eHealth Infrastructure
3.1.0 - release

eHealth Infrastructure - Local Development build (v3.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ehealth-clinicalimpression - Detailed Descriptions

Active as of 2024-05-27

Definitions for the ehealth-clinicalimpression resource profile.

Guidance on how to interpret the contents of this table can be found here

0. ClinicalImpression
2. ClinicalImpression.extension
Control1..?
SlicingThis element introduces a set of slices on ClinicalImpression.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
4. ClinicalImpression.extension:assessorOrganization
Slice NameassessorOrganization
Control0..1
TypeExtension(assessor-Organization) (Extension Type: Reference(ehealth-organization)referenced)
6. ClinicalImpression.extension:carePlan
Slice NamecarePlan
Control0..1
TypeExtension(Careplan) (Extension Type: Reference(ehealth-careplan)referenced)
8. ClinicalImpression.extension:decisionContext
Slice NamedecisionContext
Control0..*
TypeExtension(Decision context) (Extension Type: Reference(Parameters)referenced, contained)
10. ClinicalImpression.extension:decision
Slice Namedecision
Control0..*
TypeExtension(Decision) (Extension Type: CodeableConcept)
12. ClinicalImpression.extension:episodeOfCare
Slice NameepisodeOfCare
Control1..1
TypeExtension(Episode of care) (Extension Type: Reference(EpisodeOfCare))
14. ClinicalImpression.extension:findingBasis
Slice NamefindingBasis
Control0..*
TypeExtension(Questionnaire response finding basis) (Complex Extension)
16. ClinicalImpression.code
Control1..?
BindingThe codes SHALL be taken from Clinical Impression Codes
(required to http://ehealth.sundhed.dk/vs/clinicalimpression-codes
18. ClinicalImpression.subject
TypeReference(ehealth-patient)referenced
20. ClinicalImpression.assessor
TypeReference(ehealth-practitioner)referenced
22. ClinicalImpression.previous
TypeReference(ehealth-clinicalimpression)referenced
24. ClinicalImpression.problem
TypeReference(ehealth-condition, AllergyIntolerance)referenced
26. ClinicalImpression.investigation
28. ClinicalImpression.investigation.extension
SlicingThis element introduces a set of slices on ClinicalImpression.investigation.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
30. ClinicalImpression.investigation.extension:viewInvestigationItem
Slice NameviewInvestigationItem
Control0..*
TypeExtension(View investigation item) (Extension Type: Reference(ehealth-view)referenced)
32. ClinicalImpression.investigation.code
BindingFor example codes, see ClinicalImpression Investigation Item Codes
(example to http://ehealth.sundhed.dk/vs/clinicalimpression-investigation-item-codes
34. ClinicalImpression.investigation.item
TypeReference(ehealth-media, ehealth-observation, ehealth-questionnaireresponse, FamilyMemberHistory, DiagnosticReport, RiskAssessment, ImagingStudy)referenced
36. ClinicalImpression.finding
38. ClinicalImpression.finding.itemCodeableConcept
BindingThe codes SHALL be taken from ClinicalImpression Finding Codes
(required to http://ehealth.sundhed.dk/vs/clinicalimpression-finding-codes
40. ClinicalImpression.finding.itemReference
TypeReference(Observation, ehealth-condition)
42. ClinicalImpression.prognosisReference
TypeReference(RiskAssessment)referenced
44. ClinicalImpression.note
46. ClinicalImpression.note.author[x]
[x] NoteSee Choice of Data Types for further information about how to use [x]
SlicingThis element introduces a set of slices on ClinicalImpression.note.author[x]. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
48. ClinicalImpression.note.author[x]:authorReference
Slice NameauthorReference
Control0..1
TypeReference(ehealth-practitioner, ehealth-patient, ehealth-relatedperson)
[x] NoteSee Choice of Data Types for further information about how to use [x]
50. ClinicalImpression.note.author[x]:authorString
Slice NameauthorString
Control0..1
Typestring
[x] NoteSee Choice of Data Types for further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. ClinicalImpression
Definition

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.

ShortA clinical assessment performed when planning treatments and management strategies for a patient
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. ClinicalImpression.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ClinicalImpression.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

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.

Control10..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ClinicalImpression.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
6. ClinicalImpression.extension:assessorOrganization
Slice NameassessorOrganization
Definition

The organization that the assessor is a part of.

ShortAssessors Organization
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(assessor-Organization) (Extension Type: Reference(ehealth-organization)referenced)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. ClinicalImpression.extension:carePlan
Slice NamecarePlan
Definition

Identifies the CarePlan context in which this particular resource was created.

ShortThe Careplan
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(Careplan) (Extension Type: Reference(ehealth-careplan)referenced)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. ClinicalImpression.extension:decisionContext
Slice NamedecisionContext
Definition

Library and relevant resources used for evaluation

ShortLibrary and relevant resources used for evaluation
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(Decision context) (Extension Type: Reference(Parameters)referenced, contained)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. ClinicalImpression.extension:decision
Slice Namedecision
Definition

Clinical impression decision, 'approved' or 'approved-for-sharing'

Shortapproved | approved-for-sharing
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(Decision) (Extension Type: CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. ClinicalImpression.extension:episodeOfCare
Slice NameepisodeOfCare
Definition

Identifies the episode(s) of care that this resource is relevant to. Establishes the EpisodeOfCare as a 'grouper' of resources that are relevant to that episode.

ShortAssociated Encounter episode of care
Control1..1
TypeExtension(Episode of care) (Extension Type: Reference(EpisodeOfCare))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. ClinicalImpression.extension:findingBasis
Slice NamefindingBasis
Definition

Basis for the overall clinical impression finding of the questionnaire response

ShortThe basis for a clinical impression finding
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(Questionnaire response finding basis) (Complex Extension)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. ClinicalImpression.modifierExtension
Definition

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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
20. ClinicalImpression.status
Definition

Identifies the workflow status of the assessment.

Shortin-progress | completed | entered-in-error
Comments

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.

Control1..1
BindingThe codes SHALL be taken from ClinicalImpressionStatushttp://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1
Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. ClinicalImpression.code
Definition

Categorizes the type of clinical assessment performed.

ShortKind of assessment performed
Comments

This is present as a place-holder only and may be removed based on feedback/work group opinion.

Control10..1
BindingThe codes SHALL be taken from For example codes, see Clinical Impression Codes
(required to http://ehealth.sundhed.dk/vs/clinicalimpression-codes
TypeCodeableConcept
Is Modifierfalse
Summarytrue
Alternate Namestype
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. ClinicalImpression.subject
Definition

The patient or group of individuals assessed as part of this record.

ShortPatient or group assessed
Control1..1
TypeReference(ehealth-patient, Patient, Group)referenced
Is Modifierfalse
Summarytrue
Requirements

Group is typically for veterinary and/or public health purposes.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. ClinicalImpression.assessor
Definition

The clinician performing the assessment.

ShortThe clinician performing the assessment
Control0..1
TypeReference(ehealth-practitioner, Practitioner, PractitionerRole)referenced
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. ClinicalImpression.previous
Definition

A reference to the last assessment that was conducted on 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.

ShortReference to last assessment
Comments

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).

Control0..1
TypeReference(ehealth-clinicalimpression, ClinicalImpression)referenced
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. ClinicalImpression.problem
Definition

A list of the relevant problems/conditions for a patient.

ShortRelevant impressions of patient state
Comments

e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.

Control0..*
TypeReference(ehealth-condition, AllergyIntolerance, Condition)referenced
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. ClinicalImpression.prognosisReference
Definition

RiskAssessment expressing likely outcome.

ShortRiskAssessment expressing likely outcome
Control0..*
TypeReference(RiskAssessment)referenced
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. ClinicalImpression
Definition

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.

ShortA clinical assessment performed when planning treatments and management strategies for a patient
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. ClinicalImpression.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. ClinicalImpression.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. ClinicalImpression.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. ClinicalImpression.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

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).

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. ClinicalImpression.text
Definition

A human-readable narrative that contains a summary of the resource and can 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.

ShortText summary of the resource, for human interpretation
Comments

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 information is added later.

Control0..1
TypeNarrative
Is Modifierfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. ClinicalImpression.contained
Definition

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.

ShortContained, inline Resources
Comments

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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. ClinicalImpression.extension
Definition

An Extension

ShortExtension
Control1..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ClinicalImpression.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
16. ClinicalImpression.extension:assessorOrganization
Slice NameassessorOrganization
Definition

The organization that the assessor is a part of.

ShortAssessors Organization
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(assessor-Organization) (Extension Type: Reference(ehealth-organization)referenced)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. ClinicalImpression.extension:carePlan
Slice NamecarePlan
Definition

Identifies the CarePlan context in which this particular resource was created.

ShortThe Careplan
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(Careplan) (Extension Type: Reference(ehealth-careplan)referenced)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
20. ClinicalImpression.extension:decisionContext
Slice NamedecisionContext
Definition

Library and relevant resources used for evaluation

ShortLibrary and relevant resources used for evaluation
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(Decision context) (Extension Type: Reference(Parameters)referenced, contained)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. ClinicalImpression.extension:decision
Slice Namedecision
Definition

Clinical impression decision, 'approved' or 'approved-for-sharing'

Shortapproved | approved-for-sharing
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(Decision) (Extension Type: CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
24. ClinicalImpression.extension:episodeOfCare
Slice NameepisodeOfCare
Definition

Identifies the episode(s) of care that this resource is relevant to. Establishes the EpisodeOfCare as a 'grouper' of resources that are relevant to that episode.

ShortAssociated Encounter episode of care
Control1..1
TypeExtension(Episode of care) (Extension Type: Reference(EpisodeOfCare))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. ClinicalImpression.extension:findingBasis
Slice NamefindingBasis
Definition

Basis for the overall clinical impression finding of the questionnaire response

ShortThe basis for a clinical impression finding
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(Questionnaire response finding basis) (Complex Extension)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
28. ClinicalImpression.modifierExtension
Definition

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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
30. ClinicalImpression.identifier
Definition

Business identifiers assigned to this clinical impression by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

ShortBusiness identifier
Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Summarytrue
Requirements

Allows identification of the clinical impression as it is known by various participating systems and in a way that remains consistent across servers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. ClinicalImpression.status
Definition

Identifies the workflow status of the assessment.

Shortin-progress | completed | entered-in-error
Comments

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.

Control1..1
BindingThe codes SHALL be taken from ClinicalImpressionStatus
(required to http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1
Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. ClinicalImpression.statusReason
Definition

Captures the reason for the current state of the ClinicalImpression.

ShortReason for current status
Comments

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].

Control0..1
Binding

Codes identifying the reason for the current state of a clinical impression.

TypeCodeableConcept
Is Modifierfalse
Summaryfalse
Alternate NamesSuspended Reason, Cancelled Reason
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. ClinicalImpression.code
Definition

Categorizes the type of clinical assessment performed.

ShortKind of assessment performed
Comments

This is present as a place-holder only and may be removed based on feedback/work group opinion.

Control1..1
BindingThe codes SHALL be taken from Clinical Impression Codes
(required to http://ehealth.sundhed.dk/vs/clinicalimpression-codes
TypeCodeableConcept
Is Modifierfalse
Summarytrue
Alternate Namestype
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. ClinicalImpression.description
Definition

A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.

ShortWhy/how the assessment was performed
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. ClinicalImpression.subject
Definition

The patient or group of individuals assessed as part of this record.

ShortPatient or group assessed
Control1..1
TypeReference(ehealth-patient)referenced
Is Modifierfalse
Summarytrue
Requirements

Group is typically for veterinary and/or public health purposes.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. ClinicalImpression.encounter
Definition

The Encounter during which this ClinicalImpression was created or to which the creation of this record is tightly associated.

ShortEncounter created as part of
Comments

This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.

Control0..1
TypeReference(Encounter)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. ClinicalImpression.effective[x]
Definition

The point in time or period over which the subject was assessed.

ShortTime of assessment
Comments

This SHOULD be accurate to at least the minute, though some assessments only have a known date.

Control0..1
TypeChoice of: dateTime, Period
[x] NoteSee Choice of Data Types for further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. ClinicalImpression.date
Definition

Indicates when the documentation of the assessment was complete.

ShortWhen the assessment was documented
Control0..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. ClinicalImpression.assessor
Definition

The clinician performing the assessment.

ShortThe clinician performing the assessment
Control0..1
TypeReference(ehealth-practitioner)referenced
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. ClinicalImpression.previous
Definition

A reference to the last assessment that was conducted on 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.

ShortReference to last assessment
Comments

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).

Control0..1
TypeReference(ehealth-clinicalimpression)referenced
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. ClinicalImpression.problem
Definition

A list of the relevant problems/conditions for a patient.

ShortRelevant impressions of patient state
Comments

e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.

Control0..*
TypeReference(ehealth-condition, AllergyIntolerance)referenced
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. ClinicalImpression.investigation
Definition

One or more sets of investigations (signs, symptoms, etc.). The actual grouping of investigations varies 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.

ShortOne or more sets of investigations (signs, symptoms, etc.)
Control0..*
TypeBackboneElement
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. ClinicalImpression.investigation.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
58. ClinicalImpression.investigation.extension
Definition

An Extension

ShortExtension
Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ClinicalImpression.investigation.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
60. ClinicalImpression.investigation.extension:viewInvestigationItem
Slice NameviewInvestigationItem
Definition

Investigation item for View resources so they can be approved.

ShortView item
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(View investigation item) (Extension Type: Reference(ehealth-view)referenced)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
62. ClinicalImpression.investigation.modifierExtension
Definition

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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
64. ClinicalImpression.investigation.code
Definition

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|nutritional) history may be used.

ShortA name/code for the set
Control1..1
BindingFor example codes, see ClinicalImpression Investigation Item Codes
(example to http://ehealth.sundhed.dk/vs/clinicalimpression-investigation-item-codes
TypeCodeableConcept
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. ClinicalImpression.investigation.item
Definition

A record of a specific investigation that was undertaken.

ShortRecord of a specific investigation
Comments

Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used.

Control0..*
TypeReference(ehealth-media, ehealth-observation, ehealth-questionnaireresponse, FamilyMemberHistory, DiagnosticReport, RiskAssessment, ImagingStudy)referenced
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. ClinicalImpression.protocol
Definition

Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.

ShortClinical Protocol followed
Control0..*
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. ClinicalImpression.summary
Definition

A text summary of the investigations and the diagnosis.

ShortSummary of the assessment
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. ClinicalImpression.finding
Definition

Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.

ShortPossible or likely findings and diagnoses
Control0..*
TypeBackboneElement
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. ClinicalImpression.finding.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
76. ClinicalImpression.finding.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
78. ClinicalImpression.finding.modifierExtension
Definition

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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
80. ClinicalImpression.finding.itemCodeableConcept
Definition

Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.

ShortWhat was found
Control0..1
BindingThe codes SHALL be taken from ClinicalImpression Finding Codes
(required to http://ehealth.sundhed.dk/vs/clinicalimpression-finding-codes
TypeCodeableConcept
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. ClinicalImpression.finding.itemReference
Definition

Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.

ShortWhat was found
Control0..1
TypeReference(Observation, ehealth-condition)
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. ClinicalImpression.finding.basis
Definition

Which investigations support finding or diagnosis.

ShortWhich investigations support finding
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. ClinicalImpression.prognosisCodeableConcept
Definition

Estimate of likely outcome.

ShortEstimate of likely outcome
Control0..*
BindingFor example codes, see ClinicalImpressionPrognosis
(example to http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis
TypeCodeableConcept
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. ClinicalImpression.prognosisReference
Definition

RiskAssessment expressing likely outcome.

ShortRiskAssessment expressing likely outcome
Control0..*
TypeReference(RiskAssessment)referenced
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. ClinicalImpression.supportingInfo
Definition

Information supporting the clinical impression.

ShortInformation supporting the clinical impression
Control0..*
TypeReference(Resource)
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. ClinicalImpression.note
Definition

Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.

ShortComments made about the ClinicalImpression
Comments

Don't use this element for content that should more properly appear as one of the specific elements of the impression.

Control0..*
TypeAnnotation
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. ClinicalImpression.note.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
96. ClinicalImpression.note.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ClinicalImpression.note.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
98. ClinicalImpression.note.author[x]
Definition

The individual responsible for making the annotation.

ShortIndividual responsible for the annotation
Comments

Organization is used when there's no need for specific attribution as to who made the comment.

Control0..1
TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on ClinicalImpression.note.author[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
  • type @ $this
100. ClinicalImpression.note.author[x]:authorReference
Slice NameauthorReference
Definition

The individual responsible for making the annotation.

ShortIndividual responsible for the annotation
Comments

Organization is used when there's no need for specific attribution as to who made the comment.

Control0..1
TypeReference(ehealth-practitioner, ehealth-patient, ehealth-relatedperson)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. ClinicalImpression.note.author[x]:authorString
Slice NameauthorString
Definition

The individual responsible for making the annotation.

ShortIndividual responsible for the annotation
Comments

Organization is used when there's no need for specific attribution as to who made the comment.

Control0..1
Typestring
[x] NoteSee Choice of Data Types for further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. ClinicalImpression.note.time
Definition

Indicates when this particular annotation was made.

ShortWhen the annotation was made
Control0..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. ClinicalImpression.note.text
Definition

The text of the annotation in markdown format.

ShortThe annotation - text content (as markdown)
Control1..1
Typemarkdown
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))