Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-clinicalimpression | Version: 3.0.0-ballot | ||||
| Active as of 2026-11-10 | Computable Name: CPGClinicalImpression | ||||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.42.35 | |||||
CPG Clinical Impression captures clinician judgement at any particular point, and related to the case features and pathway, strategies, and recommendations.
This is a domain instance profile
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalImpression.status | Base | required | Clinical Impression Status | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.code | Base | example | Not State | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ClinicalImpression
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||
|---|---|---|---|---|---|---|---|---|
  ClinicalImpression |
0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |||||
  id |
0..1 | id | Logical id of this artifact | |||||
 meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
   extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |||||
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |||||
 extension:impressionFor |
0..1 | base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | CPG Impression For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-impressionFor | |||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier | |||||
| status |
1..1 | code | in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a clinical impression. | |||||
| code |
0..1 | CodeableConcept | Kind of assessment performed Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed. | |||||
| description |
0..1 | string | Why/how the assessment was performed | |||||
 subject |
1..1 | Reference(CPG Patient) | Patient or group assessed | |||||
| encounter |
0..1 | Reference(CPG Encounter) | Encounter created as part of | |||||
 effective[x] |
0..1 | Time of assessment | ||||||
| effectiveDateTime |
dateTime | |||||||
 effectivePeriod |
Period | |||||||
| date |
0..1 | dateTime | When the assessment was documented | |||||
| assessor |
0..1 | Reference(CPG Practitioner | CPG Practitioner Role) | The clinician performing the assessment | |||||
| previous |
0..1 | Reference(ClinicalImpression) | Reference to last assessment | |||||
| problem |
0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | |||||
| investigation |
0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations. | |||||
| item |
0..* | Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) | Record of a specific investigation | |||||
| protocol |
0..* | uri | Clinical Protocol followed | |||||
| summary |
0..1 | string | Summary of the assessment | |||||
| finding |
0..* | BackboneElement | Possible or likely findings and diagnoses | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| itemCodeableConcept |
0..1 | CodeableConcept | What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis. | |||||
| itemReference |
0..1 | Reference(Condition | Observation | Media) | What was found | |||||
| basis |
0..1 | string | Which investigations support finding | |||||
| prognosisCodeableConcept |
0..* | CodeableConcept | Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings. | |||||
| prognosisReference |
0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | |||||
| supportingInfo |
0..* | Reference(Resource) | Information supporting the clinical impression | |||||
| note |
0..* | Annotation | Comments made about the ClinicalImpression | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalImpression.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.status | Base | required | Clinical Impression Status | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.statusReason | Base | example | Not State | Unknown | |
| ClinicalImpression.code | Base | example | Not State | Unknown | |
| ClinicalImpression.investigation.code | Base | example | Investigation Type | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.finding.itemCodeableConcept | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.prognosisCodeableConcept | Base | example | Clinical Impression Prognosis | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ClinicalImpression
Summary
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalImpression.status | Base | required | Clinical Impression Status | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.code | Base | example | Not State | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from ClinicalImpression
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ClinicalImpression |
0..* | ClinicalImpression | A clinical assessment performed when planning treatments and management strategies for a patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |||||
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |||||
| extension:impressionFor |
0..1 | base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | CPG Impression For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-impressionFor | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier | |||||
| status |
1..1 | code | in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression. | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a clinical impression. | |||||
| code |
0..1 | CodeableConcept | Kind of assessment performed Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed. | |||||
| description |
0..1 | string | Why/how the assessment was performed | |||||
| subject |
1..1 | Reference(CPG Patient) | Patient or group assessed | |||||
| encounter |
0..1 | Reference(CPG Encounter) | Encounter created as part of | |||||
| effective[x] |
0..1 | Time of assessment | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| date |
0..1 | dateTime | When the assessment was documented | |||||
| assessor |
0..1 | Reference(CPG Practitioner | CPG Practitioner Role) | The clinician performing the assessment | |||||
| previous |
0..1 | Reference(ClinicalImpression) | Reference to last assessment | |||||
| problem |
0..* | Reference(Condition | AllergyIntolerance) | Relevant impressions of patient state | |||||
| investigation |
0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations. | |||||
| item |
0..* | Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) | Record of a specific investigation | |||||
| protocol |
0..* | uri | Clinical Protocol followed | |||||
| summary |
0..1 | string | Summary of the assessment | |||||
| finding |
0..* | BackboneElement | Possible or likely findings and diagnoses | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| itemCodeableConcept |
0..1 | CodeableConcept | What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis. | |||||
| itemReference |
0..1 | Reference(Condition | Observation | Media) | What was found | |||||
| basis |
0..1 | string | Which investigations support finding | |||||
| prognosisCodeableConcept |
0..* | CodeableConcept | Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings. | |||||
| prognosisReference |
0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome | |||||
| supportingInfo |
0..* | Reference(Resource) | Information supporting the clinical impression | |||||
| note |
0..* | Annotation | Comments made about the ClinicalImpression | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalImpression.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.status | Base | required | Clinical Impression Status | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.statusReason | Base | example | Not State | Unknown | |
| ClinicalImpression.code | Base | example | Not State | Unknown | |
| ClinicalImpression.investigation.code | Base | example | Investigation Type | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.finding.itemCodeableConcept | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| ClinicalImpression.prognosisCodeableConcept | Base | example | Clinical Impression Prognosis | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ClinicalImpression | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ClinicalImpression | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ClinicalImpression | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ClinicalImpression
Summary
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Clinical Decision Support.
Package hl7.fhir.uv.cpg#3.0.0-ballot based on FHIR 4.0.1.
Generated
2026-11-10
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