| Left: | CPGClinicalImpression (http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-clinicalimpression) |
| Right: | CPG Clinical Impression (http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-clinicalimpression) |
| Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '2.0.0-ballot' |
| Information | StructureDefinition.status | Values for status differ: 'draft' vs 'active' |
| Information | StructureDefinition.date | Values for date differ: '2019-06-06' vs '2023-12-19T19:53:17+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'Health Level Seven, Inc. - CDS WG' vs 'HL7 International / Clinical Decision Support' |
| Information | StructureDefinition.comment | Values for comment differ: 'e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.' vs 'e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/ClinicalImpression | ||
| copyright | |||
| date | 2019-06-06 | 2023-12-19T19:53:17+00:00 |
|
| description | CPG Clinical Impression captures clinician judgement at any particular point, and related to the case features and pathway, strategies, and recommendations. | ||
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | ||
| kind | resource | ||
| name | CPGClinicalImpression | ||
| publisher | Health Level Seven, Inc. - CDS WG | HL7 International / Clinical Decision Support |
|
| purpose | |||
| status | draft | active |
|
| title | CPG Clinical Impression |
| |
| type | ClinicalImpression | ||
| url | http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-clinicalimpression | ||
| version | 1.0.0 | 2.0.0-ballot |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 ClinicalImpression | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |||||||||||
 id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | SΣ | 0..* | Identifier | Business identifier | SΣ | 0..* | Identifier | Business identifier | |||||||||
| status | ?!SΣ | 1..1 | code | in-progress | completed | entered-in-error Binding: ?? (required): The workflow state of a clinical impression. | ?!SΣ | 1..1 | code | in-progress | completed | entered-in-error Binding: ?? (required): The workflow state of a clinical impression. | |||||||||
| statusReason | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Codes identifying the reason for the current state of a clinical impression. | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Codes identifying the reason for the current state of a clinical impression. | |||||||||||
| code | SΣ | 0..1 | CodeableConcept | Kind of assessment performed Binding: ?? (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed. | SΣ | 0..1 | CodeableConcept | Kind of assessment performed Binding: ?? (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed. | |||||||||
| description | SΣ | 0..1 | string | Why/how the assessment was performed | SΣ | 0..1 | string | Why/how the assessment was performed | |||||||||
| subject | SΣ | 1..1 | Reference(CPGPatient) | Patient or group assessed | SΣ | 1..1 | Reference(CPG Patient) | Patient or group assessed | |||||||||
| encounter | SΣ | 0..1 | Reference(CPGEncounter) | Encounter created as part of | SΣ | 0..1 | Reference(CPG Encounter) | Encounter created as part of | |||||||||
| effective[x] | SΣ | 0..1 | dateTime, Period | Time of assessment | SΣ | 0..1 | dateTime, Period | Time of assessment | |||||||||
| date | SΣ | 0..1 | dateTime | When the assessment was documented | SΣ | 0..1 | dateTime | When the assessment was documented | |||||||||
| assessor | SΣ | 0..1 | Reference(CPGPractitioner | CPGPractitionerRole) | The clinician performing the assessment | SΣ | 0..1 | Reference(CPG Practitioner | CPG Practitioner Role) | The clinician performing the assessment | |||||||||
| previous | 0..1 | Reference(ClinicalImpression) | Reference to last assessment | 0..1 | Reference(ClinicalImpression) | Reference to last assessment | |||||||||||
| problem | Σ | 0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | Σ | 0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | |||||||||
 investigation | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| code | 1..1 | CodeableConcept | A name/code for the set Binding: ?? (example): A name/code for a set of investigations. | 1..1 | CodeableConcept | A name/code for the set Binding: ?? (example): A name/code for a set of investigations. | |||||||||||
| item | 0..* | Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) | Record of a specific investigation | 0..* | Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) | Record of a specific investigation | |||||||||||
| protocol | S | 0..* | uri | Clinical Protocol followed | S | 0..* | uri | Clinical Protocol followed | |||||||||
| summary | 0..1 | string | Summary of the assessment | 0..1 | string | Summary of the assessment | |||||||||||
| finding | 0..* | BackboneElement | Possible or likely findings and diagnoses | 0..* | BackboneElement | Possible or likely findings and diagnoses | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| itemCodeableConcept | 0..1 | CodeableConcept | What was found Binding: ?? (example): Identification of the Condition or diagnosis. | 0..1 | CodeableConcept | What was found Binding: ?? (example): Identification of the Condition or diagnosis. | |||||||||||
| itemReference | 0..1 | Reference(Condition | Observation | Media) | What was found | 0..1 | Reference(Condition | Observation | Media) | What was found | |||||||||||
| basis | 0..1 | string | Which investigations support finding | 0..1 | string | Which investigations support finding | |||||||||||
| prognosisCodeableConcept | 0..* | CodeableConcept | Estimate of likely outcome Binding: ?? (example): Prognosis or outlook findings. | 0..* | CodeableConcept | Estimate of likely outcome Binding: ?? (example): Prognosis or outlook findings. | |||||||||||
| prognosisReference | 0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | 0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | |||||||||||
| supportingInfo | 0..* | Reference(Resource) | Information supporting the clinical impression | 0..* | Reference(Resource) | Information supporting the clinical impression | |||||||||||
| note | 0..* | Annotation | Comments made about the ClinicalImpression | 0..* | Annotation | Comments made about the ClinicalImpression | |||||||||||
| Documentation for this format | |||||||||||||||||