{
  "resourceType": "StructureDefinition",
  "id": "41192b42-b3c9-4f55-be4a-94eb923b7ba8",
  "meta": {
    "lastUpdated": "2020-07-07T07:08:36.833+00:00"
  },
  "url": "https://fhir.cambio.se/StructureDefinition/ClinicalImpressionTriage/v1",
  "name": "ClinicalImpressionTriage",
  "status": "draft",
  "date": "2020-07-07T07:06:33.8303532+00:00",
  "description": "Cambio Core profile for communicating triage data of a patient. Concerns triages calculated using different protocols. For Use case specific profiles, this profile can be derived for the use case profile to be complient with the Cambio core profile.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "ClinicalImpression",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
  "derivation": "constraint",
  "snapshot": {},
  "differential": {
    "element": [
      {
        "id": "ClinicalImpression.identifier",
        "path": "ClinicalImpression.identifier",
        "short": "Identifier of the triage"
      },
      {
        "id": "ClinicalImpression.status",
        "path": "ClinicalImpression.status",
        "short": "completed | entered-in-error",
        "definition": "Can either be completed or entered-in-error.",
        "comment": "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.\r\n\r\nNote that In-progress is not handled."
      },
      {
        "id": "ClinicalImpression.statusReason",
        "path": "ClinicalImpression.statusReason",
        "max": "0"
      },
      {
        "id": "ClinicalImpression.code",
        "path": "ClinicalImpression.code",
        "short": "Snomed CT for Triage",
        "min": 1
      },
      {
        "id": "ClinicalImpression.code.coding",
        "path": "ClinicalImpression.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ClinicalImpression.code.coding.system",
        "path": "ClinicalImpression.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "ClinicalImpression.code.coding.code",
        "path": "ClinicalImpression.code.coding.code",
        "comment": "Snomed CT code for triage(procedure) is used. Triage(record artifact) is not used.\r\n\r\nNote that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 1,
        "fixedCode": "225390008"
      },
      {
        "id": "ClinicalImpression.description",
        "path": "ClinicalImpression.description",
        "comment": "Could this be used for Reson for visit? Reason for the assessment.",
        "max": "0"
      },
      {
        "id": "ClinicalImpression.subject",
        "path": "ClinicalImpression.subject",
        "short": "Patient assessed",
        "definition": "The patient assessed for the triage",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ]
      },
      {
        "id": "ClinicalImpression.subject.identifier",
        "path": "ClinicalImpression.subject.identifier",
        "definition": "Should be sliced to include:\r\n- Swe Personnummer\r\n- Temporary ID's"
      },
      {
        "id": "ClinicalImpression.encounter",
        "path": "ClinicalImpression.encounter",
        "short": "The encounter during which the triage is performed",
        "definition": "The Encounter during which this triage was created or to which the creation of this record is tightly associated.",
        "min": 1
      },
      {
        "id": "ClinicalImpression.encounter.identifier",
        "path": "ClinicalImpression.encounter.identifier",
        "short": "Prehospital care encounter-ID",
        "definition": "Reference using the encounterID."
      },
      {
        "id": "ClinicalImpression.effective[x]",
        "path": "ClinicalImpression.effective[x]",
        "short": "Time of triage",
        "definition": "The point in time which the subject was triaged. The point in time the triage was calculated",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "ClinicalImpression.date",
        "path": "ClinicalImpression.date",
        "max": "0"
      },
      {
        "id": "ClinicalImpression.assessor",
        "path": "ClinicalImpression.assessor",
        "short": "The staff calculating the triage",
        "definition": "Staff HSA-ID",
        "min": 1
      },
      {
        "id": "ClinicalImpression.assessor.identifier",
        "path": "ClinicalImpression.assessor.identifier",
        "short": "HSA-ID of Staff",
        "definition": "."
      },
      {
        "id": "ClinicalImpression.investigation",
        "path": "ClinicalImpression.investigation",
        "short": "The Vital signs for the triage",
        "definition": "One or more sets of investigations (signs, symptoms, etc.). The group of investigations may vary for the differnt triage protocols."
      },
      {
        "id": "ClinicalImpression.investigation.code",
        "path": "ClinicalImpression.investigation.code",
        "short": "Snomed Code for the vital sign"
      },
      {
        "id": "ClinicalImpression.investigation.item",
        "path": "ClinicalImpression.investigation.item",
        "short": "Reference for the Vital sign",
        "definition": "The vital sign (observation resource) that was investigated.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ]
      },
      {
        "id": "ClinicalImpression.protocol",
        "path": "ClinicalImpression.protocol",
        "short": "Clinical triage Protocol followed",
        "definition": "Reference to a specific published clinical protocol that was followed during this triage. E.g RETTS or SATS",
        "max": "1"
      },
      {
        "id": "ClinicalImpression.summary",
        "path": "ClinicalImpression.summary",
        "max": "0"
      },
      {
        "id": "ClinicalImpression.finding",
        "path": "ClinicalImpression.finding",
        "comment": "Used for the outcome of the triage, such as a triage level."
      },
      {
        "id": "ClinicalImpression.finding.itemCodeableConcept",
        "path": "ClinicalImpression.finding.itemCodeableConcept",
        "short": "code for finding in the triage",
        "definition": "Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions. E.g Reason for visit"
      },
      {
        "id": "ClinicalImpression.finding.itemReference",
        "path": "ClinicalImpression.finding.itemReference",
        "short": "Reference",
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Condition"
            ]
          }
        ]
      },
      {
        "id": "ClinicalImpression.finding.basis",
        "path": "ClinicalImpression.finding.basis",
        "max": "0"
      },
      {
        "id": "ClinicalImpression.prognosisCodeableConcept.coding",
        "path": "ClinicalImpression.prognosisCodeableConcept.coding",
        "short": "Triage level",
        "definition": "The triage level represented as the code system risk probability"
      },
      {
        "id": "ClinicalImpression.prognosisReference",
        "path": "ClinicalImpression.prognosisReference",
        "short": "The Triage level",
        "definition": "RiskAssessment expressing likely outcome. Used as triage level.",
        "max": "0"
      },
      {
        "id": "ClinicalImpression.supportingInfo",
        "path": "ClinicalImpression.supportingInfo",
        "max": "0"
      },
      {
        "id": "ClinicalImpression.note",
        "path": "ClinicalImpression.note",
        "max": "1"
      }
    ]
  }
}