Extensions for Using Data Elements from FHIR R5 in FHIR STU3
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R5 in FHIR STU3 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R5_ClinicalImpression_R3

Official URL: http://hl7.org/fhir/5.0/StructureDefinition/profile-ClinicalImpression Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: Profile_R5_ClinicalImpression_R3

This cross-version profile allows R5 ClinicalImpression content to be represented via FHIR STU3 ClinicalImpression resources.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason 0..1 CodeableConcept R5: Reason for current status (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.statusReason
.... extension:changePattern 0..1 CodeableConcept R5: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.changePattern
.... extension:supportingInfo 0..* Reference(Cross-version Profile for R5.Resource for use in FHIR STU3(0.1.0) | Resource) R5: Information supporting the clinical impression (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.supportingInfo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:status 0..1 code R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.status
Binding: R5EventStatusForR3ClinicalImpressionStatus (0.1.0) (required): The workflow state of a clinical impression.
... subject Σ 1..1 Reference(Patient | Group) Patient or group assessed
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:subject 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: subject additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalImpression.status Base required ClinicalImpressionStatus 📍3.0.2 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-1 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
dom-2 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ClinicalImpression If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4 error ClinicalImpression If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ClinicalImpression

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason 0..1 CodeableConcept R5: Reason for current status (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.statusReason
.... extension:changePattern 0..1 CodeableConcept R5: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.changePattern
.... extension:supportingInfo 0..* Reference(Cross-version Profile for R5.Resource for use in FHIR STU3(0.1.0) | Resource) R5: Information supporting the clinical impression (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.supportingInfo
... status
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:status 0..1 code R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.status
Binding: R5EventStatusForR3ClinicalImpressionStatus (0.1.0) (required): The workflow state of a clinical impression.
... subject
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:subject 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: subject additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:encounter 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: The Encounter during which this ClinicalImpression was created additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... assessor
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: performer additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... previous
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:previous 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: previous additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... problem
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:problem 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: problem additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... finding
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:item 0..1 (Complex) R5: item additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.finding.item
... prognosisReference
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prognosisReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: prognosisReference additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: Common Languages . (extensible): A human language.
Additional BindingsPurpose
All Languages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason 0..1 CodeableConcept R5: Reason for current status (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.statusReason
.... extension:changePattern 0..1 CodeableConcept R5: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.changePattern
.... extension:supportingInfo 0..* Reference(Cross-version Profile for R5.Resource for use in FHIR STU3(0.1.0) | Resource) R5: Information supporting the clinical impression (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.supportingInfo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... status ?!Σ 1..1 code draft | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:status 0..1 code R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.status
Binding: R5EventStatusForR3ClinicalImpressionStatus (0.1.0) (required): The workflow state of a clinical impression.
.... value 0..1 code Primitive value for code
... code Σ 0..1 CodeableConcept Kind of assessment performed
Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed
... description Σ 0..1 string Why/how the assessment was performed
... subject Σ 1..1 Reference(Patient | Group) Patient or group assessed
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:subject 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: subject additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter or Episode created from
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:encounter 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: The Encounter during which this ClinicalImpression was created additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... effective[x] Σ 0..1 Time of assessment
.... effectiveDateTime dateTime
.... effectivePeriod Period
... date Σ 0..1 dateTime When the assessment was documented
... assessor Σ 0..1 Reference(Practitioner) The clinician performing the assessment
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: performer additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... previous 0..1 Reference(ClinicalImpression) Reference to last assessment
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:previous 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: previous additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... problem Σ 0..* Reference(Condition | AllergyIntolerance) Relevant impressions of patient state
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:problem 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: problem additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... investigation 0..* BackboneElement One or more sets of investigations (signs, symptions, etc.)
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code 1..1 CodeableConcept A name/code for the set
Binding: Investigation Type (example): A name/code for a set of investigations.
.... item 0..* Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy) Record of a specific investigation
... protocol 0..* uri Clinical Protocol followed
... summary 0..1 string Summary of the assessment
... finding 0..* BackboneElement Possible or likely findings and diagnoses
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:item 0..1 (Complex) R5: item additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.finding.item
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... item[x] 1..1 What was found
Binding: Condition/Problem/Diagnosis Codes (example): Identification of the Condition or diagnosis.
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Condition | Observation)
.... basis 0..1 string Which investigations support finding
... prognosisCodeableConcept 0..* CodeableConcept Estimate of likely outcome
Binding: Clinical Impression Prognosis (example): Prognosis or outlook findings
... prognosisReference 0..* Reference(RiskAssessment) RiskAssessment expressing likely outcome
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prognosisReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: prognosisReference additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... action 0..* Reference(ReferralRequest | ProcedureRequest | Procedure | MedicationRequest | Appointment) Action taken as part of assessment procedure
... note 0..* Annotation Comments made about the ClinicalImpression

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalImpression.language Base extensible Common Languages . 📍3.0.2 tx.fhir.org
ClinicalImpression.status Base required ClinicalImpressionStatus 📍3.0.2 FHIR Std.
ClinicalImpression.code Base example Not State Unknown
ClinicalImpression.investigation.​code Base example Investigation Type 📍3.0.2 FHIR Std.
ClinicalImpression.finding.​item[x] Base example Condition/Problem/Diagnosis Codes 📍3.0.2 FHIR Std.
ClinicalImpression.prognosisCodeableConcept Base example Clinical Impression Prognosis 📍3.0.2 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-1 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
dom-2 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ClinicalImpression If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4 error ClinicalImpression If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason 0..1 CodeableConcept R5: Reason for current status (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.statusReason
.... extension:changePattern 0..1 CodeableConcept R5: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.changePattern
.... extension:supportingInfo 0..* Reference(Cross-version Profile for R5.Resource for use in FHIR STU3(0.1.0) | Resource) R5: Information supporting the clinical impression (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.supportingInfo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:status 0..1 code R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.status
Binding: R5EventStatusForR3ClinicalImpressionStatus (0.1.0) (required): The workflow state of a clinical impression.
... subject Σ 1..1 Reference(Patient | Group) Patient or group assessed
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:subject 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: subject additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalImpression.status Base required ClinicalImpressionStatus 📍3.0.2 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-1 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
dom-2 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ClinicalImpression If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4 error ClinicalImpression If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from ClinicalImpression

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason 0..1 CodeableConcept R5: Reason for current status (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.statusReason
.... extension:changePattern 0..1 CodeableConcept R5: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.changePattern
.... extension:supportingInfo 0..* Reference(Cross-version Profile for R5.Resource for use in FHIR STU3(0.1.0) | Resource) R5: Information supporting the clinical impression (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.supportingInfo
... status
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:status 0..1 code R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.status
Binding: R5EventStatusForR3ClinicalImpressionStatus (0.1.0) (required): The workflow state of a clinical impression.
... subject
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:subject 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: subject additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:encounter 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: The Encounter during which this ClinicalImpression was created additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... assessor
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: performer additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... previous
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:previous 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: previous additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... problem
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:problem 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: problem additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... finding
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:item 0..1 (Complex) R5: item additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.finding.item
... prognosisReference
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prognosisReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: prognosisReference additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: Common Languages . (extensible): A human language.
Additional BindingsPurpose
All Languages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason 0..1 CodeableConcept R5: Reason for current status (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.statusReason
.... extension:changePattern 0..1 CodeableConcept R5: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.changePattern
.... extension:supportingInfo 0..* Reference(Cross-version Profile for R5.Resource for use in FHIR STU3(0.1.0) | Resource) R5: Information supporting the clinical impression (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.supportingInfo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... status ?!Σ 1..1 code draft | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:status 0..1 code R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.status
Binding: R5EventStatusForR3ClinicalImpressionStatus (0.1.0) (required): The workflow state of a clinical impression.
.... value 0..1 code Primitive value for code
... code Σ 0..1 CodeableConcept Kind of assessment performed
Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed
... description Σ 0..1 string Why/how the assessment was performed
... subject Σ 1..1 Reference(Patient | Group) Patient or group assessed
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:subject 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: subject additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter or Episode created from
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:encounter 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: The Encounter during which this ClinicalImpression was created additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... effective[x] Σ 0..1 Time of assessment
.... effectiveDateTime dateTime
.... effectivePeriod Period
... date Σ 0..1 dateTime When the assessment was documented
... assessor Σ 0..1 Reference(Practitioner) The clinician performing the assessment
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: performer additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... previous 0..1 Reference(ClinicalImpression) Reference to last assessment
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:previous 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: previous additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... problem Σ 0..* Reference(Condition | AllergyIntolerance) Relevant impressions of patient state
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:problem 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: problem additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... investigation 0..* BackboneElement One or more sets of investigations (signs, symptions, etc.)
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code 1..1 CodeableConcept A name/code for the set
Binding: Investigation Type (example): A name/code for a set of investigations.
.... item 0..* Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy) Record of a specific investigation
... protocol 0..* uri Clinical Protocol followed
... summary 0..1 string Summary of the assessment
... finding 0..* BackboneElement Possible or likely findings and diagnoses
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:item 0..1 (Complex) R5: item additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalImpression.finding.item
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... item[x] 1..1 What was found
Binding: Condition/Problem/Diagnosis Codes (example): Identification of the Condition or diagnosis.
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Condition | Observation)
.... basis 0..1 string Which investigations support finding
... prognosisCodeableConcept 0..* CodeableConcept Estimate of likely outcome
Binding: Clinical Impression Prognosis (example): Prognosis or outlook findings
... prognosisReference 0..* Reference(RiskAssessment) RiskAssessment expressing likely outcome
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prognosisReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: prognosisReference additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... action 0..* Reference(ReferralRequest | ProcedureRequest | Procedure | MedicationRequest | Appointment) Action taken as part of assessment procedure
... note 0..* Annotation Comments made about the ClinicalImpression

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalImpression.language Base extensible Common Languages . 📍3.0.2 tx.fhir.org
ClinicalImpression.status Base required ClinicalImpressionStatus 📍3.0.2 FHIR Std.
ClinicalImpression.code Base example Not State Unknown
ClinicalImpression.investigation.​code Base example Investigation Type 📍3.0.2 FHIR Std.
ClinicalImpression.finding.​item[x] Base example Condition/Problem/Diagnosis Codes 📍3.0.2 FHIR Std.
ClinicalImpression.prognosisCodeableConcept Base example Clinical Impression Prognosis 📍3.0.2 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-1 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
dom-2 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ClinicalImpression If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4 error ClinicalImpression If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

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