profile-ClinicalImpression
type: StructureDefinition
node role: treeRoot
id:
  v: profile-ClinicalImpression
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition profile-ClinicalImpression Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:statusReason 0..1 CodeableConcept R4: Reason for current status (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.statusReason #xD; extension:supportingInfo 0..* Reference(Cross-version Profile for R4.Resource for use in FHIR STU3(0.1.0) | Resource) R4: Information supporting the clinical impression (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.supportingInfo #xD; assessor #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:assessor 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: assessor additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; investigation #xD; item #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:item 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: item URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; finding #xD; itemReference #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:alternateReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: itemReference URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r4.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
url:
  v: http://hl7.org/fhir/4.0/StructureDefinition/profile-ClinicalImpression
  l: profile-ClinicalImpression
version:
  v: 0.1.0
name:
  v: Profile_R4_ClinicalImpression_R3
title:
  v: Cross-version Profile for R4.ClinicalImpression for use in FHIR STU3
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:03:29.6239412-05:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version profile allows R4 ClinicalImpression content to be represented via FHIR STU3 ClinicalImpression resources.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/w5
    l: w5
  name:
    v: W5 Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: ClinicalImpression
base definition:
  v: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
  l: ClinicalImpression
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: ClinicalImpression
    path:
      v: ClinicalImpression
    short:
      v: A clinical assessment performed when planning treatments and management strategies for a patient
    definition:
      v: 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.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: ClinicalImpression
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
      expression:
        v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
      xpath:
        v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: v2
map:
  v: Partial mapping for problem evaluation

identity:
  v: w5
map:
  v: clinical.general

id:
  v: ClinicalImpression.id
path:
  v: ClinicalImpression.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
is summary:
  v: true

id:
  v: ClinicalImpression.meta
path:
  v: ClinicalImpression.meta
short:
  v: Metadata about the resource
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
is summary:
  v: true

id:
  v: ClinicalImpression.implicitRules
path:
  v: ClinicalImpression.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: ClinicalImpression.language
path:
  v: ClinicalImpression.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Reference
      l: 3.0
      l: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: ClinicalImpression.text
path:
  v: ClinicalImpression.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: ClinicalImpression.contained
path:
  v: ClinicalImpression.contained
short:
  v: Contained, inline Resources
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.extension
path:
  v: ClinicalImpression.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: ClinicalImpression.extension:statusReason
path:
  v: ClinicalImpression.extension
slice name:
  v: statusReason
short:
  v: R4: Reason for current status (new)
definition:
  v: R4: `ClinicalImpression.statusReason` (new:CodeableConcept)
comment:
  v: Element `ClinicalImpression.statusReason` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.statusReason` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "not-done", "suspended" or "cancelled". [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.statusReason|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.statusReason
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: ClinicalImpression.extension:supportingInfo
path:
  v: ClinicalImpression.extension
slice name:
  v: supportingInfo
short:
  v: R4: Information supporting the clinical impression (new)
definition:
  v: R4: `ClinicalImpression.supportingInfo` (new:Reference(Resource))
comment:
  v: Element `ClinicalImpression.supportingInfo` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.supportingInfo` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.supportingInfo|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.supportingInfo
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: ClinicalImpression.modifierExtension
path:
  v: ClinicalImpression.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.identifier
path:
  v: ClinicalImpression.identifier
short:
  v: Business identifier
definition:
  v: A unique identifier assigned to the clinical impression that remains consistent regardless of what server the impression is stored on.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: w5
  map:
    v: id

id:
  v: ClinicalImpression.status
path:
  v: ClinicalImpression.status
short:
  v: draft | completed | entered-in-error
definition:
  v: Identifies the workflow status of the assessment.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalImpression.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalImpressionStatus
  strength:
    v: required
  description:
    v: The workflow state of a clinical impression.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/clinical-impression-status|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: PRB-14
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: ClinicalImpression.code
path:
  v: ClinicalImpression.code
short:
  v: Kind of assessment performed
definition:
  v: Categorizes the type of clinical assessment performed.
comment:
  v: This is present as a place-holder only and may be removed based on feedback/work group opinion.
alias:
  v: type
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalImpressionCode
  strength:
    v: example
  description:
    v: Identifies categories of clinical impressions. This is a place-holder only. It may be removed
mapping:
  identity:
    v: w5
  map:
    v: what

id:
  v: ClinicalImpression.description
path:
  v: ClinicalImpression.description
short:
  v: Why/how the assessment was performed
definition:
  v: A summary of the context and/or cause of the assessment - why / where was it performed, and what patient events/status prompted it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true

id:
  v: ClinicalImpression.subject
path:
  v: ClinicalImpression.subject
short:
  v: Patient or group assessed
definition:
  v: The patient or group of individuals assessed as part of this record.
requirements:
  v: Group is typically for veterinary and/or public health purposes.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalImpression.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: w5
  map:
    v: who.focus

id:
  v: ClinicalImpression.context
path:
  v: ClinicalImpression.context
short:
  v: Encounter or Episode created from
definition:
  v: The encounter or episode of care this impression was created as part of.
alias:
  v: encounter
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.context
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    l: Encounter
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
    l: EpisodeOfCare
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: context

id:
  v: ClinicalImpression.effective[x]
path:
  v: ClinicalImpression.effective[x]
short:
  v: Time of assessment
definition:
  v: The point in time or period over which the subject was assessed.
comment:
  v: This SHOULD be accurate to at least the minute, though some assessments only have a known date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: PRB-2
mapping:
  identity:
    v: w5
  map:
    v: when.done

id:
  v: ClinicalImpression.date
path:
  v: ClinicalImpression.date
short:
  v: When the assessment was documented
definition:
  v: Indicates when the documentation of the assessment was complete.
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  v: 0
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    v: ClinicalImpression.date
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type:
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    v: dateTime
    l: dateTime
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: when.recorded

id:
  v: ClinicalImpression.assessor
path:
  v: ClinicalImpression.assessor
short:
  v: The clinician performing the assessment
definition:
  v: The clinician performing the assessment.
min:
  v: 0
max:
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    v: ClinicalImpression.assessor
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type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: ROL-4
mapping:
  identity:
    v: w5
  map:
    v: who.author

id:
  v: ClinicalImpression.assessor.id
path:
  v: ClinicalImpression.assessor.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
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type:
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    v: string
    l: string
mapping:
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  map:
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id:
  v: ClinicalImpression.assessor.extension
path:
  v: ClinicalImpression.assessor.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
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    v: Extension
    l: Extension

id:
  v: ClinicalImpression.assessor.extension:assessor
path:
  v: ClinicalImpression.assessor.extension
slice name:
  v: assessor
short:
  v: R4: assessor additional types
definition:
  v: R4: `ClinicalImpression.assessor` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `ClinicalImpression.assessor` is mapped to FHIR STU3 element `ClinicalImpression.assessor` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.assessor` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `ClinicalImpression.assessor` with unmapped reference targets: PractitionerRole.
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  v: 0
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  v: 1
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  path:
    v: Element.extension
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    v: 0
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    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: ClinicalImpression.assessor.reference
path:
  v: ClinicalImpression.assessor.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
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  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.assessor.identifier
path:
  v: ClinicalImpression.assessor.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: ClinicalImpression.assessor.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: ClinicalImpression.assessor.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
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    v: 0
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    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.previous
path:
  v: ClinicalImpression.previous
short:
  v: Reference to last assessment
definition:
  v: 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.
comment:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.previous
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
    l: ClinicalImpression

id:
  v: ClinicalImpression.problem
path:
  v: ClinicalImpression.problem
short:
  v: Relevant impressions of patient state
definition:
  v: This a list of the relevant problems/conditions for a patient.
comment:
  v: e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.problem
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    v: 0
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    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
    l: AllergyIntolerance
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: PRB-3 / IAM-7
mapping:
  identity:
    v: w5
  map:
    v: why

id:
  v: ClinicalImpression.investigation
path:
  v: ClinicalImpression.investigation
short:
  v: One or more sets of investigations (signs, symptions, etc.)
definition:
  v: 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.
min:
  v: 0
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  v: *
base:
  path:
    v: ClinicalImpression.investigation
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    v: 0
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    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: ClinicalImpression.investigation.id
path:
  v: ClinicalImpression.investigation.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
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    v: 0
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    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalImpression.investigation.extension
path:
  v: ClinicalImpression.investigation.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
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  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalImpression.investigation.modifierExtension
path:
  v: ClinicalImpression.investigation.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
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  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.investigation.code
path:
  v: ClinicalImpression.investigation.code
short:
  v: A name/code for the set
definition:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalImpression.investigation.code
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    v: 1
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    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: InvestigationGroupType
  strength:
    v: example
  description:
    v: A name/code for a set of investigations.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/investigation-sets|3.0.2

id:
  v: ClinicalImpression.investigation.item
path:
  v: ClinicalImpression.investigation.item
short:
  v: Record of a specific investigation
definition:
  v: A record of a specific investigation that was undertaken.
comment:
  v: Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used.
min:
  v: 0
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  v: *
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type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse
    l: QuestionnaireResponse
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory
    l: FamilyMemberHistory
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
    l: DiagnosticReport
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RiskAssessment
    l: RiskAssessment
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImagingStudy
    l: ImagingStudy
mapping:
  identity:
    v: v2
  map:
    v: OBX-21

id:
  v: ClinicalImpression.investigation.item.id
path:
  v: ClinicalImpression.investigation.item.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
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    v: 0
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    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
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    v: n/a

id:
  v: ClinicalImpression.investigation.item.extension
path:
  v: ClinicalImpression.investigation.item.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
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    v: 0
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type:
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    v: Extension
    l: Extension

id:
  v: ClinicalImpression.investigation.item.extension:item
path:
  v: ClinicalImpression.investigation.item.extension
slice name:
  v: item
short:
  v: R4: item
definition:
  v: R4: `ClinicalImpression.investigation.item`
comment:
  v: Element `ClinicalImpression.investigation.item` is mapped to FHIR STU3 element `ClinicalImpression.investigation.item` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `ClinicalImpression.investigation.item` with unmapped reference targets: Media. Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used.
min:
  v: 0
max:
  v: *
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  path:
    v: Element.extension
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: ClinicalImpression.investigation.item.reference
path:
  v: ClinicalImpression.investigation.item.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.investigation.item.identifier
path:
  v: ClinicalImpression.investigation.item.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: ClinicalImpression.investigation.item.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: ClinicalImpression.investigation.item.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.protocol
path:
  v: ClinicalImpression.protocol
short:
  v: Clinical Protocol followed
definition:
  v: Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.protocol
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: uri
    l: uri

id:
  v: ClinicalImpression.summary
path:
  v: ClinicalImpression.summary
short:
  v: Summary of the assessment
definition:
  v: A text summary of the investigations and the diagnosis.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.summary
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: v2
  map:
    v: OBX

id:
  v: ClinicalImpression.finding
path:
  v: ClinicalImpression.finding
short:
  v: Possible or likely findings and diagnoses
definition:
  v: Specific findings or diagnoses that was considered likely or relevant to ongoing treatment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.finding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: ClinicalImpression.finding.id
path:
  v: ClinicalImpression.finding.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalImpression.finding.extension
path:
  v: ClinicalImpression.finding.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
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type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalImpression.finding.modifierExtension
path:
  v: ClinicalImpression.finding.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
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    v: BackboneElement.modifierExtension
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  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.finding.item[x]
path:
  v: ClinicalImpression.finding.item[x]
short:
  v: What was found
definition:
  v: Specific text, code or reference for finding or diagnosis, which may include ruled-out or resolved conditions.
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  code:
    v: CodeableConcept
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type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConditionKind
  strength:
    v: example
  description:
    v: Identification of the Condition or diagnosis.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/condition-code|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: OBX

id:
  v: ClinicalImpression.finding.item[x].id
path:
  v: ClinicalImpression.finding.item[x].id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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    v: string
    l: string
mapping:
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    v: rim
  map:
    v: n/a

id:
  v: ClinicalImpression.finding.item[x].extension
path:
  v: ClinicalImpression.finding.item[x].extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
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    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
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id:
  v: ClinicalImpression.finding.item[x].extension:alternateReference
path:
  v: ClinicalImpression.finding.item[x].extension
slice name:
  v: alternateReference
short:
  v: R4: itemReference
definition:
  v: R4: `ClinicalImpression.finding.itemReference`
comment:
  v: Element `ClinicalImpression.finding.itemReference` is mapped to FHIR STU3 element `ClinicalImpression.finding.item[x]` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `ClinicalImpression.finding.itemReference` with unmapped reference targets: Media. Source element `ClinicalImpression.finding.itemReference` has unmapped reference types. While the target element `ClinicalImpression.finding.item[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
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  v: 0
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    v: Element.extension
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type:
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    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: ClinicalImpression.finding.basis
path:
  v: ClinicalImpression.finding.basis
short:
  v: Which investigations support finding
definition:
  v: Which investigations support finding or diagnosis.
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type:
  code:
    v: string
    l: string

id:
  v: ClinicalImpression.prognosisCodeableConcept
path:
  v: ClinicalImpression.prognosisCodeableConcept
short:
  v: Estimate of likely outcome
definition:
  v: Estimate of likely outcome.
min:
  v: 0
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  v: *
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  path:
    v: ClinicalImpression.prognosisCodeableConcept
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    v: 0
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    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalImpressionPrognosis
  strength:
    v: example
  description:
    v: Prognosis or outlook findings
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: PRB-22

id:
  v: ClinicalImpression.prognosisReference
path:
  v: ClinicalImpression.prognosisReference
short:
  v: RiskAssessment expressing likely outcome
definition:
  v: RiskAssessment expressing likely outcome.
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  v: 0
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base:
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    v: ClinicalImpression.prognosisReference
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type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RiskAssessment
    l: RiskAssessment

id:
  v: ClinicalImpression.action
path:
  v: ClinicalImpression.action
short:
  v: Action taken as part of assessment procedure
definition:
  v: Action taken as part of assessment procedure.
comment:
  v: Actions recommended as a result of the impression should not be captured using the 'action' element.
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  v: 0
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base:
  path:
    v: ClinicalImpression.action
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    v: 0
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type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ReferralRequest
    l: ReferralRequest
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ProcedureRequest
    l: ProcedureRequest
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure
    l: Procedure
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    l: MedicationRequest
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Appointment
    l: Appointment

id:
  v: ClinicalImpression.note
path:
  v: ClinicalImpression.note
short:
  v: Comments made about the ClinicalImpression
definition:
  v: Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.
comment:
  v: Don't use this element for content that should more properly appear as one of the specific elements of the impression.
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    v: ClinicalImpression.note
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type:
  code:
    v: Annotation
    l: Annotation

element:
  id:
    v: ClinicalImpression
  path:
    v: ClinicalImpression
element:
  id:
    v: ClinicalImpression.extension
  path:
    v: ClinicalImpression.extension
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      type:
        v: value
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        v: url
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      v: false
    rules:
      v: open
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element:
  id:
    v: ClinicalImpression.extension:statusReason
  path:
    v: ClinicalImpression.extension
  slice name:
    v: statusReason
  short:
    v: R4: Reason for current status (new)
  definition:
    v: R4: `ClinicalImpression.statusReason` (new:CodeableConcept)
  comment:
    v: Element `ClinicalImpression.statusReason` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.statusReason` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "not-done", "suspended" or "cancelled". [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].
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    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.statusReason|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.statusReason
element:
  id:
    v: ClinicalImpression.extension:supportingInfo
  path:
    v: ClinicalImpression.extension
  slice name:
    v: supportingInfo
  short:
    v: R4: Information supporting the clinical impression (new)
  definition:
    v: R4: `ClinicalImpression.supportingInfo` (new:Reference(Resource))
  comment:
    v: Element `ClinicalImpression.supportingInfo` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.supportingInfo` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    code:
      v: Extension
      l: Extension
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      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.supportingInfo|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-ClinicalImpression.supportingInfo
element:
  id:
    v: ClinicalImpression.assessor.extension
  path:
    v: ClinicalImpression.assessor.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
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      v: false
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      v: open
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element:
  id:
    v: ClinicalImpression.assessor.extension:assessor
  path:
    v: ClinicalImpression.assessor.extension
  slice name:
    v: assessor
  short:
    v: R4: assessor additional types
  definition:
    v: R4: `ClinicalImpression.assessor` additional types from child elements (display, identifier, reference, type)
  comment:
    v: Element `ClinicalImpression.assessor` is mapped to FHIR STU3 element `ClinicalImpression.assessor` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.assessor` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `ClinicalImpression.assessor` with unmapped reference targets: PractitionerRole.
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    code:
      v: Extension
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    profile:
      v: http://hl7.org/fhir/StructureDefinition/alternate-reference
      l: alternate-reference
element:
  id:
    v: ClinicalImpression.investigation.item.extension
  path:
    v: ClinicalImpression.investigation.item.extension
  slicing:
    discriminator:
      type:
        v: value
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      v: false
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      v: open
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    v: ClinicalImpression.investigation.item.extension:item
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    v: ClinicalImpression.investigation.item.extension
  slice name:
    v: item
  short:
    v: R4: item
  definition:
    v: R4: `ClinicalImpression.investigation.item`
  comment:
    v: Element `ClinicalImpression.investigation.item` is mapped to FHIR STU3 element `ClinicalImpression.investigation.item` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `ClinicalImpression.investigation.item` with unmapped reference targets: Media. Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used.
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element:
  id:
    v: ClinicalImpression.finding.itemReference.extension
  path:
    v: ClinicalImpression.finding.itemReference.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
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      v: false
    rules:
      v: open

v: 0

v: *

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short:
  v: R4: itemReference
definition:
  v: R4: `ClinicalImpression.finding.itemReference`
comment:
  v: Element `ClinicalImpression.finding.itemReference` is mapped to FHIR STU3 element `ClinicalImpression.finding.item[x]` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `ClinicalImpression.finding.itemReference` with unmapped reference targets: Media. Source element `ClinicalImpression.finding.itemReference` has unmapped reference types. While the target element `ClinicalImpression.finding.item[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
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