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