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| Patient Care Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Group, Patient, Practitioner |
ShEx statement for clinicalassessment
PREFIX fhir: <http://hl7.org/fhir/>
PREFIX fhirvs: <http://hl7.org/fhir/ValueSet/>
PREFIX xsd: <http://www.w3.org/2001/XMLSchema#>
PREFIX rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#>
IMPORT <uri.shex>
IMPORT <code.shex>
IMPORT <Group.shex>
IMPORT <string.shex>
IMPORT <Period.shex>
IMPORT <Patient.shex>
IMPORT <dateTime.shex>
IMPORT <markdown.shex>
IMPORT <Resource.shex>
IMPORT <Reference.shex>
IMPORT <Encounter.shex>
IMPORT <Condition.shex>
IMPORT <Identifier.shex>
IMPORT <Annotation.shex>
IMPORT <Practitioner.shex>
IMPORT <DomainResource.shex>
IMPORT <CodeableConcept.shex>
IMPORT <BackboneElement.shex>
IMPORT <PractitionerRole.shex>
IMPORT <CodeableReference.shex>
IMPORT <AllergyIntolerance.shex>
start=@<ClinicalAssessment> AND {fhir:nodeRole [fhir:treeRoot]}
# A clinical assessment performed when planning treatments and management strategies for a patient
<ClinicalAssessment> EXTENDS @<DomainResource> CLOSED {
a [fhir:ClinicalAssessment]?;fhir:nodeRole [fhir:treeRoot]?;
fhir:identifier @<OneOrMore_Identifier>?; # Business identifier
fhir:status @<code> AND
{fhir:v @fhirvs:event-status}; # preparation | in-progress |
# not-done | on-hold | stopped |
# completed | entered-in-error |
# unknown
fhir:statusReason @<CodeableConcept>?; # Reason for current status
fhir:description @<string>?; # Why/how the assessment was
# performed
fhir:subject @<Reference> AND {fhir:link
@<Group> OR
@<Patient> ? }; # Patient or group assessed
fhir:encounter @<Reference> AND {fhir:link
@<Encounter> ? }?; # The Encounter during which this
# ClinicalAssessment was created
fhir:effective @<dateTime> OR
@<Period> ?; # Time of assessment
fhir:date @<dateTime>?; # When the assessment was documented
fhir:performer @<Reference> AND {fhir:link
@<Practitioner> OR
@<PractitionerRole> ? }?; # The clinician performing the
# assessment
fhir:previous @<Reference> AND {fhir:link
@<ClinicalAssessment> ? }?; # Reference to last assessment
fhir:problem @<OneOrMore_Reference_AllergyIntolerance_OR_Condition>?; # Relevant assessments of patient
# state
fhir:changePattern @<CodeableConcept>?; # Change in the status/pattern of a
# subject's condition since
# previously assessed, such as
# worsening, improving, or no change
fhir:protocol @<OneOrMore_uri>?; # Clinical Protocol followed
fhir:summary @<markdown>?; # Text summary of the assessment
fhir:finding @<OneOrMore_ClinicalAssessment.finding>?; # Possible or likely findings and
# diagnoses
fhir:prognosis @<OneOrMore_CodeableReference>?; # Estimate of likely outcome
fhir:supportingInfo @<OneOrMore_Reference_Resource>?; # Information supporting the
# clinical assessment
fhir:note @<OneOrMore_Annotation>?; # Comments made about the
# ClinicalAssessment
}
# Possible or likely findings and diagnoses
<ClinicalAssessment.finding> EXTENDS @<BackboneElement> CLOSED {
fhir:item @<CodeableReference>?; # What was found
fhir:basis @<string>?; # Which investigations support
# finding
}
#---------------------- Cardinality Types (OneOrMore) -------------------
<OneOrMore_Identifier> CLOSED {
rdf:first @<Identifier> ;
rdf:rest [rdf:nil] OR @<OneOrMore_Identifier>
}
<OneOrMore_Reference_AllergyIntolerance_OR_Condition> CLOSED {
rdf:first @<Reference> AND {fhir:link
@<AllergyIntolerance> OR
@<Condition> } ;
rdf:rest [rdf:nil] OR @<OneOrMore_Reference_AllergyIntolerance_OR_Condition>
}
<OneOrMore_uri> CLOSED {
rdf:first @<uri> ;
rdf:rest [rdf:nil] OR @<OneOrMore_uri>
}
<OneOrMore_ClinicalAssessment.finding> CLOSED {
rdf:first @<ClinicalAssessment.finding> ;
rdf:rest [rdf:nil] OR @<OneOrMore_ClinicalAssessment.finding>
}
<OneOrMore_CodeableReference> CLOSED {
rdf:first @<CodeableReference> ;
rdf:rest [rdf:nil] OR @<OneOrMore_CodeableReference>
}
<OneOrMore_Reference_Resource> CLOSED {
rdf:first @<Reference> AND {fhir:link
@<Resource> } ;
rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Resource>
}
<OneOrMore_Annotation> CLOSED {
rdf:first @<Annotation> ;
rdf:rest [rdf:nil] OR @<OneOrMore_Annotation>
}
#---------------------- Value Sets ------------------------
# Codes identifying the lifecycle stage of an event.
fhirvs:event-status ["preparation" "in-progress" "not-done" "on-hold" "stopped" "completed" "entered-in-error" "unknown"]
Usage note: every effort has been made to ensure that the ShEx files are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot3 generated on Thu, Oct 23, 2025 19:45+0000.
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