example",
    "display": "Example"
  },
  "context": {
    "reference": "EpisodeOfCare/zwangerschapsdossier",
    "display": "Zwangerschapsdossier zwangerschap 1"
  },
  "effectiveDateTime": "2016-02-21T16:00:00+01:00",
  "assessor": {
    "extension": [
      {
        "url": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference",
        "valueReference": {
          "reference": "PractitionerRole/ZorgverlenerA",
          "display": "Zorgverlener A"
        }
      }
    ],
    "reference": "Practitioner/zorgverlenerA",
    "display": "Zorgverlener A"
  },
  "investigation": [
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "271992004",
            "display": "Obstetrisch onderzoek (verrichting)"
          }
        ]
      },
      "item": [
        {
          "extension": [
            {
              "url": "http://nictiz.nl/fhir/StructureDefinition/bc-clinicalimpression-procedure",
              "valueReference": {
                "reference": "Procedure/nipt-test",
                "display": "Nipt test"
              }
            }
          ]
        }
      ]
    }
  ],
  "summary": "Indicatie prenatale diagnostiek",
  "finding": [
    {
      "itemCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "47200007",
            "display": "hoogrisicozwangerschap (bevinding)"
          }
        ]
      }
    }
  ],
  "note": [
    {
      "text": "verhoogd risico down syndroom"
    }
  ]
}