ClinicalImpression

Introduction and scope

The profile originates from the base resource ClinicalImpression and contains information about the citizen’s health status, e.g. vital signs and clinical examination. The purpose of the profile is to register which examinations have been conducted of the citizen, both for planned encounters.

URL

https://OneComprehensivePatientPlanForChronicDiseases.org/fhir/StructureDefinition/ClinicalImpression

Usage

The profile contains six elements: identifier, status, subject, date, assessor and finding. The element identifier contains a social security number to ensure a connection to the correct citizen. The element status is mandatory and is set to registered. The element subject contains a reference to the profile Citizen. The element assessor contains a reference to the profile Doctor. The element finding is sliced into 16 slices to ensure registration of the results from clinical examinations. Each slice contains a SNOMED CT code.

<StructureDefinition xmlns="http://hl7.org/fhir">
    <meta>
        <lastUpdated value="2021-11-23T18:34:07.768+00:00" />
    </meta>
    <url value="https://OneComprehensivePatientPlanForChronicDiseases.org/fhir/StructureDefinition/ClinicalImpression" />
    <name value="ClinicalImpression" />
    <status value="draft" />
    <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" />
    <differential>
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            <path value="ClinicalImpression.identifier" />
            <min value="1" />
            <max value="1" />
        </element>
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            <path value="ClinicalImpression.identifier.use" />
            <max value="0" />
        </element>
        <element id="ClinicalImpression.identifier.type">
            <path value="ClinicalImpression.identifier.type" />
            <max value="0" />
        </element>
        <element id="ClinicalImpression.identifier.system">
            <path value="ClinicalImpression.identifier.system" />
            <short value="National SSN system in Denmark" />
            <min value="1" />
        </element>
        <element id="ClinicalImpression.identifier.value">
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            <short value="SSN of the citizen" />
            <min value="1" />
        </element>
        <element id="ClinicalImpression.identifier.period">
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            <max value="0" />
        </element>
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            <fixedCode value="completed" />
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        </element>
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            <type>
                <code value="Reference" />
                <targetProfile value="https://OneComprehensivePatientPlanForChronicDiseases.org/fhir/StructureDefinition/Citizen" />
            </type>
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            <path value="ClinicalImpression.assessor" />
            <min value="1" />
            <type>
                <code value="Reference" />
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            </type>
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            <slicing>
                <discriminator>
                    <type value="exists" />
                    <path value="itemCodeableConcept.coding.code" />
                </discriminator>
                <rules value="open" />
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