NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*DomainResourceA clinical assessment performed when planning treatments and management strategies for a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?! Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: http://tools.ietf.org/html/bcp47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... patient Σ1..1Reference(Patient)The patient being assessed
... assessor Σ0..1Reference(Practitioner)The clinician performing the assessment
... status ?! Σ1..1codein-progress | completed | entered-in-error
Binding: http://hl7.org/fhir/ValueSet/clinical-impression-status (required)
... date Σ0..1dateTimeWhen the assessment occurred
... description Σ0..1stringWhy/how the assessment was performed
... previous 0..1Reference(ClinicalImpression)Reference to last assessment
... problem Σ0..*Reference(Condition | AllergyIntolerance)General assessment of patient state
... trigger[x] 0..1Reference(Resource), CodeableConceptRequest or event that necessitated this assessment
Binding: http://hl7.org/fhir/ValueSet/clinical-findings (example)
... investigations 0..*BackboneElementOne or more sets of investigations (signs, symptions, etc.)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... code 1..1CodeableConceptA name/code for the set
Binding: http://hl7.org/fhir/ValueSet/investigation-sets (example)
.... item 0..*Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport)Record of a specific investigation
... protocol 0..1uriClinical Protocol followed
... summary 0..1stringSummary of the assessment
... finding 0..*BackboneElementPossible or likely findings and diagnoses
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... item 1..1CodeableConceptSpecific text or code for finding
Binding: http://hl7.org/fhir/ValueSet/condition-code (example)
.... cause 0..1stringWhich investigations support finding
... resolved 0..*CodeableConceptDiagnoses/conditions resolved since previous assessment
Binding: http://hl7.org/fhir/ValueSet/condition-code (example)
... ruledOut 0..*BackboneElementDiagnosis considered not possible
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... item 1..1CodeableConceptSpecific text of code for diagnosis
Binding: http://hl7.org/fhir/ValueSet/condition-code (example)
.... reason 0..1stringGrounds for elimination
... prognosis 0..1stringEstimate of likely outcome
... plan 0..*Reference(CarePlan | Appointment | CommunicationRequest | DeviceUseRequest | DiagnosticOrder | MedicationOrder | NutritionOrder | Order | ProcedureRequest | ProcessRequest | ReferralRequest | SupplyRequest | VisionPrescription)Plan of action after assessment
... action 0..*Reference(ReferralRequest | ProcedureRequest | Procedure | MedicationOrder | DiagnosticOrder | NutritionOrder | SupplyRequest | Appointment)Actions taken during assessment

doco Documentation for this format