Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/1.0/StructureDefinition/profile-ClinicalImpression | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: Profile_R2_ClinicalImpression_R5 | ||
This cross-version profile allows DSTU2 ClinicalImpression content to be represented via FHIR R5 ClinicalImpression resources.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalImpression.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | ClinicalImpression.implicitRules, ClinicalImpression.extension, ClinicalImpression.extension:trigger, ClinicalImpression.extension:investigations, ClinicalImpression.extension:resolved, ClinicalImpression.extension:ruledOut, ClinicalImpression.extension:prognosis, ClinicalImpression.extension:plan, ClinicalImpression.extension:action, ClinicalImpression.modifierExtension, ClinicalImpression.status, ClinicalImpression.subject, ClinicalImpression.subject.extension, ClinicalImpression.subject.extension:patient, ClinicalImpression.subject.reference | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | ClinicalImpression.extension, ClinicalImpression.extension:trigger, ClinicalImpression.extension:investigations, ClinicalImpression.extension:resolved, ClinicalImpression.extension:ruledOut, ClinicalImpression.extension:prognosis, ClinicalImpression.extension:plan, ClinicalImpression.extension:action, ClinicalImpression.modifierExtension, ClinicalImpression.subject.extension, ClinicalImpression.subject.extension:patient | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ClinicalImpression
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
  ClinicalImpression |
0..* | ClinicalImpression(5.0.0) | A clinical assessment performed when planning treatments and management strategies for a patient | |||||
  id |
Σ | 0..1 | id | Logical id of this artifact | ||||
  meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
 id |
0..1 | id | Unique id for inter-element referencing | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
  extension:meta |
0..1 | Meta | DSTU2: meta additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.meta Constraints: ext-1 | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels  (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
 tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:text |
0..1 | (Complex) | DSTU2: text additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.text Constraints: ext-1 | |||||
| status |
1..1 | code | generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. | |||||
| div |
C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2 | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
 extension:trigger |
0..1 | CodeableConcept, Reference(Cross-version Profile for DSTU2.Resource for use in FHIR R5(0.1.0) | Resource) | DSTU2: Request or event that necessitated this assessment (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.trigger Constraints: ext-1 | |||||
| extension:investigations |
0..* | (Complex) | DSTU2: One or more sets of investigations (signs, symptions, etc.) (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.investigations Constraints: ext-1 | |||||
| extension:resolved |
0..* | CodeableConcept | DSTU2: Diagnoses/conditions resolved since previous assessment (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.resolved Constraints: ext-1 | |||||
| extension:ruledOut |
0..* | (Complex) | DSTU2: Diagnosis considered not possible (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.ruledOut Constraints: ext-1 | |||||
| extension:prognosis |
0..1 | string | DSTU2: Estimate of likely outcome (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.prognosis Constraints: ext-1 | |||||
| extension:plan |
0..* | Reference(Cross-version Profile for DSTU2.CarePlan for use in FHIR R5(0.1.0) | CarePlan | Cross-version Profile for DSTU2.Appointment for use in FHIR R5(0.1.0) | Appointment | Cross-version Profile for DSTU2.CommunicationRequest for use in FHIR R5(0.1.0) | CommunicationRequest | Cross-version Profile for DSTU2.DeviceUseRequest for use in FHIR R5(0.1.0) | DeviceRequest | Cross-version Profile for DSTU2.DiagnosticOrder for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.MedicationOrder for use in FHIR R5(0.1.0) | MedicationRequest | Cross-version Profile for DSTU2.NutritionOrder for use in FHIR R5(0.1.0) | NutritionOrder | Cross-version Profile for DSTU2.Order for use in FHIR R5(0.1.0) | Task | Cross-version Profile for DSTU2.ProcedureRequest for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.ProcessRequest for use in FHIR R5(0.1.0) | Task | Cross-version Profile for DSTU2.ReferralRequest for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.SupplyRequest for use in FHIR R5(0.1.0) | SupplyRequest | Cross-version Profile for DSTU2.VisionPrescription for use in FHIR R5(0.1.0) | VisionPrescription) | DSTU2: Plan of action after assessment (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.plan Constraints: ext-1 | |||||
| extension:action |
0..* | Reference(Cross-version Profile for DSTU2.ReferralRequest for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.ProcedureRequest for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.Procedure for use in FHIR R5(0.1.0) | Procedure | Cross-version Profile for DSTU2.MedicationOrder for use in FHIR R5(0.1.0) | MedicationRequest | Cross-version Profile for DSTU2.DiagnosticOrder for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.NutritionOrder for use in FHIR R5(0.1.0) | NutritionOrder | Cross-version Profile for DSTU2.SupplyRequest for use in FHIR R5(0.1.0) | SupplyRequest | Cross-version Profile for DSTU2.Appointment for use in FHIR R5(0.1.0) | Appointment) | DSTU2: Actions taken during assessment (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.action Constraints: ext-1 | |||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier | ||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The workflow state of a clinical impression. | ||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: ClinicalImpressionStatusReason (example): Codes identifying the reason for the current state of a clinical impression. | |||||
| description |
Σ | 0..1 | string | Why/how the assessment was performed | ||||
 subject |
Σ | 1..1 | Reference(Patient | Group) | Patient or group assessed | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:patient |
0..1 | Reference(Resource) | DSTU2: The patient being assessed additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | The Encounter during which this ClinicalImpression was created | ||||
 effective[x] |
Σ | 0..1 | Time of assessment | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| date |
Σ | 0..1 | dateTime | When the assessment was documented | ||||
| performer |
Σ | 0..1 | Reference(Practitioner | PractitionerRole) | The clinician performing the assessment | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:assessor |
0..1 | Reference(Resource) | DSTU2: assessor additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| previous |
0..1 | Reference(ClinicalImpression) | Reference to last assessment | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:previous |
0..1 | Reference(Resource) | DSTU2: previous additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| problem |
Σ | 0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:problem |
0..1 | Reference(Resource) | DSTU2: General assessment of patient state additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| changePattern |
0..1 | CodeableConcept | Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change Binding: ClinicalImpressionChangePatter (example) | |||||
| protocol |
0..* | uri | Clinical Protocol followed | |||||
| summary |
0..1 | string | Summary of the assessment | |||||
| finding |
0..* | BackboneElement | Possible or likely findings and diagnoses | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:cause |
0..1 | string | DSTU2: Which investigations support finding (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.finding.cause Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| item |
0..1 | CodeableReference(Condition | Observation | DocumentReference) | What was found Binding: ConditionProblemDiagnosisCodes (example): Identification of the Condition or diagnosis. | |||||
| basis |
0..1 | string | Which investigations support finding | |||||
| prognosisCodeableConcept |
0..* | CodeableConcept | Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings. | |||||
| prognosisReference |
0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | |||||
| supportingInfo |
0..* | Reference(Resource) | Information supporting the clinical impression | |||||
| note |
0..* | Annotation | Comments made about the ClinicalImpression | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalImpression.meta.security | Base | extensible |
All Security Labels
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.meta.tag | Base | example | Common Tags | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.text.status | Base | required | NarrativeStatus | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.statusReason | Base | example | ClinicalImpression Status Reason | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.subject.type | Base | extensible |
Resource Types
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.performer.type | Base | extensible |
Resource Types
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.previous.type | Base | extensible |
Resource Types
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.problem.type | Base | extensible |
Resource Types
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.changePattern | Base | example | ClinicalImpression Change Pattern | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.finding.item | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.prognosisCodeableConcept | Base | example | Clinical Impression Prognosis | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | ClinicalImpression.meta, ClinicalImpression.meta.extension, ClinicalImpression.meta.extension:meta, ClinicalImpression.meta.versionId, ClinicalImpression.meta.lastUpdated, ClinicalImpression.meta.source, ClinicalImpression.meta.profile, ClinicalImpression.meta.security, ClinicalImpression.meta.tag, ClinicalImpression.implicitRules, ClinicalImpression.language, ClinicalImpression.text, ClinicalImpression.text.extension, ClinicalImpression.text.extension:text, ClinicalImpression.text.status, ClinicalImpression.text.div, ClinicalImpression.extension, ClinicalImpression.extension:trigger, ClinicalImpression.extension:investigations, ClinicalImpression.extension:resolved, ClinicalImpression.extension:ruledOut, ClinicalImpression.extension:prognosis, ClinicalImpression.extension:plan, ClinicalImpression.extension:action, ClinicalImpression.modifierExtension, ClinicalImpression.identifier, ClinicalImpression.status, ClinicalImpression.statusReason, ClinicalImpression.description, ClinicalImpression.subject, ClinicalImpression.subject.extension, ClinicalImpression.subject.extension:patient, ClinicalImpression.subject.reference, ClinicalImpression.subject.type, ClinicalImpression.subject.identifier, ClinicalImpression.subject.display, ClinicalImpression.encounter, ClinicalImpression.effective[x], ClinicalImpression.date, ClinicalImpression.performer, ClinicalImpression.performer.extension, ClinicalImpression.performer.extension:assessor, ClinicalImpression.performer.reference, ClinicalImpression.performer.type, ClinicalImpression.performer.identifier, ClinicalImpression.performer.display, ClinicalImpression.previous, ClinicalImpression.previous.extension, ClinicalImpression.previous.extension:previous, ClinicalImpression.previous.reference, ClinicalImpression.previous.type, ClinicalImpression.previous.identifier, ClinicalImpression.previous.display, ClinicalImpression.problem, ClinicalImpression.problem.extension, ClinicalImpression.problem.extension:problem, ClinicalImpression.problem.reference, ClinicalImpression.problem.type, ClinicalImpression.problem.identifier, ClinicalImpression.problem.display, ClinicalImpression.changePattern, ClinicalImpression.protocol, ClinicalImpression.summary, ClinicalImpression.finding, ClinicalImpression.finding.extension, ClinicalImpression.finding.extension:cause, ClinicalImpression.finding.modifierExtension, ClinicalImpression.finding.item, ClinicalImpression.finding.basis, ClinicalImpression.prognosisCodeableConcept, ClinicalImpression.prognosisReference, ClinicalImpression.supportingInfo, ClinicalImpression.note | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | ClinicalImpression.meta.extension, ClinicalImpression.meta.extension:meta, ClinicalImpression.text.extension, ClinicalImpression.text.extension:text, ClinicalImpression.extension, ClinicalImpression.extension:trigger, ClinicalImpression.extension:investigations, ClinicalImpression.extension:resolved, ClinicalImpression.extension:ruledOut, ClinicalImpression.extension:prognosis, ClinicalImpression.extension:plan, ClinicalImpression.extension:action, ClinicalImpression.modifierExtension, ClinicalImpression.subject.extension, ClinicalImpression.subject.extension:patient, ClinicalImpression.performer.extension, ClinicalImpression.performer.extension:assessor, ClinicalImpression.previous.extension, ClinicalImpression.previous.extension:previous, ClinicalImpression.problem.extension, ClinicalImpression.problem.extension:problem, ClinicalImpression.finding.extension, ClinicalImpression.finding.extension:cause, ClinicalImpression.finding.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| txt-1 | error | ClinicalImpression.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes |
htmlChecks()
|
| txt-2 | error | ClinicalImpression.text.div | The narrative SHALL have some non-whitespace content |
htmlChecks()
|
This structure is derived from ClinicalImpression
Summary
Extensions
This structure refers to these extensions:
Maturity: 0
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalImpression.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | ClinicalImpression.implicitRules, ClinicalImpression.extension, ClinicalImpression.extension:trigger, ClinicalImpression.extension:investigations, ClinicalImpression.extension:resolved, ClinicalImpression.extension:ruledOut, ClinicalImpression.extension:prognosis, ClinicalImpression.extension:plan, ClinicalImpression.extension:action, ClinicalImpression.modifierExtension, ClinicalImpression.status, ClinicalImpression.subject, ClinicalImpression.subject.extension, ClinicalImpression.subject.extension:patient, ClinicalImpression.subject.reference | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | ClinicalImpression.extension, ClinicalImpression.extension:trigger, ClinicalImpression.extension:investigations, ClinicalImpression.extension:resolved, ClinicalImpression.extension:ruledOut, ClinicalImpression.extension:prognosis, ClinicalImpression.extension:plan, ClinicalImpression.extension:action, ClinicalImpression.modifierExtension, ClinicalImpression.subject.extension, ClinicalImpression.subject.extension:patient | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from ClinicalImpression
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ClinicalImpression |
0..* | ClinicalImpression(5.0.0) | A clinical assessment performed when planning treatments and management strategies for a patient | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:meta |
0..1 | Meta | DSTU2: meta additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.meta Constraints: ext-1 | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:text |
0..1 | (Complex) | DSTU2: text additional types URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.text Constraints: ext-1 | |||||
| status |
1..1 | code | generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. | |||||
| div |
C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2 | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:trigger |
0..1 | CodeableConcept, Reference(Cross-version Profile for DSTU2.Resource for use in FHIR R5(0.1.0) | Resource) | DSTU2: Request or event that necessitated this assessment (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.trigger Constraints: ext-1 | |||||
| extension:investigations |
0..* | (Complex) | DSTU2: One or more sets of investigations (signs, symptions, etc.) (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.investigations Constraints: ext-1 | |||||
| extension:resolved |
0..* | CodeableConcept | DSTU2: Diagnoses/conditions resolved since previous assessment (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.resolved Constraints: ext-1 | |||||
| extension:ruledOut |
0..* | (Complex) | DSTU2: Diagnosis considered not possible (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.ruledOut Constraints: ext-1 | |||||
| extension:prognosis |
0..1 | string | DSTU2: Estimate of likely outcome (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.prognosis Constraints: ext-1 | |||||
| extension:plan |
0..* | Reference(Cross-version Profile for DSTU2.CarePlan for use in FHIR R5(0.1.0) | CarePlan | Cross-version Profile for DSTU2.Appointment for use in FHIR R5(0.1.0) | Appointment | Cross-version Profile for DSTU2.CommunicationRequest for use in FHIR R5(0.1.0) | CommunicationRequest | Cross-version Profile for DSTU2.DeviceUseRequest for use in FHIR R5(0.1.0) | DeviceRequest | Cross-version Profile for DSTU2.DiagnosticOrder for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.MedicationOrder for use in FHIR R5(0.1.0) | MedicationRequest | Cross-version Profile for DSTU2.NutritionOrder for use in FHIR R5(0.1.0) | NutritionOrder | Cross-version Profile for DSTU2.Order for use in FHIR R5(0.1.0) | Task | Cross-version Profile for DSTU2.ProcedureRequest for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.ProcessRequest for use in FHIR R5(0.1.0) | Task | Cross-version Profile for DSTU2.ReferralRequest for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.SupplyRequest for use in FHIR R5(0.1.0) | SupplyRequest | Cross-version Profile for DSTU2.VisionPrescription for use in FHIR R5(0.1.0) | VisionPrescription) | DSTU2: Plan of action after assessment (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.plan Constraints: ext-1 | |||||
| extension:action |
0..* | Reference(Cross-version Profile for DSTU2.ReferralRequest for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.ProcedureRequest for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.Procedure for use in FHIR R5(0.1.0) | Procedure | Cross-version Profile for DSTU2.MedicationOrder for use in FHIR R5(0.1.0) | MedicationRequest | Cross-version Profile for DSTU2.DiagnosticOrder for use in FHIR R5(0.1.0) | ServiceRequest | Cross-version Profile for DSTU2.NutritionOrder for use in FHIR R5(0.1.0) | NutritionOrder | Cross-version Profile for DSTU2.SupplyRequest for use in FHIR R5(0.1.0) | SupplyRequest | Cross-version Profile for DSTU2.Appointment for use in FHIR R5(0.1.0) | Appointment) | DSTU2: Actions taken during assessment (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.action Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier | ||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The workflow state of a clinical impression. | ||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: ClinicalImpressionStatusReason (example): Codes identifying the reason for the current state of a clinical impression. | |||||
| description |
Σ | 0..1 | string | Why/how the assessment was performed | ||||
| subject |
Σ | 1..1 | Reference(Patient | Group) | Patient or group assessed | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:patient |
0..1 | Reference(Resource) | DSTU2: The patient being assessed additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | The Encounter during which this ClinicalImpression was created | ||||
| effective[x] |
Σ | 0..1 | Time of assessment | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| date |
Σ | 0..1 | dateTime | When the assessment was documented | ||||
| performer |
Σ | 0..1 | Reference(Practitioner | PractitionerRole) | The clinician performing the assessment | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:assessor |
0..1 | Reference(Resource) | DSTU2: assessor additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| previous |
0..1 | Reference(ClinicalImpression) | Reference to last assessment | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:previous |
0..1 | Reference(Resource) | DSTU2: previous additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| problem |
Σ | 0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:problem |
0..1 | Reference(Resource) | DSTU2: General assessment of patient state additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| changePattern |
0..1 | CodeableConcept | Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change Binding: ClinicalImpressionChangePatter (example) | |||||
| protocol |
0..* | uri | Clinical Protocol followed | |||||
| summary |
0..1 | string | Summary of the assessment | |||||
| finding |
0..* | BackboneElement | Possible or likely findings and diagnoses | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:cause |
0..1 | string | DSTU2: Which investigations support finding (new) URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.finding.cause Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| item |
0..1 | CodeableReference(Condition | Observation | DocumentReference) | What was found Binding: ConditionProblemDiagnosisCodes (example): Identification of the Condition or diagnosis. | |||||
| basis |
0..1 | string | Which investigations support finding | |||||
| prognosisCodeableConcept |
0..* | CodeableConcept | Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings. | |||||
| prognosisReference |
0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | |||||
| supportingInfo |
0..* | Reference(Resource) | Information supporting the clinical impression | |||||
| note |
0..* | Annotation | Comments made about the ClinicalImpression | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalImpression.meta.security | Base | extensible |
All Security Labels
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.meta.tag | Base | example | Common Tags | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.text.status | Base | required | NarrativeStatus | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.statusReason | Base | example | ClinicalImpression Status Reason | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.subject.type | Base | extensible |
Resource Types
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.performer.type | Base | extensible |
Resource Types
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.previous.type | Base | extensible |
Resource Types
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.problem.type | Base | extensible |
Resource Types
|
📍5.0.0 | tx.fhir.org |
| ClinicalImpression.changePattern | Base | example | ClinicalImpression Change Pattern | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.finding.item | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| ClinicalImpression.prognosisCodeableConcept | Base | example | Clinical Impression Prognosis | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | ClinicalImpression.meta, ClinicalImpression.meta.extension, ClinicalImpression.meta.extension:meta, ClinicalImpression.meta.versionId, ClinicalImpression.meta.lastUpdated, ClinicalImpression.meta.source, ClinicalImpression.meta.profile, ClinicalImpression.meta.security, ClinicalImpression.meta.tag, ClinicalImpression.implicitRules, ClinicalImpression.language, ClinicalImpression.text, ClinicalImpression.text.extension, ClinicalImpression.text.extension:text, ClinicalImpression.text.status, ClinicalImpression.text.div, ClinicalImpression.extension, ClinicalImpression.extension:trigger, ClinicalImpression.extension:investigations, ClinicalImpression.extension:resolved, ClinicalImpression.extension:ruledOut, ClinicalImpression.extension:prognosis, ClinicalImpression.extension:plan, ClinicalImpression.extension:action, ClinicalImpression.modifierExtension, ClinicalImpression.identifier, ClinicalImpression.status, ClinicalImpression.statusReason, ClinicalImpression.description, ClinicalImpression.subject, ClinicalImpression.subject.extension, ClinicalImpression.subject.extension:patient, ClinicalImpression.subject.reference, ClinicalImpression.subject.type, ClinicalImpression.subject.identifier, ClinicalImpression.subject.display, ClinicalImpression.encounter, ClinicalImpression.effective[x], ClinicalImpression.date, ClinicalImpression.performer, ClinicalImpression.performer.extension, ClinicalImpression.performer.extension:assessor, ClinicalImpression.performer.reference, ClinicalImpression.performer.type, ClinicalImpression.performer.identifier, ClinicalImpression.performer.display, ClinicalImpression.previous, ClinicalImpression.previous.extension, ClinicalImpression.previous.extension:previous, ClinicalImpression.previous.reference, ClinicalImpression.previous.type, ClinicalImpression.previous.identifier, ClinicalImpression.previous.display, ClinicalImpression.problem, ClinicalImpression.problem.extension, ClinicalImpression.problem.extension:problem, ClinicalImpression.problem.reference, ClinicalImpression.problem.type, ClinicalImpression.problem.identifier, ClinicalImpression.problem.display, ClinicalImpression.changePattern, ClinicalImpression.protocol, ClinicalImpression.summary, ClinicalImpression.finding, ClinicalImpression.finding.extension, ClinicalImpression.finding.extension:cause, ClinicalImpression.finding.modifierExtension, ClinicalImpression.finding.item, ClinicalImpression.finding.basis, ClinicalImpression.prognosisCodeableConcept, ClinicalImpression.prognosisReference, ClinicalImpression.supportingInfo, ClinicalImpression.note | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | ClinicalImpression.meta.extension, ClinicalImpression.meta.extension:meta, ClinicalImpression.text.extension, ClinicalImpression.text.extension:text, ClinicalImpression.extension, ClinicalImpression.extension:trigger, ClinicalImpression.extension:investigations, ClinicalImpression.extension:resolved, ClinicalImpression.extension:ruledOut, ClinicalImpression.extension:prognosis, ClinicalImpression.extension:plan, ClinicalImpression.extension:action, ClinicalImpression.modifierExtension, ClinicalImpression.subject.extension, ClinicalImpression.subject.extension:patient, ClinicalImpression.performer.extension, ClinicalImpression.performer.extension:assessor, ClinicalImpression.previous.extension, ClinicalImpression.previous.extension:previous, ClinicalImpression.problem.extension, ClinicalImpression.problem.extension:problem, ClinicalImpression.finding.extension, ClinicalImpression.finding.extension:cause, ClinicalImpression.finding.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| txt-1 | error | ClinicalImpression.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes |
htmlChecks()
|
| txt-2 | error | ClinicalImpression.text.div | The narrative SHALL have some non-whitespace content |
htmlChecks()
|
This structure is derived from ClinicalImpression
Summary
Extensions
This structure refers to these extensions:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r2.r5#0.1.0 based on FHIR 5.0.0. Generated 2026-03-20
Links: Table of Contents |
QA Report
| Version History |
|
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