Specyfikacja HL7 FHIR dla diagnostyki obrazowej (HL7 FHIR PL Imaging), published by HL7 Poland. This guide is not an authorized publication; it is the continuous build for version 0.1.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Poland/pl-fhir-imaging/ and changes regularly. See the Directory of published versions

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Resource Profile: Powód badania

Opisowy cel/powód badania

Usages:

• Refer to this Profile: Zlecenie badania obrazowego

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The workflow state of a clinical impression. Required Pattern: completed
subject	Σ	1..1	Reference(Patient | Group)	Patient or group assessed
summary		1..1	string	Summary of the assessment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalImpression.status	required	Pattern Value: completed http://hl7.org/fhir/ValueSet/event-status|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed
summary		1..1	string	Summary of the assessment
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		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
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The workflow state of a clinical impression. Required Pattern: completed
statusReason		0..1	CodeableConcept	Reason for current status Binding: ClinicalImpressionStatusReason (example): Codes identifying the reason for the current state of a clinical impression.
description	Σ	0..1	string	Why/how the assessment was performed
subject	Σ	1..1	Reference(Patient | Group)	Patient or group assessed
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this ClinicalImpression was created
effective[x]	Σ	0..1		Time of assessment
effectiveDateTime			dateTime
effectivePeriod			Period
date	Σ	0..1	dateTime	When the assessment was documented
performer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The clinician performing the assessment
previous		0..1	Reference(ClinicalImpression)	Reference to last assessment
problem	Σ	0..*	Reference(Condition | AllergyIntolerance)	Relevant impressions of patient state
changePattern		0..1	CodeableConcept	Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change Binding: ClinicalImpressionChangePatter (example)
protocol		0..*	uri	Clinical Protocol followed
summary		1..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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		0..1	CodeableReference(Condition | Observation | DocumentReference)	What was found Binding: ConditionProblemDiagnosisCodes (example): Identification of the Condition or diagnosis.
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalImpression.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
ClinicalImpression.status	required	Pattern Value: completed http://hl7.org/fhir/ValueSet/event-status|5.0.0 From the FHIR Standard
ClinicalImpression.statusReason	example	ClinicalImpressionStatusReason http://hl7.org/fhir/ValueSet/clinicalimpression-status-reason|5.0.0 From the FHIR Standard
ClinicalImpression.changePattern	example	ClinicalImpressionChangePatter http://hl7.org/fhir/ValueSet/clinicalimpression-change-pattern|5.0.0 From the FHIR Standard
ClinicalImpression.finding.item	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|5.0.0 From the FHIR Standard
ClinicalImpression.prognosisCodeableConcept	example	ClinicalImpressionPrognosis http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Mandatory: 1 element

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The workflow state of a clinical impression. Required Pattern: completed
subject	Σ	1..1	Reference(Patient | Group)	Patient or group assessed
summary		1..1	string	Summary of the assessment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalImpression.status	required	Pattern Value: completed http://hl7.org/fhir/ValueSet/event-status|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed
summary		1..1	string	Summary of the assessment
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		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
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The workflow state of a clinical impression. Required Pattern: completed
statusReason		0..1	CodeableConcept	Reason for current status Binding: ClinicalImpressionStatusReason (example): Codes identifying the reason for the current state of a clinical impression.
description	Σ	0..1	string	Why/how the assessment was performed
subject	Σ	1..1	Reference(Patient | Group)	Patient or group assessed
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this ClinicalImpression was created
effective[x]	Σ	0..1		Time of assessment
effectiveDateTime			dateTime
effectivePeriod			Period
date	Σ	0..1	dateTime	When the assessment was documented
performer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The clinician performing the assessment
previous		0..1	Reference(ClinicalImpression)	Reference to last assessment
problem	Σ	0..*	Reference(Condition | AllergyIntolerance)	Relevant impressions of patient state
changePattern		0..1	CodeableConcept	Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change Binding: ClinicalImpressionChangePatter (example)
protocol		0..*	uri	Clinical Protocol followed
summary		1..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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		0..1	CodeableReference(Condition | Observation | DocumentReference)	What was found Binding: ConditionProblemDiagnosisCodes (example): Identification of the Condition or diagnosis.
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalImpression.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
ClinicalImpression.status	required	Pattern Value: completed http://hl7.org/fhir/ValueSet/event-status|5.0.0 From the FHIR Standard
ClinicalImpression.statusReason	example	ClinicalImpressionStatusReason http://hl7.org/fhir/ValueSet/clinicalimpression-status-reason|5.0.0 From the FHIR Standard
ClinicalImpression.changePattern	example	ClinicalImpressionChangePatter http://hl7.org/fhir/ValueSet/clinicalimpression-change-pattern|5.0.0 From the FHIR Standard
ClinicalImpression.finding.item	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|5.0.0 From the FHIR Standard
ClinicalImpression.prognosisCodeableConcept	example	ClinicalImpressionPrognosis http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Mandatory: 1 element

Other representations of profile: CSV, Excel, Schematron