This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Clinicalimpression.questionnaire.json

Raw JSON (canonical form)

Generated Questionnaire for ClinicalImpression

{
  "resourceType": "Questionnaire",
  "id": "qs1",
  "contained": [
    {
      "resourceType": "ValueSet",
      "id": "vs2",
      "url": "urn:uuid:84d6ba72-75b1-4af6-b369-64ff7aae4f57",
      "name": "Type options for ClinicalImpression.problem",
      "description": "Type options for ClinicalImpression.problem",
      "status": "active",
      "expansion": {
        "identifier": "urn:uuid:0c7b5cfc-636f-4b03-a660-1285724cbc5e",
        "timestamp": "2015-03-27T00:18:23+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "Condition",
            "display": "Condition"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "AllergyIntolerance",
            "display": "AllergyIntolerance"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "vs3",
      "url": "urn:uuid:4430b17c-7102-4517-8885-823bc3c017b4",
      "name": "Type options for ClinicalImpression.trigger[x]",
      "description": "Type options for ClinicalImpression.trigger[x]",
      "status": "active",
      "expansion": {
        "identifier": "urn:uuid:b81d00f3-9eb0-4faf-a8be-62590573adb6",
        "timestamp": "2015-03-27T00:18:23+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/data-types",
            "code": "CodeableConcept",
            "display": "CodeableConcept"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "Resource",
            "display": "Resource"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "vs4",
      "url": "urn:uuid:2aaca96c-5098-4797-b090-b806df1c8934",
      "name": "Type options for ClinicalImpression.investigations.item",
      "description": "Type options for ClinicalImpression.investigations.item",
      "status": "active",
      "expansion": {
        "identifier": "urn:uuid:05ee537e-6f88-4bd9-bf21-825d83b62cd6",
        "timestamp": "2015-03-27T00:18:23+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "Observation",
            "display": "Observation"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "QuestionnaireAnswers",
            "display": "QuestionnaireAnswers"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "FamilyHistory",
            "display": "FamilyHistory"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "DiagnosticReport",
            "display": "DiagnosticReport"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "vs5",
      "url": "urn:uuid:28b30fee-143f-4c8c-8158-967f4ae06682",
      "name": "Type options for ClinicalImpression.action",
      "description": "Type options for ClinicalImpression.action",
      "status": "active",
      "expansion": {
        "identifier": "urn:uuid:3a39b539-53a6-4be3-98c0-d7295d85e4f4",
        "timestamp": "2015-03-27T00:18:23+11:00",
        "contains": [
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "ReferralRequest",
            "display": "ReferralRequest"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "ProcedureRequest",
            "display": "ProcedureRequest"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "Procedure",
            "display": "Procedure"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "MedicationPrescription",
            "display": "MedicationPrescription"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "DiagnosticOrder",
            "display": "DiagnosticOrder"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "NutritionOrder",
            "display": "NutritionOrder"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "Supply",
            "display": "Supply"
          },
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "Appointment",
            "display": "Appointment"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986"
    }
  ],
  "status": "draft",
  "date": "2015-03-27T00:13:00+11:00",
  "publisher": "HL7 FHIR Project (Patient Care)",
  "group": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
        "valueString": "A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter,  but this varies greatly depending on the clinical workflow. This resource is called \"ClinicalImpression\" rather than \"ClinicalAssessment\" to avoid confusion with the recording of assessment tools such as Apgar score."
      }
    ],
    "linkId": "ClinicalImpression",
    "title": "A clinical assessment performed when planning treatments and management strategies for a patient",
    "required": true,
    "repeats": false,
    "group": [
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "The logical id of the resource, as used in the url for the resoure. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "string"
          }
        ],
        "linkId": "ClinicalImpression.id",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.id.value",
            "text": "Logical id of this artefact",
            "type": "string",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."
          }
        ],
        "linkId": "ClinicalImpression.meta",
        "text": "Metadata about the resource",
        "required": false,
        "repeats": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "uri"
          }
        ],
        "linkId": "ClinicalImpression.implicitRules",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.implicitRules.value",
            "text": "A set of rules under which this content was created",
            "type": "string",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "The base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource\n\nNot all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "code"
          }
        ],
        "linkId": "ClinicalImpression.language",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.language.value",
            "text": "language",
            "type": "choice",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
          }
        ],
        "linkId": "ClinicalImpression.text",
        "text": "Text summary of the resource, for human interpretation",
        "required": false,
        "repeats": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."
          }
        ],
        "linkId": "ClinicalImpression.contained",
        "text": "Contained, inline Resources",
        "required": false,
        "repeats": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "The patient being asssesed."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "Reference"
          }
        ],
        "linkId": "ClinicalImpression.patient",
        "required": true,
        "repeats": true,
        "question": [
          {
            "extension": [
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                "valueString": "/Patient?subject=$subj&patient=$subj&encounter=$encounter"
              }
            ],
            "linkId": "ClinicalImpression.patient.value",
            "text": "The patient being asssesed",
            "type": "reference",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "The clinician performing the assessment."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "Reference"
          }
        ],
        "linkId": "ClinicalImpression.assessor",
        "required": true,
        "repeats": true,
        "question": [
          {
            "extension": [
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                "valueString": "/Practitioner?subject=$subj&patient=$subj&encounter=$encounter"
              }
            ],
            "linkId": "ClinicalImpression.assessor.value",
            "text": "The clinician performing the assessment",
            "type": "reference",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "The point in time at which the assessment was concluded (not when it was recorded). This SHOULD be accurate to at least the minute, though some assessments only have a known date."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "datetime"
          }
        ],
        "linkId": "ClinicalImpression.date",
        "required": true,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.date.value",
            "text": "When the assessment occurred",
            "type": "dateTime",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "A summary of the context and/or cause of the assessment - why / where was it peformed, and what patient events/sstatus prompted it."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "string"
          }
        ],
        "linkId": "ClinicalImpression.description",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.description.value",
            "text": "Why/how the assessment was performed",
            "type": "string",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "A reference to the last assesment that was conducted bon this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes. It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved)."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "Reference"
          }
        ],
        "linkId": "ClinicalImpression.previous",
        "required": false,
        "repeats": true,
        "question": [
          {
            "extension": [
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                "valueString": "/ClinicalImpression?subject=$subj&patient=$subj&encounter=$encounter"
              }
            ],
            "linkId": "ClinicalImpression.previous.value",
            "text": "Reference to last assessment",
            "type": "reference",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "This a list of the general problems/conditions for a patient. e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin."
          }
        ],
        "linkId": "ClinicalImpression.problem",
        "text": "General assessment of patient state",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.problem._type",
            "text": "type",
            "type": "choice",
            "required": false,
            "repeats": false,
            "options": {
              "reference": "#vs2"
            },
            "group": [
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.problem._Condition",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/Condition?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.problem._Condition.value",
                    "text": "Condition",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.problem._AllergyIntolerance",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/AllergyIntolerance?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.problem._AllergyIntolerance.value",
                    "text": "AllergyIntolerance",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "The request or event that necessitated this assessment. This may be a diagnosis, a Care Plan, a Request Referral, or some other resource."
          }
        ],
        "linkId": "ClinicalImpression.trigger[x]",
        "text": "Request or event that necessitated this assessment",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.trigger[x]._type",
            "text": "type",
            "type": "choice",
            "required": false,
            "repeats": false,
            "options": {
              "reference": "#vs3"
            },
            "group": [
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "CodeableConcept"
                  }
                ],
                "linkId": "ClinicalImpression.trigger[x]._CodeableConcept",
                "text": "CodeableConcept",
                "question": [
                  {
                    "linkId": "ClinicalImpression.trigger[x]._CodeableConcept.coding",
                    "text": "code:",
                    "type": "open-choice",
                    "required": false,
                    "repeats": false
                  },
                  {
                    "linkId": "ClinicalImpression.trigger[x]._CodeableConcept.text",
                    "text": "text:",
                    "type": "string",
                    "required": false,
                    "repeats": false
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.trigger[x]._Resource",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/Resource?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.trigger[x]._Resource.value",
                    "text": "Resource",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "One or more sets of investigations (signs, symptions, etc). The actual grouping of investigations vary greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes."
          }
        ],
        "linkId": "ClinicalImpression.investigations",
        "title": "One or more sets of investigations (signs, symptions, etc)",
        "required": false,
        "repeats": true,
        "group": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
                "valueString": "unique id for the element within a resource (for internal references)."
              },
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                "valueString": "string"
              }
            ],
            "linkId": "ClinicalImpression.investigations.id",
            "required": false,
            "repeats": true,
            "question": [
              {
                "linkId": "ClinicalImpression.investigations.id.value",
                "text": "xml:id (or equivalent in JSON)",
                "type": "string",
                "required": false,
                "repeats": false
              }
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
                "valueString": "A name/code for the group (\"set\") of investigations. Typically, this will be something like \"signs\", \"symptoms\", \"clinical\", \"diagnostic\", but the list is not constrained, and others such groups such as (exposure|family|travel|nutitirional) history may be used."
              },
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                "valueString": "CodeableConcept"
              }
            ],
            "linkId": "ClinicalImpression.investigations.code",
            "text": "A name/code for the set",
            "required": true,
            "repeats": true,
            "question": [
              {
                "linkId": "ClinicalImpression.investigations.code.coding",
                "text": "code:",
                "type": "open-choice",
                "required": false,
                "repeats": false
              },
              {
                "linkId": "ClinicalImpression.investigations.code.text",
                "text": "text:",
                "type": "string",
                "required": false,
                "repeats": false
              }
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
                "valueString": "A record of a specific investigation that was undertaken. Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used."
              }
            ],
            "linkId": "ClinicalImpression.investigations.item",
            "text": "Record of a specific investigation",
            "required": false,
            "repeats": true,
            "question": [
              {
                "linkId": "ClinicalImpression.investigations.item._type",
                "text": "type",
                "type": "choice",
                "required": false,
                "repeats": false,
                "options": {
                  "reference": "#vs4"
                },
                "group": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                        "valueString": "Reference"
                      }
                    ],
                    "linkId": "ClinicalImpression.investigations.item._Observation",
                    "question": [
                      {
                        "extension": [
                          {
                            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                            "valueString": "/Observation?subject=$subj&patient=$subj&encounter=$encounter"
                          }
                        ],
                        "linkId": "ClinicalImpression.investigations.item._Observation.value",
                        "text": "Observation",
                        "type": "reference",
                        "required": false,
                        "repeats": false
                      }
                    ]
                  },
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                        "valueString": "Reference"
                      }
                    ],
                    "linkId": "ClinicalImpression.investigations.item._QuestionnaireAnswers",
                    "question": [
                      {
                        "extension": [
                          {
                            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                            "valueString": "/QuestionnaireAnswers?subject=$subj&patient=$subj&encounter=$encounter"
                          }
                        ],
                        "linkId": "ClinicalImpression.investigations.item._QuestionnaireAnswers.value",
                        "text": "QuestionnaireAnswers",
                        "type": "reference",
                        "required": false,
                        "repeats": false
                      }
                    ]
                  },
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                        "valueString": "Reference"
                      }
                    ],
                    "linkId": "ClinicalImpression.investigations.item._FamilyHistory",
                    "question": [
                      {
                        "extension": [
                          {
                            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                            "valueString": "/FamilyHistory?subject=$subj&patient=$subj&encounter=$encounter"
                          }
                        ],
                        "linkId": "ClinicalImpression.investigations.item._FamilyHistory.value",
                        "text": "FamilyHistory",
                        "type": "reference",
                        "required": false,
                        "repeats": false
                      }
                    ]
                  },
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                        "valueString": "Reference"
                      }
                    ],
                    "linkId": "ClinicalImpression.investigations.item._DiagnosticReport",
                    "question": [
                      {
                        "extension": [
                          {
                            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                            "valueString": "/DiagnosticReport?subject=$subj&patient=$subj&encounter=$encounter"
                          }
                        ],
                        "linkId": "ClinicalImpression.investigations.item._DiagnosticReport.value",
                        "text": "DiagnosticReport",
                        "type": "reference",
                        "required": false,
                        "repeats": false
                      }
                    ]
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "uri"
          }
        ],
        "linkId": "ClinicalImpression.protocol",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.protocol.value",
            "text": "Clinical Protocol followed",
            "type": "string",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "A text summary of the investigations and the diagnosis."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "string"
          }
        ],
        "linkId": "ClinicalImpression.summary",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.summary.value",
            "text": "Summary of the assessment",
            "type": "string",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "Specific findings or diagnoses that was considered likely or relevant to ongoing treatment."
          }
        ],
        "linkId": "ClinicalImpression.finding",
        "title": "Possible or likely findings and diagnoses",
        "required": false,
        "repeats": true,
        "group": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
                "valueString": "unique id for the element within a resource (for internal references)."
              },
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                "valueString": "string"
              }
            ],
            "linkId": "ClinicalImpression.finding.id",
            "required": false,
            "repeats": true,
            "question": [
              {
                "linkId": "ClinicalImpression.finding.id.value",
                "text": "xml:id (or equivalent in JSON)",
                "type": "string",
                "required": false,
                "repeats": false
              }
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
                "valueString": "Specific text of code for finding or diagnosis."
              },
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                "valueString": "CodeableConcept"
              }
            ],
            "linkId": "ClinicalImpression.finding.item",
            "text": "Specific text or code for finding",
            "required": true,
            "repeats": true,
            "question": [
              {
                "linkId": "ClinicalImpression.finding.item.coding",
                "text": "code:",
                "type": "open-choice",
                "required": false,
                "repeats": false
              },
              {
                "linkId": "ClinicalImpression.finding.item.text",
                "text": "text:",
                "type": "string",
                "required": false,
                "repeats": false
              }
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
                "valueString": "Which investigations support finding or diagnosis."
              },
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                "valueString": "string"
              }
            ],
            "linkId": "ClinicalImpression.finding.cause",
            "required": false,
            "repeats": true,
            "question": [
              {
                "linkId": "ClinicalImpression.finding.cause.value",
                "text": "Which investigations support finding",
                "type": "string",
                "required": false,
                "repeats": false
              }
            ]
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "Diagnoses/conditions resolved since the last assessment."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "CodeableConcept"
          }
        ],
        "linkId": "ClinicalImpression.resolved",
        "text": "Diagnosies/conditions resolved since previous assessment",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.resolved.coding",
            "text": "code:",
            "type": "open-choice",
            "required": false,
            "repeats": false
          },
          {
            "linkId": "ClinicalImpression.resolved.text",
            "text": "text:",
            "type": "string",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "Diagnosis considered not possible."
          }
        ],
        "linkId": "ClinicalImpression.ruledOut",
        "title": "Diagnosis considered not possible",
        "required": false,
        "repeats": true,
        "group": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
                "valueString": "unique id for the element within a resource (for internal references)."
              },
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                "valueString": "string"
              }
            ],
            "linkId": "ClinicalImpression.ruledOut.id",
            "required": false,
            "repeats": true,
            "question": [
              {
                "linkId": "ClinicalImpression.ruledOut.id.value",
                "text": "xml:id (or equivalent in JSON)",
                "type": "string",
                "required": false,
                "repeats": false
              }
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
                "valueString": "Specific text of code for diagnosis."
              },
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                "valueString": "CodeableConcept"
              }
            ],
            "linkId": "ClinicalImpression.ruledOut.item",
            "text": "Specific text of code for diagnosis",
            "required": true,
            "repeats": true,
            "question": [
              {
                "linkId": "ClinicalImpression.ruledOut.item.coding",
                "text": "code:",
                "type": "open-choice",
                "required": false,
                "repeats": false
              },
              {
                "linkId": "ClinicalImpression.ruledOut.item.text",
                "text": "text:",
                "type": "string",
                "required": false,
                "repeats": false
              }
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
                "valueString": "Grounds for elimination."
              },
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                "valueString": "string"
              }
            ],
            "linkId": "ClinicalImpression.ruledOut.reason",
            "required": false,
            "repeats": true,
            "question": [
              {
                "linkId": "ClinicalImpression.ruledOut.reason.value",
                "text": "Grounds for elimination",
                "type": "string",
                "required": false,
                "repeats": false
              }
            ]
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "Estimate of likely outcome."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "string"
          }
        ],
        "linkId": "ClinicalImpression.prognosis",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.prognosis.value",
            "text": "Estimate of likely outcome",
            "type": "string",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "Plan of action after assessment."
          },
          {
            "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
            "valueString": "Reference"
          }
        ],
        "linkId": "ClinicalImpression.plan",
        "required": false,
        "repeats": true,
        "question": [
          {
            "extension": [
              {
                "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                "valueString": "/CarePlan?subject=$subj&patient=$subj&encounter=$encounter"
              }
            ],
            "linkId": "ClinicalImpression.plan.value",
            "text": "Plan of action after assessment",
            "type": "reference",
            "required": false,
            "repeats": false
          }
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
            "valueString": "Actions taken during assessment."
          }
        ],
        "linkId": "ClinicalImpression.action",
        "text": "Actions taken during assessment",
        "required": false,
        "repeats": true,
        "question": [
          {
            "linkId": "ClinicalImpression.action._type",
            "text": "type",
            "type": "choice",
            "required": false,
            "repeats": false,
            "options": {
              "reference": "#vs5"
            },
            "group": [
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.action._ReferralRequest",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/ReferralRequest?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.action._ReferralRequest.value",
                    "text": "ReferralRequest",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.action._ProcedureRequest",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/ProcedureRequest?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.action._ProcedureRequest.value",
                    "text": "ProcedureRequest",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.action._Procedure",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/Procedure?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.action._Procedure.value",
                    "text": "Procedure",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.action._MedicationPrescription",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/MedicationPrescription?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.action._MedicationPrescription.value",
                    "text": "MedicationPrescription",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.action._DiagnosticOrder",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/DiagnosticOrder?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.action._DiagnosticOrder.value",
                    "text": "DiagnosticOrder",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.action._NutritionOrder",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/NutritionOrder?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.action._NutritionOrder.value",
                    "text": "NutritionOrder",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.action._Supply",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/Supply?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.action._Supply.value",
                    "text": "Supply",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
                    "valueString": "Reference"
                  }
                ],
                "linkId": "ClinicalImpression.action._Appointment",
                "question": [
                  {
                    "extension": [
                      {
                        "url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
                        "valueString": "/Appointment?subject=$subj&patient=$subj&encounter=$encounter"
                      }
                    ],
                    "linkId": "ClinicalImpression.action._Appointment.value",
                    "text": "Appointment",
                    "type": "reference",
                    "required": false,
                    "repeats": false
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.