<status value="active" /> <date value="2024-01-01" /> <description value="Defines the ID Core constraints and extension on the 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." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="ClinicalImpression" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression" /> <derivation value="constraint" /> <snapshot> <element id="ClinicalImpression"> <path value="ClinicalImpression" /> <short value="A clinical assessment performed when planning treatments and management strategies for a patient" /> <definition value="A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow. This resource is called "ClinicalImpression" rather than "ClinicalAssessment" to avoid confusion with the recording of assessment tools such as Apgar score." /> <min value="0" /> <max value="*" /> <base> <path value="ClinicalImpression" /> <min value="0" /> <max value="*" /> </base> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="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" /> <expression value="contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()" /> <xpath value="not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." /> </extension> <key value="dom-6" /> <severity value="warning" /> <human value="A resource should have narrative for robust management" /> <expression value="text.`div`.exists()" /> <xpath value="exists(f:text/h:div)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-5" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a security label" /> <expression value="contained.meta.security.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:security))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event" /> </mapping> <mapping> <identity value="v2" /> <map value="Partial mapping for problem evaluation" /> </mapping> <mapping> <identity value="w5" /> <map value="clinical.general" /> </mapping> </element> <element id="ClinicalImpression.id"> <path value="ClinicalImpression.id" /> <short value="Logical id of this artifact" /> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." /> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="id" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.meta"> <path value="ClinicalImpression.meta" /> <short value="Metadata about the resource" /> <definition value="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." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.meta" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Meta" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.implicitRules"> <path value="ClinicalImpression.implicitRules" /> <short value="A set of rules under which this content was created" /> <definition value="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." /> <comment value="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." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.implicitRules" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="true" /> <isModifierReason value="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" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.language"> <path value="ClinicalImpression.language" /> <short value="Language of the resource content" /> <definition value="The base language in which the resource is written." /> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.language" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <strength value="preferred" /> <description value="IETF language tag" /> <valueSet value="http://hl7.org/fhir/ValueSet/languages" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.text"> <path value="ClinicalImpression.text" /> <short value="Text summary of the resource, for human interpretation" /> <definition value="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." /> <comment value="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." /> <alias value="narrative" /> <alias value="html" /> <alias value="xhtml" /> <alias value="display" /> <min value="0" /> <max value="1" /> <base> <path value="DomainResource.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Narrative" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act.text?" /> </mapping> </element> <element id="ClinicalImpression.contained"> <path value="ClinicalImpression.contained" /> <short value="Contained, inline Resources" /> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." /> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." /> <alias value="inline resources" /> <alias value="anonymous resources" /> <alias value="contained resources" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.contained" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Resource" /> </type> <constraint> <key value="dom-r4b" /> <severity value="warning" /> <human value="Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems" /> <expression value="($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)" /> <xpath value="not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:PackagedProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedAuthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citation|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDefinition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingredient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.extension"> <path value="ClinicalImpression.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.modifierExtension"> <path value="ClinicalImpression.modifierExtension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Extensions that cannot be ignored" /> <definition value="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)." /> <comment value="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." /> <requirements value="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](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mustSupport value="false" /> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.identifier"> <path value="ClinicalImpression.identifier" /> <short value="Business identifier" /> <definition value="Berisi satu atau lebih daftar data ID internal faskes untuk data clinical impression yang setiap datanya direpresentasikan dengan tipe data Identifier." /> <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). 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." /> <requirements value="Allows identification of the clinical impression as it is known by various participating systems and in a way that remains consistent across servers." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.identifier" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Identifier" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.identifier" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.identifier" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-3" /> </mapping> </element> <element id="ClinicalImpression.identifier.id"> <path value="ClinicalImpression.identifier.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.identifier.extension"> <path value="ClinicalImpression.identifier.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.identifier.use"> <path value="ClinicalImpression.identifier.use" /> <short value="usual | official | temp | secondary | old (If known)" /> <definition value="Berisi data dengan tipe data code, yang nilainya mengacu pada data terminologi IdentifierUse." /> <comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." /> <requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." /> <min value="0" /> <max value="1" /> <base> <path value="Identifier.use" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one." /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition"> <valueString value="Identifies the purpose for this identifier, if known ." /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierUse" /> </extension> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.3.0" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Role.code or implied by context" /> </mapping> </element> <element id="ClinicalImpression.identifier.type"> <path value="ClinicalImpression.identifier.type" /> <short value="Description of identifier" /> <definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." /> <comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." /> <requirements value="Allows users to make use of identifiers when the identifier system is not known." /> <min value="0" /> <max value="1" /> <base> <path value="Identifier.type" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition"> <valueString value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierType" /> </extension> <strength value="extensible" /> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-type" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="CX.5" /> </mapping> <mapping> <identity value="rim" /> <map value="Role.code or implied by context" /> </mapping> </element> <element id="ClinicalImpression.identifier.system"> <path value="ClinicalImpression.identifier.system" /> <short value="The namespace for the identifier value" /> <definition value="Berisi data yang nilainya memiliki format: http://sys-ids.kemkes.go.id/clinicalimpression/{{organization-ihs-number}}" /> <comment value="Identifier.system is always case sensitive." /> <requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." /> <min value="0" /> <max value="1" /> <base> <path value="Identifier.system" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <example> <label value="General" /> <valueUri value="http://www.acme.com/identifiers/patient" /> </example> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX.4 / EI-2-4" /> </mapping> <mapping> <identity value="rim" /> <map value="II.root or Role.id.root" /> </mapping> <mapping> <identity value="servd" /> <map value="./IdentifierType" /> </mapping> </element> <element id="ClinicalImpression.identifier.value"> <path value="ClinicalImpression.identifier.value" /> <short value="The value that is unique" /> <definition value="Berisi kode atau ID lokal yang disimpan di sistem internal masing-masing organisasi." /> <comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." /> <min value="0" /> <max value="1" /> <base> <path value="Identifier.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <example> <label value="General" /> <valueString value="123456" /> </example> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX.1 / EI.1" /> </mapping> <mapping> <identity value="rim" /> <map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" /> </mapping> <mapping> <identity value="servd" /> <map value="./Value" /> </mapping> </element> <element id="ClinicalImpression.identifier.period"> <path value="ClinicalImpression.identifier.period" /> <short value="Time period when id is/was valid for use" /> <definition value="Time period during which identifier is/was valid for use." /> <comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration)." /> <min value="0" /> <max value="1" /> <base> <path value="Identifier.period" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Period" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="per-1" /> <severity value="error" /> <human value="If present, start SHALL have a lower value than end" /> <expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)" /> <xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" /> <source value="http://hl7.org/fhir/StructureDefinition/Period" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="DR" /> </mapping> <mapping> <identity value="rim" /> <map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" /> </mapping> <mapping> <identity value="v2" /> <map value="CX.7 + CX.8" /> </mapping> <mapping> <identity value="rim" /> <map value="Role.effectiveTime or implied by context" /> </mapping> <mapping> <identity value="servd" /> <map value="./StartDate and ./EndDate" /> </mapping> </element> <element id="ClinicalImpression.identifier.assigner"> <path value="ClinicalImpression.identifier.assigner" /> <short value="Organization that issued id (may be just text)" /> <definition value="Organization that issued/manages the identifier." /> <comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." /> <min value="0" /> <max value="1" /> <base> <path value="Identifier.assigner" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="CX.4 / (CX.4,CX.9,CX.10)" /> </mapping> <mapping> <identity value="rim" /> <map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" /> </mapping> <mapping> <identity value="servd" /> <map value="./IdentifierIssuingAuthority" /> </mapping> </element> <element id="ClinicalImpression.status"> <path value="ClinicalImpression.status" /> <short value="in-progress | completed | entered-in-error" /> <definition value="Digunakan untuk mengidentifikasi status alur kerja penilaian atau asesmen yang setiap datanya direpresentasikan dengan tipe data code, yang nilainya mengacu pada data terminologi EventStatus." /> <comment value="This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid." /> <min value="1" /> <max value="1" /> <base> <path value="ClinicalImpression.status" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="true" /> <isModifierReason value="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" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ClinicalImpressionStatus" /> </extension> <strength value="required" /> <description value="The workflow state of a clinical impression." /> <valueSet value="http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.3.0" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.status" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.status" /> </mapping> <mapping> <identity value="v2" /> <map value="PRB-14" /> </mapping> </element> <element id="ClinicalImpression.statusReason"> <path value="ClinicalImpression.statusReason" /> <short value="Reason for current status" /> <definition value="Berisi informasi terkait alasan status dari asesmen dengan tipe data CodeableConcept." /> <comment value="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]." /> <alias value="Suspended Reason" /> <alias value="Cancelled Reason" /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.statusReason" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ClinicalImpressionStatusReason" /> </extension> <strength value="example" /> <description value="Codes identifying the reason for the current state of a clinical impression." /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.statusReason" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" /> </mapping> </element> <element id="ClinicalImpression.statusReason.id"> <path value="ClinicalImpression.statusReason.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.statusReason.extension"> <path value="ClinicalImpression.statusReason.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.statusReason.coding"> <path value="ClinicalImpression.statusReason.coding" /> <short value="Code defined by a terminology system" /> <definition value="Berisi data kode alasan status dari asesmen dengan tipe data Coding." /> <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." /> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems." /> <min value="0" /> <max value="*" /> <base> <path value="CodeableConcept.coding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Coding" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" /> </mapping> <mapping> <identity value="rim" /> <map value="CV" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1-8, C*E.10-22" /> </mapping> <mapping> <identity value="rim" /> <map value="union(., ./translation)" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" /> </mapping> </element> <element id="ClinicalImpression.statusReason.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="ClinicalImpression.statusReason.text" /> <short value="Plain text representation of the concept" /> <definition value="Berisi alasan status asesmen dengan tipe data text." /> <comment value="Very often the text is the same as a displayName of one of the codings." /> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." /> <min value="0" /> <max value="1" /> <base> <path value="CodeableConcept.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.9. But note many systems use C*E.2 for this" /> </mapping> <mapping> <identity value="rim" /> <map value="./originalText[mediaType/code="text/plain"]/data" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" /> </mapping> </element> <element id="ClinicalImpression.code"> <path value="ClinicalImpression.code" /> <short value="Kind of assessment performed" /> <definition value="Berisi informasi mengenai kategori dari asesmen klinis yang dilakukan dengan tipe data CodeableConcept." /> <comment value="This is present as a place-holder only and may be removed based on feedback/work group opinion." /> <alias value="type" /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.code" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ClinicalImpressionCode" /> </extension> <strength value="example" /> <description value="Identifies categories of clinical impressions. This is a place-holder only. It may be removed." /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.code" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.what[x]" /> </mapping> </element> <element id="ClinicalImpression.code.id"> <path value="ClinicalImpression.code.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.code.extension"> <path value="ClinicalImpression.code.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.code.coding"> <path value="ClinicalImpression.code.coding" /> <short value="Code defined by a terminology system" /> <definition value="Berisi data kode kategori dari asesmen klinis yang sedang dilakukan dengan tipe data Coding." /> <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." /> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems." /> <min value="0" /> <max value="*" /> <base> <path value="CodeableConcept.coding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Coding" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" /> </mapping> <mapping> <identity value="rim" /> <map value="CV" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1-8, C*E.10-22" /> </mapping> <mapping> <identity value="rim" /> <map value="union(., ./translation)" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" /> </mapping> </element> <element id="ClinicalImpression.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="ClinicalImpression.code.text" /> <short value="Plain text representation of the concept" /> <definition value="Berisi informasi mengenai kategori dari asesmen klinis yang dilakukan dengan tipe data text." /> <comment value="Very often the text is the same as a displayName of one of the codings." /> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." /> <min value="0" /> <max value="1" /> <base> <path value="CodeableConcept.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.9. But note many systems use C*E.2 for this" /> </mapping> <mapping> <identity value="rim" /> <map value="./originalText[mediaType/code="text/plain"]/data" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" /> </mapping> </element> <element id="ClinicalImpression.description"> <path value="ClinicalImpression.description" /> <short value="Why/how the assessment was performed" /> <definition value="Berisi Rangkuman konteks dan atau penyebab dilakukannya asesmen, kenapa dan di mana dilakukan, dan kondisi pasien apa yang mendasari dilakukannya suatu asesmen dengan tipe data string." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.description" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.subject"> <path value="ClinicalImpression.subject" /> <short value="Patient or group assessed" /> <definition value="Berkaitan dengan subjek dari ClinicalImpression itu sendiri yang pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Patient | Group." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <requirements value="Group is typically for veterinary and/or public health purposes." /> <min value="1" /> <max value="1" /> <base> <path value="ClinicalImpression.subject" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.subject" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.subject[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-3" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.subject" /> </mapping> </element> <element id="ClinicalImpression.subject.id"> <path value="ClinicalImpression.subject.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.subject.extension"> <path value="ClinicalImpression.subject.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.subject.reference"> <path value="ClinicalImpression.subject.reference" /> <short value="Literal reference, Relative, internal or absolute URL" /> <definition value="Berisi subjek dari ClinicalImpression, yang diisikan dengan ID Patient." /> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." /> <min value="0" /> <max value="1" /> <base> <path value="Reference.reference" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <condition value="ref-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.subject.type"> <path value="ClinicalImpression.subject.type" /> <short value="Type the reference refers to (e.g. "Patient")" /> <definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." /> <comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." /> <min value="0" /> <max value="1" /> <base> <path value="Reference.type" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition"> <valueString value="Aa resource (or, for logical models, the URI of the logical model)." /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FHIRResourceTypeExt" /> </extension> <strength value="extensible" /> <valueSet value="http://hl7.org/fhir/ValueSet/resource-types" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.subject.identifier"> <path value="ClinicalImpression.subject.identifier" /> <short value="Logical reference, when literal reference is not known" /> <definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." /> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." /> <min value="0" /> <max value="1" /> <base> <path value="Reference.identifier" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Identifier" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="rim" /> <map value=".identifier" /> </mapping> </element> <element id="ClinicalImpression.subject.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="ClinicalImpression.subject.display" /> <short value="Text alternative for the resource" /> <definition value="Berisi Nama pasien dalam bentuk free text." /> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." /> <min value="0" /> <max value="1" /> <base> <path value="Reference.display" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.encounter"> <path value="ClinicalImpression.encounter" /> <short value="Encounter created as part of" /> <definition value="Berisi informasi terkait kunjungan di mana asesmen dilakukan dengan tipe data Reference, yang direferensikan ke data yang tersimpan di resource Encounter." /> <comment value="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." /> <min value="1" /> <max value="1" /> <base> <path value="ClinicalImpression.encounter" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.context" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.context" /> </mapping> </element> <element id="ClinicalImpression.effective[x]"> <path value="ClinicalImpression.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Time of assessment" /> <definition value="Berisi informasi mengenai waktu dilakukannya asesmen." /> <comment value="This SHOULD be accurate to at least the minute, though some assessments only have a known date." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.effective[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <type> <code value="Period" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.occurrence[x]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.done[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="PRB-2" /> </mapping> </element> <element id="ClinicalImpression.effective[x]:effectiveDateTime"> <path value="ClinicalImpression.effective[x]" /> <sliceName value="effectiveDateTime" /> <short value="Time of assessment" /> <definition value="Berisi data mengenai kapan asesmen dilakukan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY, YYYY-MM, YYYY-MM-DD atau YYYY-MM-DDThh:mm:ss+zz:zz." /> <comment value="This SHOULD be accurate to at least the minute, though some assessments only have a known date." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.effective[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.occurrence[x]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.done[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="PRB-2" /> </mapping> </element> <element id="ClinicalImpression.effective[x]:effectivePeriod"> <path value="ClinicalImpression.effective[x]" /> <sliceName value="effectivePeriod" /> <short value="Time of assessment" /> <definition value="Berisi data waktu dari asesmen dimulai sampai selesai (arrived to finished) dengan tipe data Period." /> <comment value="This SHOULD be accurate to at least the minute, though some assessments only have a known date." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.effective[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Period" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.occurrence[x]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.done[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="PRB-2" /> </mapping> </element> <element id="ClinicalImpression.effective[x]:effectivePeriod.id"> <path value="ClinicalImpression.effective[x].id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.effective[x]:effectivePeriod.extension"> <path value="ClinicalImpression.effective[x].extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.effective[x]:effectivePeriod.start"> <path value="ClinicalImpression.effective[x].start" /> <short value="Starting time with inclusive boundary" /> <definition value="Diisi dengan waktu mulai, sama dengan waktu asesmen pasien dalam format YYYY-MM-DD." /> <comment value="If the low element is missing, the meaning is that the low boundary is not known." /> <min value="0" /> <max value="1" /> <base> <path value="Period.start" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <condition value="per-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="DR.1" /> </mapping> <mapping> <identity value="rim" /> <map value="./low" /> </mapping> </element> <element id="ClinicalImpression.effective[x]:effectivePeriod.end"> <path value="ClinicalImpression.effective[x].end" /> <short value="End time with inclusive boundary, if not ongoing" /> <definition value="Diisi dengan waktu selesai, sama dengan waktu selesai asesmen pasien dalam format YYYY-MM-DD." /> <comment value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03." /> <min value="0" /> <max value="1" /> <base> <path value="Period.end" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <meaningWhenMissing value="If the end of the period is missing, it means that the period is ongoing" /> <condition value="ele-1" /> <condition value="per-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="DR.2" /> </mapping> <mapping> <identity value="rim" /> <map value="./high" /> </mapping> </element> <element id="ClinicalImpression.date"> <path value="ClinicalImpression.date" /> <short value="When the assessment was documented" /> <definition value="Merupakan waktu data asesmen dicatat atau didokumentasikan. Pada bagian ini berisi data dengan tipe data dateTime, dengan format yang diperbolehkan YYYY, YYYY-MM, YYYY-MM-DD atau YYYY-MM-DDThh:mm:ss+zz:zz." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.date" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.recorded" /> </mapping> </element> <element id="ClinicalImpression.assessor"> <path value="ClinicalImpression.assessor" /> <short value="The clinician performing the assessment" /> <definition value="Berisi informasi mengenai klinisi yang melakukan asesmen. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Practitioner dan PractitionerRole." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.assessor" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.performer.actor" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.author" /> </mapping> <mapping> <identity value="v2" /> <map value="ROL-4" /> </mapping> </element> <element id="ClinicalImpression.previous"> <path value="ClinicalImpression.previous" /> <short value="Reference to last assessment" /> <definition value="Berisi referensi terhadap asesmen sebelumnya. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource ClinicalImpression." /> <comment value="It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved)." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.previous" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> </element> <element id="ClinicalImpression.problem"> <path value="ClinicalImpression.problem" /> <short value="Relevant impressions of patient state" /> <definition value="Berisi daftar kondisi atau masalah yang relevan pada pasien. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Condition dan AllergyIntolerance." /> <comment value="e.g. The patient is a pregnant, has congestive heart failure, has an ‎Adenocarcinoma, and is allergic to penicillin." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.problem" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.why[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="PRB-3 / IAM-7" /> </mapping> </element> <element id="ClinicalImpression.investigation"> <path value="ClinicalImpression.investigation" /> <short value="One or more sets of investigations (signs, symptoms, etc.)" /> <definition value="Berisi satu atau lebih rangkaian pemeriksaan (tanda, gejala, dll.). Pengelompokan investigasi yang sebenarnya sangat bervariasi tergantung pada jenis dan konteks penilaian. Investigasi ini dapat mencakup data yang dihasilkan selama proses penilaian, atau data yang dihasilkan dan dicatat sebelumnya yang berkaitan dengan hasil dengan tipe data BackboneElement." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.investigation" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.investigation.id"> <path value="ClinicalImpression.investigation.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.investigation.extension"> <path value="ClinicalImpression.investigation.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.investigation.modifierExtension"> <path value="ClinicalImpression.investigation.modifierExtension" /> <short value="Extensions that cannot be ignored even if unrecognized" /> <definition value="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)." /> <comment value="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." /> <requirements value="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](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.investigation.code"> <path value="ClinicalImpression.investigation.code" /> <short value="A name/code for the set" /> <definition value="Berisi kelompok nama atau kode investigasi yang dilakukan untuk melakukan asesmen. Berkaitan dengan tanda, gejala, klinis, diagnostik namun tidak terbatasi dan kelompok lain seperti riwayat paparan/keluarga/perjalanan/nutrisi dapat digunakan dengan tipe data CodeableConcept." /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <min value="1" /> <max value="1" /> <base> <path value="ClinicalImpression.investigation.code" /> <min value="1" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="InvestigationGroupType" /> </extension> <strength value="example" /> <description value="A name/code for a set of investigations." /> <valueSet value="http://hl7.org/fhir/ValueSet/investigation-sets" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> </element> <element id="ClinicalImpression.investigation.item"> <path value="ClinicalImpression.investigation.item" /> <short value="Record of a specific investigation" /> <definition value="Berisi catatan terhadap investigasi atau tindakan yang dilakukan untuk asesmen ini. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media." /> <comment value="Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.investigation.item" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="OBX-21" /> </mapping> </element> <element id="ClinicalImpression.protocol"> <path value="ClinicalImpression.protocol" /> <short value="Clinical Protocol followed" /> <definition value="Berisi referensi terhadap protokol klinis tertentu yang diterbitkan yang diikuti selama asesmen ini, dan/atau yang memberikan bukti untuk mendukung diagnosis dengan tipe data uri." /> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier" /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.protocol" /> <min value="0" /> <max value="*" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.summary"> <path value="ClinicalImpression.summary" /> <short value="Summary of the assessment" /> <definition value="Berisi ringkasan teks dari investigasi dan diagnosis dengan tipe data string." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.summary" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="OBX" /> </mapping> </element> <element id="ClinicalImpression.finding"> <path value="ClinicalImpression.finding" /> <short value="Possible or likely findings and diagnoses" /> <definition value="Berisi data temuan atau diagnosis spesifik yang dianggap mungkin atau relevan dengan pengobatan yang sedang berlangsung dengan tipe data BackboneElement." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.finding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.finding.id"> <path value="ClinicalImpression.finding.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.finding.extension"> <path value="ClinicalImpression.finding.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.finding.modifierExtension"> <path value="ClinicalImpression.finding.modifierExtension" /> <short value="Extensions that cannot be ignored even if unrecognized" /> <definition value="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)." /> <comment value="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." /> <requirements value="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](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.finding.itemCodeableConcept"> <path value="ClinicalImpression.finding.itemCodeableConcept" /> <short value="What was found" /> <definition value="Berisi teks atau kode spesifik terkait temuan atau diagnosis yang relevan terhadap perawatan yang dilakukan dengan tipe data CodeableConcept." /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.finding.itemCodeableConcept" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionKind" /> </extension> <strength value="example" /> <description value="Identification of the Condition or diagnosis." /> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="OBX" /> </mapping> </element> <element id="ClinicalImpression.finding.itemCodeableConcept.id"> <path value="ClinicalImpression.finding.itemCodeableConcept.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.finding.itemCodeableConcept.extension"> <path value="ClinicalImpression.finding.itemCodeableConcept.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.finding.itemCodeableConcept.coding"> <path value="ClinicalImpression.finding.itemCodeableConcept.coding" /> <short value="Code defined by a terminology system" /> <definition value="Berisi data kode spesifik terkait temuan atau diagnosis yang relevan dengan tipe data Coding yang nilainya mengacu pada data terminologi ICD-10 code versi 2010." /> <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." /> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems." /> <min value="0" /> <max value="*" /> <base> <path value="CodeableConcept.coding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Coding" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" /> </mapping> <mapping> <identity value="rim" /> <map value="CV" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1-8, C*E.10-22" /> </mapping> <mapping> <identity value="rim" /> <map value="union(., ./translation)" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" /> </mapping> </element> <element id="ClinicalImpression.finding.itemCodeableConcept.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="ClinicalImpression.finding.itemCodeableConcept.text" /> <short value="Plain text representation of the concept" /> <definition value="Berisi teks terkait temuan atau diagnosis yang relevan terhadap perawatan yang dilakukan dengan tipe data text." /> <comment value="Very often the text is the same as a displayName of one of the codings." /> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." /> <min value="0" /> <max value="1" /> <base> <path value="CodeableConcept.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.9. But note many systems use C*E.2 for this" /> </mapping> <mapping> <identity value="rim" /> <map value="./originalText[mediaType/code="text/plain"]/data" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" /> </mapping> </element> <element id="ClinicalImpression.finding.itemReference"> <path value="ClinicalImpression.finding.itemReference" /> <short value="What was found" /> <definition value="Berisi informasi referensi spesifik terkait temuan atau diagnosis yang relevan terhadap perawatan yang dilakukan. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Condition | Observation | Media." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.finding.itemReference" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="OBX" /> </mapping> </element> <element id="ClinicalImpression.finding.basis"> <path value="ClinicalImpression.finding.basis" /> <short value="Which investigations support finding" /> <definition value="Berisi informasi mengenai investigasi yang mendukung temuan atau diagnosis dalam bentuk teks dengan tipe data string." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.finding.basis" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.prognosisCodeableConcept"> <path value="ClinicalImpression.prognosisCodeableConcept" /> <short value="Estimate of likely outcome" /> <definition value="Berisi informasi perkiraan kemungkinan outcome atau luaran dari kondisi pasien dengan tipe data CodeableConcept." /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <min value="1" /> <max value="1" /> <base> <path value="ClinicalImpression.prognosisCodeableConcept" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ClinicalImpressionPrognosis" /> </extension> <strength value="example" /> <description value="Prognosis or outlook findings." /> <valueSet value="http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="PRB-22" /> </mapping> </element> <element id="ClinicalImpression.prognosisCodeableConcept.id"> <path value="ClinicalImpression.prognosisCodeableConcept.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ClinicalImpression.prognosisCodeableConcept.extension"> <path value="ClinicalImpression.prognosisCodeableConcept.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ClinicalImpression.prognosisCodeableConcept.coding"> <path value="ClinicalImpression.prognosisCodeableConcept.coding" /> <short value="Code defined by a terminology system" /> <definition value="Berisi data kode outcome atau luaran kondisi pasien dengan tipe data Coding." /> <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." /> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems." /> <min value="0" /> <max value="*" /> <base> <path value="CodeableConcept.coding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Coding" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" /> </mapping> <mapping> <identity value="rim" /> <map value="CV" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.1-8, C*E.10-22" /> </mapping> <mapping> <identity value="rim" /> <map value="union(., ./translation)" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" /> </mapping> </element> <element id="ClinicalImpression.prognosisCodeableConcept.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="ClinicalImpression.prognosisCodeableConcept.text" /> <short value="Plain text representation of the concept" /> <definition value="Berisi informasi perkiraan kemungkinan outcome atau luaran dari kondisi pasien dengan tipe data text." /> <comment value="Very often the text is the same as a displayName of one of the codings." /> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." /> <min value="0" /> <max value="1" /> <base> <path value="CodeableConcept.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="C*E.9. But note many systems use C*E.2 for this" /> </mapping> <mapping> <identity value="rim" /> <map value="./originalText[mediaType/code="text/plain"]/data" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" /> </mapping> </element> <element id="ClinicalImpression.prognosisReference"> <path value="ClinicalImpression.prognosisReference" /> <short value="RiskAssessment expressing likely outcome" /> <definition value="Berisi informasi mengenai referensi kemungkinan outcome atau luaran pasien dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource RiskAssessment." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.prognosisReference" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> </element> <element id="ClinicalImpression.supportingInfo"> <path value="ClinicalImpression.supportingInfo" /> <short value="Information supporting the clinical impression" /> <definition value="Berisi informasi mengenai referensi data yang mendukung pada bagian ClinicalImpression ini. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di semua resource FHIR yang tersedia." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.supportingInfo" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> </element> <element id="ClinicalImpression.note"> <path value="ClinicalImpression.note" /> <short value="Comments made about the ClinicalImpression" /> <definition value="Berisi komentar tentang kesan atau impression, biasanya direkam setelah kesan itu sendiri dibuat, meskipun catatan tambahan oleh penulis asli juga dapat muncul dengan tipe data Annotation." /> <comment value="Don't use this element for content that should more properly appear as one of the specific elements of the impression." /> <min value="0" /> <max value="1" /> <base> <path value="ClinicalImpression.note" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Annotation" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource" /> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters" /> <xpath value="@value|f:*|h:div|self::f:Parameters" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act" /> </mapping> <mapping> <identity value="workflow" /> <map value="Event.note" /> </mapping> </element> </snapshot> <differential> <element id="ClinicalImpression.identifier"> <path value="ClinicalImpression.identifier" /> <definition value="Berisi satu atau lebih daftar data ID internal faskes untuk data clinical impression yang setiap datanya direpresentasikan dengan tipe data Identifier." /> <max value="1" /> </element> <element id="ClinicalImpression.identifier.use"> <path value="ClinicalImpression.identifier.use" /> <definition value="Berisi data dengan tipe data code, yang nilainya mengacu pada data terminologi IdentifierUse." /> </element> <element id="ClinicalImpression.identifier.system"> <path value="ClinicalImpression.identifier.system" /> <definition value="Berisi data yang nilainya memiliki format: http://sys-ids.kemkes.go.id/clinicalimpression/{{organization-ihs-number}}" /> </element> <element id="ClinicalImpression.identifier.value"> <path value="ClinicalImpression.identifier.value" /> <definition value="Berisi kode atau ID lokal yang disimpan di sistem internal masing-masing organisasi." /> </element> <element id="ClinicalImpression.status"> <path value="ClinicalImpression.status" /> <definition value="Digunakan untuk mengidentifikasi status alur kerja penilaian atau asesmen yang setiap datanya direpresentasikan dengan tipe data code, yang nilainya mengacu pada data terminologi EventStatus." /> </element> <element id="ClinicalImpression.statusReason"> <path value="ClinicalImpression.statusReason" /> <definition value="Berisi informasi terkait alasan status dari asesmen dengan tipe data CodeableConcept." /> </element> <element id="ClinicalImpression.statusReason.coding"> <path value="ClinicalImpression.statusReason.coding" /> <definition value="Berisi data kode alasan status dari asesmen dengan tipe data Coding." /> </element> <element id="ClinicalImpression.statusReason.text"> <path value="ClinicalImpression.statusReason.text" /> <definition value="Berisi alasan status asesmen dengan tipe data text." /> </element> <element id="ClinicalImpression.code"> <path value="ClinicalImpression.code" /> <definition value="Berisi informasi mengenai kategori dari asesmen klinis yang dilakukan dengan tipe data CodeableConcept." /> </element> <element id="ClinicalImpression.code.coding"> <path value="ClinicalImpression.code.coding" /> <definition value="Berisi data kode kategori dari asesmen klinis yang sedang dilakukan dengan tipe data Coding." /> </element> <element id="ClinicalImpression.code.text"> <path value="ClinicalImpression.code.text" /> <definition value="Berisi informasi mengenai kategori dari asesmen klinis yang dilakukan dengan tipe data text." /> </element> <element id="ClinicalImpression.description"> <path value="ClinicalImpression.description" /> <definition value="Berisi Rangkuman konteks dan atau penyebab dilakukannya asesmen, kenapa dan di mana dilakukan, dan kondisi pasien apa yang mendasari dilakukannya suatu asesmen dengan tipe data string." /> </element> <element id="ClinicalImpression.subject"> <path value="ClinicalImpression.subject" /> <definition value="Berkaitan dengan subjek dari ClinicalImpression itu sendiri yang pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Patient | Group." /> </element> <element id="ClinicalImpression.subject.reference"> <path value="ClinicalImpression.subject.reference" /> <definition value="Berisi subjek dari ClinicalImpression, yang diisikan dengan ID Patient." /> </element> <element id="ClinicalImpression.subject.display"> <path value="ClinicalImpression.subject.display" /> <definition value="Berisi Nama pasien dalam bentuk free text." /> </element> <element id="ClinicalImpression.encounter"> <path value="ClinicalImpression.encounter" /> <definition value="Berisi informasi terkait kunjungan di mana asesmen dilakukan dengan tipe data Reference, yang direferensikan ke data yang tersimpan di resource Encounter." /> <min value="1" /> </element> <element id="ClinicalImpression.effective[x]"> <path value="ClinicalImpression.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <definition value="Berisi informasi mengenai waktu dilakukannya asesmen." /> </element> <element id="ClinicalImpression.effective[x]:effectiveDateTime"> <path value="ClinicalImpression.effective[x]" /> <sliceName value="effectiveDateTime" /> <definition value="Berisi data mengenai kapan asesmen dilakukan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY, YYYY-MM, YYYY-MM-DD atau YYYY-MM-DDThh:mm:ss+zz:zz." /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="ClinicalImpression.effective[x]:effectivePeriod"> <path value="ClinicalImpression.effective[x]" /> <sliceName value="effectivePeriod" /> <definition value="Berisi data waktu dari asesmen dimulai sampai selesai (arrived to finished) dengan tipe data Period." /> <min value="0" /> <max value="1" /> <type> <code value="Period" /> </type> </element> <element id="ClinicalImpression.effective[x]:effectivePeriod.start"> <path value="ClinicalImpression.effective[x].start" /> <definition value="Diisi dengan waktu mulai, sama dengan waktu asesmen pasien dalam format YYYY-MM-DD." /> </element> <element id="ClinicalImpression.effective[x]:effectivePeriod.end"> <path value="ClinicalImpression.effective[x].end" /> <definition value="Diisi dengan waktu selesai, sama dengan waktu selesai asesmen pasien dalam format YYYY-MM-DD." /> </element> <element id="ClinicalImpression.date"> <path value="ClinicalImpression.date" /> <definition value="Merupakan waktu data asesmen dicatat atau didokumentasikan. Pada bagian ini berisi data dengan tipe data dateTime, dengan format yang diperbolehkan YYYY, YYYY-MM, YYYY-MM-DD atau YYYY-MM-DDThh:mm:ss+zz:zz." /> </element> <element id="ClinicalImpression.assessor"> <path value="ClinicalImpression.assessor" /> <definition value="Berisi informasi mengenai klinisi yang melakukan asesmen. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Practitioner dan PractitionerRole." /> </element> <element id="ClinicalImpression.previous"> <path value="ClinicalImpression.previous" /> <definition value="Berisi referensi terhadap asesmen sebelumnya. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource ClinicalImpression." /> </element> <element id="ClinicalImpression.problem"> <path value="ClinicalImpression.problem" /> <definition value="Berisi daftar kondisi atau masalah yang relevan pada pasien. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Condition dan AllergyIntolerance." /> <max value="1" /> </element> <element id="ClinicalImpression.investigation"> <path value="ClinicalImpression.investigation" /> <definition value="Berisi satu atau lebih rangkaian pemeriksaan (tanda, gejala, dll.). Pengelompokan investigasi yang sebenarnya sangat bervariasi tergantung pada jenis dan konteks penilaian. Investigasi ini dapat mencakup data yang dihasilkan selama proses penilaian, atau data yang dihasilkan dan dicatat sebelumnya yang berkaitan dengan hasil dengan tipe data BackboneElement." /> <max value="1" /> </element> <element id="ClinicalImpression.investigation.code"> <path value="ClinicalImpression.investigation.code" /> <definition value="Berisi kelompok nama atau kode investigasi yang dilakukan untuk melakukan asesmen. Berkaitan dengan tanda, gejala, klinis, diagnostik namun tidak terbatasi dan kelompok lain seperti riwayat paparan/keluarga/perjalanan/nutrisi dapat digunakan dengan tipe data CodeableConcept." /> </element> <element id="ClinicalImpression.investigation.item"> <path value="ClinicalImpression.investigation.item" /> <definition value="Berisi catatan terhadap investigasi atau tindakan yang dilakukan untuk asesmen ini. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media." /> <max value="1" /> </element> <element id="ClinicalImpression.protocol"> <path value="ClinicalImpression.protocol" /> <definition value="Berisi referensi terhadap protokol klinis tertentu yang diterbitkan yang diikuti selama asesmen ini, dan/atau yang memberikan bukti untuk mendukung diagnosis dengan tipe data uri." /> <max value="1" /> </element> <element id="ClinicalImpression.summary"> <path value="ClinicalImpression.summary" /> <definition value="Berisi ringkasan teks dari investigasi dan diagnosis dengan tipe data string." /> </element> <element id="ClinicalImpression.finding"> <path value="ClinicalImpression.finding" /> <definition value="Berisi data temuan atau diagnosis spesifik yang dianggap mungkin atau relevan dengan pengobatan yang sedang berlangsung dengan tipe data BackboneElement." /> <max value="1" /> </element> <element id="ClinicalImpression.finding.itemCodeableConcept"> <path value="ClinicalImpression.finding.itemCodeableConcept" /> <definition value="Berisi teks atau kode spesifik terkait temuan atau diagnosis yang relevan terhadap perawatan yang dilakukan dengan tipe data CodeableConcept." /> </element> <element id="ClinicalImpression.finding.itemCodeableConcept.coding"> <path value="ClinicalImpression.finding.itemCodeableConcept.coding" /> <definition value="Berisi data kode spesifik terkait temuan atau diagnosis yang relevan dengan tipe data Coding yang nilainya mengacu pada data terminologi ICD-10 code versi 2010." /> </element> <element id="ClinicalImpression.finding.itemCodeableConcept.text"> <path value="ClinicalImpression.finding.itemCodeableConcept.text" /> <definition value="Berisi teks terkait temuan atau diagnosis yang relevan terhadap perawatan yang dilakukan dengan tipe data text." /> </element> <element id="ClinicalImpression.finding.itemReference"> <path value="ClinicalImpression.finding.itemReference" /> <definition value="Berisi informasi referensi spesifik terkait temuan atau diagnosis yang relevan terhadap perawatan yang dilakukan. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Condition | Observation | Media." /> </element> <element id="ClinicalImpression.finding.basis"> <path value="ClinicalImpression.finding.basis" /> <definition value="Berisi informasi mengenai investigasi yang mendukung temuan atau diagnosis dalam bentuk teks dengan tipe data string." /> </element> <element id="ClinicalImpression.prognosisCodeableConcept"> <path value="ClinicalImpression.prognosisCodeableConcept" /> <definition value="Berisi informasi perkiraan kemungkinan outcome atau luaran dari kondisi pasien dengan tipe data CodeableConcept." /> <min value="1" /> <max value="1" /> </element> <element id="ClinicalImpression.prognosisCodeableConcept.coding"> <path value="ClinicalImpression.prognosisCodeableConcept.coding" /> <definition value="Berisi data kode outcome atau luaran kondisi pasien dengan tipe data Coding." /> </element> <element id="ClinicalImpression.prognosisCodeableConcept.text"> <path value="ClinicalImpression.prognosisCodeableConcept.text" /> <definition value="Berisi informasi perkiraan kemungkinan outcome atau luaran dari kondisi pasien dengan tipe data text." /> </element> <element id="ClinicalImpression.prognosisReference"> <path value="ClinicalImpression.prognosisReference" /> <definition value="Berisi informasi mengenai referensi kemungkinan outcome atau luaran pasien dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource RiskAssessment." /> <max value="1" /> </element> <element id="ClinicalImpression.supportingInfo"> <path value="ClinicalImpression.supportingInfo" /> <definition value="Berisi informasi mengenai referensi data yang mendukung pada bagian ClinicalImpression ini. Pada bagian ini berisi data dengan tipe data Reference yang direferensikan ke data yang tersimpan di semua resource FHIR yang tersedia." /> <max value="1" /> </element> <element id="ClinicalImpression.note"> <path value="ClinicalImpression.note" /> <definition value="Berisi komentar tentang kesan atau impression, biasanya direkam setelah kesan itu sendiri dibuat, meskipun catatan tambahan oleh penulis asli juga dapat muncul dengan tipe data Annotation." /> <max value="1" /> </element> </differential> </StructureDefinition>