Left: | CPG Clinical Impression (http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-clinicalimpression) |
Right: | CPG Clinical Impression (http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-clinicalimpression) |
Error | StructureDefinition.version | Values for version differ: '2.0.0-ballot' vs '2.0.0' |
Information | StructureDefinition.date | Values for date differ: '2023-12-19T19:53:17+00:00' vs '2024-11-24T20:44:17+00:00' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/ClinicalImpression | ||
copyright | |||
date | 2023-12-19T19:53:17+00:00 | 2024-11-24T20:44:17+00:00 |
|
description | CPG Clinical Impression captures clinician judgement at any particular point, and related to the case features and pathway, strategies, and recommendations. | ||
experimental | false | ||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | ||
kind | resource | ||
name | CPGClinicalImpression | ||
publisher | HL7 International / Clinical Decision Support | ||
purpose | |||
status | active | ||
title | CPG Clinical Impression | ||
type | ClinicalImpression | ||
url | http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-clinicalimpression | ||
version | 2.0.0-ballot | 2.0.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ClinicalImpression | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | 0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |||||||||||
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
identifier | SΣ | 0..* | Identifier | Business identifier | SΣ | 0..* | Identifier | Business identifier | |||||||||
status | ?!SΣ | 1..1 | code | in-progress | completed | entered-in-error Binding: ?? (required): The workflow state of a clinical impression. | ?!SΣ | 1..1 | code | in-progress | completed | entered-in-error Binding: ?? (required): The workflow state of a clinical impression. | |||||||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of a clinical impression. | 0..1 | CodeableConcept | Reason for current status Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of a clinical impression. | |||||||||||
code | SΣ | 0..1 | CodeableConcept | Kind of assessment performed Binding Description (No ValueSet): (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed. | SΣ | 0..1 | CodeableConcept | Kind of assessment performed Binding Description (No ValueSet): (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed. | |||||||||
description | SΣ | 0..1 | string | Why/how the assessment was performed | SΣ | 0..1 | string | Why/how the assessment was performed | |||||||||
subject | SΣ | 1..1 | Reference(CPG Patient) | Patient or group assessed | SΣ | 1..1 | Reference(CPG Patient) | Patient or group assessed | |||||||||
encounter | SΣ | 0..1 | Reference(CPG Encounter) | Encounter created as part of | SΣ | 0..1 | Reference(CPG Encounter) | Encounter created as part of | |||||||||
effective[x] | SΣ | 0..1 | dateTime, Period | Time of assessment | SΣ | 0..1 | dateTime, Period | Time of assessment | |||||||||
date | SΣ | 0..1 | dateTime | When the assessment was documented | SΣ | 0..1 | dateTime | When the assessment was documented | |||||||||
assessor | SΣ | 0..1 | Reference(CPG Practitioner | CPG Practitioner Role) | The clinician performing the assessment | SΣ | 0..1 | Reference(CPG Practitioner | CPG Practitioner Role) | The clinician performing the assessment | |||||||||
previous | 0..1 | Reference(ClinicalImpression) | Reference to last assessment | 0..1 | Reference(ClinicalImpression) | Reference to last assessment | |||||||||||
problem | Σ | 0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | Σ | 0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | |||||||||
investigation | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) | |||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
code | 1..1 | CodeableConcept | A name/code for the set Binding: ?? (example): A name/code for a set of investigations. | 1..1 | CodeableConcept | A name/code for the set Binding: ?? (example): A name/code for a set of investigations. | |||||||||||
item | 0..* | Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) | Record of a specific investigation | 0..* | Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) | Record of a specific investigation | |||||||||||
protocol | S | 0..* | uri | Clinical Protocol followed | S | 0..* | uri | Clinical Protocol followed | |||||||||
summary | 0..1 | string | Summary of the assessment | 0..1 | string | Summary of the assessment | |||||||||||
finding | 0..* | BackboneElement | Possible or likely findings and diagnoses | 0..* | BackboneElement | Possible or likely findings and diagnoses | |||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
itemCodeableConcept | 0..1 | CodeableConcept | What was found Binding: ?? (example): Identification of the Condition or diagnosis. | 0..1 | CodeableConcept | What was found Binding: ?? (example): Identification of the Condition or diagnosis. | |||||||||||
itemReference | 0..1 | Reference(Condition | Observation | Media) | What was found | 0..1 | Reference(Condition | Observation | Media) | What was found | |||||||||||
basis | 0..1 | string | Which investigations support finding | 0..1 | string | Which investigations support finding | |||||||||||
prognosisCodeableConcept | 0..* | CodeableConcept | Estimate of likely outcome Binding: ?? (example): Prognosis or outlook findings. | 0..* | CodeableConcept | Estimate of likely outcome Binding: ?? (example): Prognosis or outlook findings. | |||||||||||
prognosisReference | 0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | 0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | |||||||||||
supportingInfo | 0..* | Reference(Resource) | Information supporting the clinical impression | 0..* | Reference(Resource) | Information supporting the clinical impression | |||||||||||
note | 0..* | Annotation | Comments made about the ClinicalImpression | 0..* | Annotation | Comments made about the ClinicalImpression | |||||||||||
Documentation for this format |