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Clinicalimpression.questionnaire

This is an example form generated from the questionnaire. See also the XML or JSON format.

Clinicalimpression.questionnaire - FHIR v0.4.0 Form
Development Version

This is an example form generated from the questionnaire. See also the XML or JSON format

A clinical assessment performed when planning treatments and management strategies for a patient

ClinicalImpression
ClinicalImpression.id
ClinicalImpression.id.value Logical id of this artefact
ClinicalImpression.id 1

Metadata about the resource

ClinicalImpression.meta
ClinicalImpression.meta 1
ClinicalImpression.implicitRules
ClinicalImpression.implicitRules.value A set of rules under which this content was created
ClinicalImpression.implicitRules 1
ClinicalImpression.language
ClinicalImpression.language.value language
ClinicalImpression.language 1

Text summary of the resource, for human interpretation

ClinicalImpression.text
ClinicalImpression.text 1

Contained, inline Resources

ClinicalImpression.contained
ClinicalImpression.contained 1
ClinicalImpression.patient
ClinicalImpression.patient.value The patient being asssesed
ClinicalImpression.patient 1
ClinicalImpression.assessor
ClinicalImpression.assessor.value The clinician performing the assessment
ClinicalImpression.assessor 1
ClinicalImpression.date
ClinicalImpression.date.value When the assessment occurred
ClinicalImpression.date 1
ClinicalImpression.description
ClinicalImpression.description.value Why/how the assessment was performed
ClinicalImpression.description 1
ClinicalImpression.previous
ClinicalImpression.previous.value Reference to last assessment
ClinicalImpression.previous 1

General assessment of patient state

ClinicalImpression.problem
ClinicalImpression.problem._type type
ClinicalImpression.problem._Condition
ClinicalImpression.problem._Condition.value Condition
ClinicalImpression.problem._Condition 1
ClinicalImpression.problem._AllergyIntolerance
ClinicalImpression.problem._AllergyIntolerance.value AllergyIntolerance
ClinicalImpression.problem._AllergyIntolerance 1
ClinicalImpression.problem 1

Request or event that necessitated this assessment

ClinicalImpression.trigger[x]
ClinicalImpression.trigger[x]._type type

CodeableConcept

ClinicalImpression.trigger[x]._CodeableConcept
ClinicalImpression.trigger[x]._CodeableConcept.coding code:
ClinicalImpression.trigger[x]._CodeableConcept.text text:
ClinicalImpression.trigger[x]._CodeableConcept 1
ClinicalImpression.trigger[x]._Resource
ClinicalImpression.trigger[x]._Resource.value Resource
ClinicalImpression.trigger[x]._Resource 1
ClinicalImpression.trigger[x] 1

One or more sets of investigations (signs, symptions, etc)

ClinicalImpression.investigations
ClinicalImpression.investigations.id
ClinicalImpression.investigations.id.value xml:id (or equivalent in JSON)
ClinicalImpression.investigations.id 1

A name/code for the set

ClinicalImpression.investigations.code
ClinicalImpression.investigations.code.coding code:
ClinicalImpression.investigations.code.text text:
ClinicalImpression.investigations.code 1

Record of a specific investigation

ClinicalImpression.investigations.item
ClinicalImpression.investigations.item._type type
ClinicalImpression.investigations.item._Observation
ClinicalImpression.investigations.item._Observation.value Observation
ClinicalImpression.investigations.item._Observation 1
ClinicalImpression.investigations.item._QuestionnaireAnswers
ClinicalImpression.investigations.item._QuestionnaireAnswers.value QuestionnaireAnswers
ClinicalImpression.investigations.item._QuestionnaireAnswers 1
ClinicalImpression.investigations.item._FamilyHistory
ClinicalImpression.investigations.item._FamilyHistory.value FamilyHistory
ClinicalImpression.investigations.item._FamilyHistory 1
ClinicalImpression.investigations.item._DiagnosticReport
ClinicalImpression.investigations.item._DiagnosticReport.value DiagnosticReport
ClinicalImpression.investigations.item._DiagnosticReport 1
ClinicalImpression.investigations.item 1
ClinicalImpression.investigations 1
ClinicalImpression.protocol
ClinicalImpression.protocol.value Clinical Protocol followed
ClinicalImpression.protocol 1
ClinicalImpression.summary
ClinicalImpression.summary.value Summary of the assessment
ClinicalImpression.summary 1

Possible or likely findings and diagnoses

ClinicalImpression.finding
ClinicalImpression.finding.id
ClinicalImpression.finding.id.value xml:id (or equivalent in JSON)
ClinicalImpression.finding.id 1

Specific text or code for finding

ClinicalImpression.finding.item
ClinicalImpression.finding.item.coding code:
ClinicalImpression.finding.item.text text:
ClinicalImpression.finding.item 1
ClinicalImpression.finding.cause
ClinicalImpression.finding.cause.value Which investigations support finding
ClinicalImpression.finding.cause 1
ClinicalImpression.finding 1

Diagnosies/conditions resolved since previous assessment

ClinicalImpression.resolved
ClinicalImpression.resolved.coding code:
ClinicalImpression.resolved.text text:
ClinicalImpression.resolved 1

Diagnosis considered not possible

ClinicalImpression.ruledOut
ClinicalImpression.ruledOut.id
ClinicalImpression.ruledOut.id.value xml:id (or equivalent in JSON)
ClinicalImpression.ruledOut.id 1

Specific text of code for diagnosis

ClinicalImpression.ruledOut.item
ClinicalImpression.ruledOut.item.coding code:
ClinicalImpression.ruledOut.item.text text:
ClinicalImpression.ruledOut.item 1
ClinicalImpression.ruledOut.reason
ClinicalImpression.ruledOut.reason.value Grounds for elimination
ClinicalImpression.ruledOut.reason 1
ClinicalImpression.ruledOut 1
ClinicalImpression.prognosis
ClinicalImpression.prognosis.value Estimate of likely outcome
ClinicalImpression.prognosis 1
ClinicalImpression.plan
ClinicalImpression.plan.value Plan of action after assessment
ClinicalImpression.plan 1

Actions taken during assessment

ClinicalImpression.action
ClinicalImpression.action._type type
ClinicalImpression.action._ReferralRequest
ClinicalImpression.action._ReferralRequest.value ReferralRequest
ClinicalImpression.action._ReferralRequest 1
ClinicalImpression.action._ProcedureRequest
ClinicalImpression.action._ProcedureRequest.value ProcedureRequest
ClinicalImpression.action._ProcedureRequest 1
ClinicalImpression.action._Procedure
ClinicalImpression.action._Procedure.value Procedure
ClinicalImpression.action._Procedure 1
ClinicalImpression.action._MedicationPrescription
ClinicalImpression.action._MedicationPrescription.value MedicationPrescription
ClinicalImpression.action._MedicationPrescription 1
ClinicalImpression.action._DiagnosticOrder
ClinicalImpression.action._DiagnosticOrder.value DiagnosticOrder
ClinicalImpression.action._DiagnosticOrder 1
ClinicalImpression.action._NutritionOrder
ClinicalImpression.action._NutritionOrder.value NutritionOrder
ClinicalImpression.action._NutritionOrder 1
ClinicalImpression.action._Supply
ClinicalImpression.action._Supply.value Supply
ClinicalImpression.action._Supply 1
ClinicalImpression.action._Appointment
ClinicalImpression.action._Appointment.value Appointment
ClinicalImpression.action._Appointment 1
ClinicalImpression.action 1
ClinicalImpression 1