Generated Narrative: ConceptMap R3-ClinicalImpression-element-map-to-R4B Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.3 Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to ClinicalImpressionversion: 4.3.0) Source Concept Details Relationship Target Concept Details Comment Codes from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 Codes from ClinicalImpression ClinicalImpression.meta meta maps to wider concept ClinicalImpression.meta ClinicalImpression.meta Element `ClinicalImpression.meta` is mapped to FHIR R4B element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.meta` do not cover the following types: Meta. The mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. ClinicalImpression.implicitRules implicitRules is equivalent to ClinicalImpression.implicitRules ClinicalImpression.implicitRules Element `ClinicalImpression.implicitRules` is mapped to FHIR R4B element `ClinicalImpression.implicitRules` as `Equivalent`. 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. ClinicalImpression.language language is equivalent to ClinicalImpression.language ClinicalImpression.language Element `ClinicalImpression.language` is mapped to FHIR R4B element `ClinicalImpression.language` as `Equivalent`. 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 Not 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). ClinicalImpression.text text maps to wider concept ClinicalImpression.text ClinicalImpression.text Element `ClinicalImpression.text` is mapped to FHIR R4B element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.text` do not cover the following types: Narrative. The mappings for `ClinicalImpression.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. ClinicalImpression.contained contained is equivalent to ClinicalImpression.contained ClinicalImpression.contained Element `ClinicalImpression.contained` is mapped to FHIR R4B element `ClinicalImpression.contained` as `SourceIsBroaderThanTarget`. 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. ClinicalImpression.identifier identifier maps to wider concept ClinicalImpression.identifier ClinicalImpression.identifier Element `ClinicalImpression.identifier` is mapped to FHIR R4B element `ClinicalImpression.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.identifier` do not cover the following types: Identifier. The mappings for `ClinicalImpression.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. ClinicalImpression.status status is equivalent to ClinicalImpression.status ClinicalImpression.status Element `ClinicalImpression.status` is mapped to FHIR R4B element `ClinicalImpression.status` as `Equivalent`. This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid. ClinicalImpression.code code is equivalent to ClinicalImpression.code ClinicalImpression.code Element `ClinicalImpression.code` is mapped to FHIR R4B element `ClinicalImpression.code` as `Equivalent`. This is present as a place-holder only and may be removed based on feedback/work group opinion. ClinicalImpression.description description is equivalent to ClinicalImpression.description ClinicalImpression.description Element `ClinicalImpression.description` is mapped to FHIR R4B element `ClinicalImpression.description` as `Equivalent`. ClinicalImpression.subject subject maps to wider concept ClinicalImpression.subject ClinicalImpression.subject Element `ClinicalImpression.subject` is mapped to FHIR R4B element `ClinicalImpression.subject` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.subject` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.subject` with unmapped reference targets: Group, Patient. ClinicalImpression.context context maps to wider concept ClinicalImpression.encounter ClinicalImpression.encounter Element `ClinicalImpression.context` is mapped to FHIR R4B element `ClinicalImpression.encounter` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.context` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.context` with unmapped reference targets: Encounter, EpisodeOfCare. ClinicalImpression.effective[x] effective[x] is equivalent to ClinicalImpression.effective[x] ClinicalImpression.effective[x] Element `ClinicalImpression.effective[x]` is mapped to FHIR R4B element `ClinicalImpression.effective[x]` as `SourceIsBroaderThanTarget`. The target context `ClinicalImpression.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClinicalImpression`. This SHOULD be accurate to at least the minute, though some assessments only have a known date. ClinicalImpression.date date is equivalent to ClinicalImpression.date ClinicalImpression.date Element `ClinicalImpression.date` is mapped to FHIR R4B element `ClinicalImpression.date` as `Equivalent`. ClinicalImpression.assessor assessor maps to wider concept ClinicalImpression.assessor ClinicalImpression.assessor Element `ClinicalImpression.assessor` is mapped to FHIR R4B element `ClinicalImpression.assessor` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.assessor` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.assessor` with unmapped reference targets: Practitioner. ClinicalImpression.previous previous maps to wider concept ClinicalImpression.previous ClinicalImpression.previous Element `ClinicalImpression.previous` is mapped to FHIR R4B element `ClinicalImpression.previous` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.previous` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.previous` with unmapped reference targets: ClinicalImpression. 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). ClinicalImpression.problem problem maps to wider concept ClinicalImpression.problem ClinicalImpression.problem Element `ClinicalImpression.problem` is mapped to FHIR R4B element `ClinicalImpression.problem` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.problem` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.problem` with unmapped reference targets: AllergyIntolerance, Condition. e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin. ClinicalImpression.investigation investigation maps to wider concept ClinicalImpression.investigation ClinicalImpression.investigation Element `ClinicalImpression.investigation` is mapped to FHIR R4B element `ClinicalImpression.investigation` as `Equivalent`. ClinicalImpression.investigation.code code is equivalent to ClinicalImpression.investigation.code ClinicalImpression.investigation.code Element `ClinicalImpression.investigation.code` is mapped to FHIR R4B element `ClinicalImpression.investigation.code` as `Equivalent`. ClinicalImpression.investigation.item item maps to wider concept ClinicalImpression.investigation.item ClinicalImpression.investigation.item Element `ClinicalImpression.investigation.item` is mapped to FHIR R4B element `ClinicalImpression.investigation.item` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.investigation.item` with unmapped reference targets: DiagnosticReport, FamilyMemberHistory, ImagingStudy, Observation, QuestionnaireResponse, RiskAssessment. Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used. ClinicalImpression.protocol protocol is equivalent to ClinicalImpression.protocol ClinicalImpression.protocol Element `ClinicalImpression.protocol` is mapped to FHIR R4B element `ClinicalImpression.protocol` as `Equivalent`. ClinicalImpression.summary summary is equivalent to ClinicalImpression.summary ClinicalImpression.summary Element `ClinicalImpression.summary` is mapped to FHIR R4B element `ClinicalImpression.summary` as `Equivalent`. ClinicalImpression.finding finding maps to wider concept ClinicalImpression.finding ClinicalImpression.finding Element `ClinicalImpression.finding` is mapped to FHIR R4B element `ClinicalImpression.finding` as `Equivalent`. ClinicalImpression.finding.item[x] item[x] is related to ClinicalImpression.finding.itemCodeableConcept ClinicalImpression.finding.itemCodeableConcept Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemCodeableConcept` as `SourceIsBroaderThanTarget`. Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.finding.item[x]` with unmapped reference targets: Condition, Observation. is related to ClinicalImpression.finding.itemReference ClinicalImpression.finding.itemReference Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemCodeableConcept` as `SourceIsBroaderThanTarget`. Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.finding.item[x]` with unmapped reference targets: Condition, Observation. ClinicalImpression.finding.basis basis is equivalent to ClinicalImpression.finding.basis ClinicalImpression.finding.basis Element `ClinicalImpression.finding.basis` is mapped to FHIR R4B element `ClinicalImpression.finding.basis` as `Equivalent`. ClinicalImpression.prognosisCodeableConcept prognosisCodeableConcept is equivalent to ClinicalImpression.prognosisCodeableConcept ClinicalImpression.prognosisCodeableConcept Element `ClinicalImpression.prognosisCodeableConcept` is mapped to FHIR R4B element `ClinicalImpression.prognosisCodeableConcept` as `Equivalent`. ClinicalImpression.prognosisReference prognosisReference maps to wider concept ClinicalImpression.prognosisReference ClinicalImpression.prognosisReference Element `ClinicalImpression.prognosisReference` is mapped to FHIR R4B element `ClinicalImpression.prognosisReference` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.prognosisReference` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.prognosisReference` with unmapped reference targets: RiskAssessment. ClinicalImpression.note note maps to wider concept ClinicalImpression.note ClinicalImpression.note Element `ClinicalImpression.note` is mapped to FHIR R4B element `ClinicalImpression.note` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.note` do not cover the following types: Annotation. The mappings for `ClinicalImpression.note` do not cover the following types based on type expansion: author[x], text, time. Don't use this element for content that should more properly appear as one of the specific elements of the impression. Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: meta additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClinicalImpression.meta (meta) is equivalent to Extension (STU3: meta additional types) Element `ClinicalImpression.meta` is mapped to FHIR R4B element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.meta` do not cover the following types: Meta. The mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: text additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClinicalImpression.text (text) is equivalent to Extension (STU3: text additional types) Element `ClinicalImpression.text` is mapped to FHIR R4B element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.text` do not cover the following types: Narrative. The mappings for `ClinicalImpression.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: identifier additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClinicalImpression.identifier (identifier) is equivalent to Extension (STU3: identifier additional types) Element `ClinicalImpression.identifier` is mapped to FHIR R4B element `ClinicalImpression.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.identifier` do not cover the following types: Identifier. The mappings for `ClinicalImpression.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: Action taken as part of assessment procedure (new)version: 0.1.0) Source Code Relationship Target Code Comment ClinicalImpression.action (action) is equivalent to Extension (STU3: Action taken as part of assessment procedure (new)) Element `ClinicalImpression.action` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.action` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Actions recommended as a result of the impression should not be captured using the 'action' element. Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: note additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClinicalImpression.note (note) is equivalent to Extension (STU3: note additional types) Element `ClinicalImpression.note` is mapped to FHIR R4B element `ClinicalImpression.note` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.note` do not cover the following types: Annotation. The mappings for `ClinicalImpression.note` do not cover the following types based on type expansion: author[x], text, time. Don't use this element for content that should more properly appear as one of the specific elements of the impression.
Cross-version mapping for FHIR STU3 ClinicalImpression to FHIR R4B ClinicalImpression
This ConceptMap represents cross-version mappings for elements from a FHIR STU3 ClinicalImpression to FHIR R4B.
Element `ClinicalImpression.meta` is mapped to FHIR R4B element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.meta` do not cover the following types: Meta. The mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
Element `ClinicalImpression.implicitRules` is mapped to FHIR R4B element `ClinicalImpression.implicitRules` as `Equivalent`. 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Element `ClinicalImpression.language` is mapped to FHIR R4B element `ClinicalImpression.language` as `Equivalent`. 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 Not 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).
Element `ClinicalImpression.text` is mapped to FHIR R4B element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.text` do not cover the following types: Narrative. The mappings for `ClinicalImpression.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
Element `ClinicalImpression.contained` is mapped to FHIR R4B element `ClinicalImpression.contained` as `SourceIsBroaderThanTarget`. 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.
Element `ClinicalImpression.identifier` is mapped to FHIR R4B element `ClinicalImpression.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.identifier` do not cover the following types: Identifier. The mappings for `ClinicalImpression.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
Element `ClinicalImpression.status` is mapped to FHIR R4B element `ClinicalImpression.status` as `Equivalent`. This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid.
Element `ClinicalImpression.code` is mapped to FHIR R4B element `ClinicalImpression.code` as `Equivalent`. This is present as a place-holder only and may be removed based on feedback/work group opinion.
Element `ClinicalImpression.description` is mapped to FHIR R4B element `ClinicalImpression.description` as `Equivalent`.
Element `ClinicalImpression.subject` is mapped to FHIR R4B element `ClinicalImpression.subject` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.subject` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.subject` with unmapped reference targets: Group, Patient.
Element `ClinicalImpression.context` is mapped to FHIR R4B element `ClinicalImpression.encounter` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.context` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.context` with unmapped reference targets: Encounter, EpisodeOfCare.
Element `ClinicalImpression.effective[x]` is mapped to FHIR R4B element `ClinicalImpression.effective[x]` as `SourceIsBroaderThanTarget`. The target context `ClinicalImpression.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClinicalImpression`. This SHOULD be accurate to at least the minute, though some assessments only have a known date.
Element `ClinicalImpression.date` is mapped to FHIR R4B element `ClinicalImpression.date` as `Equivalent`.
Element `ClinicalImpression.assessor` is mapped to FHIR R4B element `ClinicalImpression.assessor` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.assessor` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.assessor` with unmapped reference targets: Practitioner.
Element `ClinicalImpression.previous` is mapped to FHIR R4B element `ClinicalImpression.previous` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.previous` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.previous` with unmapped reference targets: ClinicalImpression. 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).
Element `ClinicalImpression.problem` is mapped to FHIR R4B element `ClinicalImpression.problem` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.problem` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.problem` with unmapped reference targets: AllergyIntolerance, Condition. e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin.
Element `ClinicalImpression.investigation` is mapped to FHIR R4B element `ClinicalImpression.investigation` as `Equivalent`.
Element `ClinicalImpression.investigation.code` is mapped to FHIR R4B element `ClinicalImpression.investigation.code` as `Equivalent`.
Element `ClinicalImpression.investigation.item` is mapped to FHIR R4B element `ClinicalImpression.investigation.item` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.investigation.item` with unmapped reference targets: DiagnosticReport, FamilyMemberHistory, ImagingStudy, Observation, QuestionnaireResponse, RiskAssessment. Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used.
Element `ClinicalImpression.protocol` is mapped to FHIR R4B element `ClinicalImpression.protocol` as `Equivalent`.
Element `ClinicalImpression.summary` is mapped to FHIR R4B element `ClinicalImpression.summary` as `Equivalent`.
Element `ClinicalImpression.finding` is mapped to FHIR R4B element `ClinicalImpression.finding` as `Equivalent`.
Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemCodeableConcept` as `SourceIsBroaderThanTarget`. Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.finding.item[x]` with unmapped reference targets: Condition, Observation.
Element `ClinicalImpression.finding.basis` is mapped to FHIR R4B element `ClinicalImpression.finding.basis` as `Equivalent`.
Element `ClinicalImpression.prognosisCodeableConcept` is mapped to FHIR R4B element `ClinicalImpression.prognosisCodeableConcept` as `Equivalent`.
Element `ClinicalImpression.prognosisReference` is mapped to FHIR R4B element `ClinicalImpression.prognosisReference` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.prognosisReference` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.prognosisReference` with unmapped reference targets: RiskAssessment.
Element `ClinicalImpression.note` is mapped to FHIR R4B element `ClinicalImpression.note` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.note` do not cover the following types: Annotation. The mappings for `ClinicalImpression.note` do not cover the following types based on type expansion: author[x], text, time. Don't use this element for content that should more properly appear as one of the specific elements of the impression.
Element `ClinicalImpression.action` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.action` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Actions recommended as a result of the impression should not be captured using the 'action' element.