ClinicalAssessment
type: StructureDefinition
node role: treeRoot
id:
  v: ClinicalAssessment
meta:
  last updated:
    v: 2021-01-02T08:58:31.578+11:00
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition ClinicalAssessment Last updated: 2021-01-02 08:58:31+1100 Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> <a href="StructureDefinition-ClinicalAssessment-definitions.html#ClinicalAssessment" title="A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow.">ClinicalAssessment 0..* DomainResource A clinical assessment performed when planning treatments and management strategies for a patient Elements defined in Ancestors:id, meta, implicitRules, language, <a href="http://hl7.org/fhir/R5/domainresource.html" title="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.">text, contained, <a href="http://hl7.org/fhir/R5/domainresource.html" title="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.">extension, <a href="http://hl7.org/fhir/R5/domainresource.html" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the elemen…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-category
    l: structuredefinition-category
  value: String
    v: Clinical.Summary
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 1
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category
    l: structuredefinition-security-category
  value: Code
    v: patient
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: pc
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/entered-in-error-status
    l: entered-in-error-status
  value: Code
    v: .status = entered-in-error
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/additional-resource
    l: additional-resource
  value: Boolean
    v: true
url:
  v: http://hl7.org/fhir/StructureDefinition/ClinicalAssessment
  l: ClinicalAssessment
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:oid:2.16.840.1.113883.4.642.5.1351
version:
  v: 0.1.0
name:
  v: ClinicalAssessment
title:
  v: Clinical assessment
status:
  v: active
date:
  v: 2021-01-02T08:58:31+11:00
publisher:
  v: HL7 International / Patient Care
contact:
  name:
    v: HL7 International / Patient Care
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/patientcare
description:
  v: A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 6.0.0-ballot3
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 V2 Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: ClinicalAssessment
  l: ClinicalAssessment
base definition:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 6.0.0-ballot3
  element:
    id:
      v: ClinicalAssessment
    extension:
      url:
        v: http://hl7.org/fhir/build/StructureDefinition/svg
        l: http://hl7.org/fhir/build/StructureDefinition/svg
      value: Code
        v: 0,0
    path:
      v: ClinicalAssessment
    short:
      v: A clinical assessment performed when planning treatments and management strategies for a patient
    definition:
      v: A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: DomainResource
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated

v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()

key:
  v: dom-5
severity:
  v: error
human:
  v: If a resource is contained in another resource, it SHALL NOT have a security label
expression:
  v: contained.meta.security.empty()
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
    l: elementdefinition-bestpractice
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation
    l: elementdefinition-bestpractice-explanation
  value: Markdown
    v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
key:
  v: dom-6
severity:
  v: warning
human:
  v: A resource should have narrative for robust management
expression:
  v: text.`div`.exists()
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

v: false

v: false

v: false

identity:
  v: workflow
map:
  v: Event

identity:
  v: v2
map:
  v: Partial mapping for problem evaluation

identity:
  v: w5
map:
  v: clinical.general

identity:
  v: rim
map:
  v: Entity. Role, or Act,Entity, Role, or Act

id:
  v: ClinicalAssessment.id
path:
  v: ClinicalAssessment.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalAssessment.meta
path:
  v: ClinicalAssessment.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalAssessment.implicitRules
path:
  v: ClinicalAssessment.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
is summary:
  v: true

id:
  v: ClinicalAssessment.language
path:
  v: ClinicalAssessment.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: required
  description:
    v: IETF language tag for a human language
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3
    l: http://hl7.org/fhir/ValueSet/all-languages
  additional:
    purpose:
      v: starter
    value set:
      v: http://hl7.org/fhir/ValueSet/languages|6.0.0-ballot3
      l: http://hl7.org/fhir/ValueSet/languages

id:
  v: ClinicalAssessment.text
path:
  v: ClinicalAssessment.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: ClinicalAssessment.contained
path:
  v: ClinicalAssessment.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](http://build.fhir.org/resource.html#additional).
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
condition:
  v: dom-2
condition:
  v: dom-4
condition:
  v: dom-3
condition:
  v: dom-5
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalAssessment.extension
path:
  v: ClinicalAssessment.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalAssessment.modifierExtension
path:
  v: ClinicalAssessment.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalAssessment.identifier
path:
  v: ClinicalAssessment.identifier
short:
  v: Business identifier
definition:
  v: Business identifiers assigned to this clinical assessment by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
comment:
  v: This is a business identifier, not a resource identifier (see [discussion](http://build.fhir.org/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
requirements:
  v: Allows identification of the clinical assessment as it is known by various participating systems and in a way that remains consistent across servers.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalAssessment.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: v2
  map:
    v: PID-3

id:
  v: ClinicalAssessment.status
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: GF#22730.
path:
  v: ClinicalAssessment.status
short:
  v: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
definition:
  v: Identifies the workflow status of the assessment.
comment:
  v: This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical assessment as not currently valid.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is modifier:
  v: true
is modifier reason:
  v: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalAssessmentStatus
  strength:
    v: required
  description:
    v: The workflow state of a clinical assessment.
  value set:
    v: http://hl7.org/fhir/ValueSet/event-status
    l: event-status
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: v2
  map:
    v: PRB-14

id:
  v: ClinicalAssessment.statusReason
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: GF#22730.
path:
  v: ClinicalAssessment.statusReason
short:
  v: Reason for current status
definition:
  v: Captures the reason for the current state of the ClinicalAssessment.
comment:
  v: This is generally only used for "exception" statuses such as "not-done", "on-hold" or "stopped".
alias:
  v: Suspended Reason
alias:
  v: Cancelled Reason
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.statusReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalAssessmentStatusReason
  strength:
    v: example
  description:
    v: Codes identifying the reason for the current state of a clinical assessment.
  value set:
    v: http://hl7.org/fhir/ValueSet/clinicalassessment-status-reason
    l: clinicalassessment-status-reason
mapping:
  identity:
    v: workflow
  map:
    v: Event.statusReason
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde

id:
  v: ClinicalAssessment.description
path:
  v: ClinicalAssessment.description
short:
  v: Why/how the assessment was performed
definition:
  v: A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true

id:
  v: ClinicalAssessment.subject
path:
  v: ClinicalAssessment.subject
short:
  v: Patient or group assessed
definition:
  v: The patient or group of individuals assessed as part of this record.
requirements:
  v: Group is typically for veterinary and/or public health purposes.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject
mapping:
  identity:
    v: v2
  map:
    v: PID-3

id:
  v: ClinicalAssessment.encounter
path:
  v: ClinicalAssessment.encounter
short:
  v: The Encounter during which this ClinicalAssessment was created
definition:
  v: The Encounter during which this ClinicalAssessment was created or to which the creation of this record is tightly associated.
comment:
  v: This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    l: Encounter
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.encounter
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context

id:
  v: ClinicalAssessment.effective[x]
path:
  v: ClinicalAssessment.effective[x]
short:
  v: Time of assessment
definition:
  v: The point in time or period over which the subject was assessed.
comment:
  v: This SHOULD be accurate to at least the minute, though some assessments only have a known date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: v2
  map:
    v: PRB-2

id:
  v: ClinicalAssessment.date
path:
  v: ClinicalAssessment.date
short:
  v: When the assessment was documented
definition:
  v: Indicates when the documentation of the assessment was complete.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.date
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded

id:
  v: ClinicalAssessment.performer
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: GF#18861.
path:
  v: ClinicalAssessment.performer
short:
  v: The clinician performing the assessment
definition:
  v: The clinician performing the assessment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.performer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    l: PractitionerRole
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor
mapping:
  identity:
    v: v2
  map:
    v: ROL-4

id:
  v: ClinicalAssessment.previous
path:
  v: ClinicalAssessment.previous
short:
  v: Reference to last assessment
definition:
  v: A reference to the last assessment that was conducted on this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.
comment:
  v: It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.previous
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ClinicalAssessment
    l: ClinicalAssessment

id:
  v: ClinicalAssessment.problem
path:
  v: ClinicalAssessment.problem
short:
  v: Relevant assessments of patient state
definition:
  v: A list of the relevant problems/conditions for a patient.
comment:
  v: e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalAssessment.problem
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
    l: AllergyIntolerance
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: v2
  map:
    v: PRB-3 / IAM-7

id:
  v: ClinicalAssessment.changePattern
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: J#36197
path:
  v: ClinicalAssessment.changePattern
short:
  v: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change
definition:
  v: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change. It is a subjective assessment of the direction of the change.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.changePattern
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalAssessmentChangePattern
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/ValueSet/clinicalassessment-change-pattern
    l: clinicalassessment-change-pattern

id:
  v: ClinicalAssessment.protocol
path:
  v: ClinicalAssessment.protocol
short:
  v: Clinical Protocol followed
definition:
  v: Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalAssessment.protocol
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: uri
    l: uri

id:
  v: ClinicalAssessment.summary
path:
  v: ClinicalAssessment.summary
short:
  v: Text summary of the assessment
definition:
  v: A text summary of the investigations and the diagnosis.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.summary
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: markdown
    l: markdown
mapping:
  identity:
    v: v2
  map:
    v: OBX

id:
  v: ClinicalAssessment.finding
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/svg
    l: http://hl7.org/fhir/build/StructureDefinition/svg
  value: Code
    v: 400,140
path:
  v: ClinicalAssessment.finding
short:
  v: Possible or likely findings and diagnoses
definition:
  v: Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalAssessment.finding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children or both
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: ClinicalAssessment.finding.id
path:
  v: ClinicalAssessment.finding.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalAssessment.finding.extension
path:
  v: ClinicalAssessment.finding.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalAssessment.finding.modifierExtension
path:
  v: ClinicalAssessment.finding.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalAssessment.finding.item
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: GF#14150.
path:
  v: ClinicalAssessment.finding.item
short:
  v: What was found
definition:
  v: Specific text, code or reference for finding or diagnosis, which may include ruled-out or resolved conditions.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.finding.item
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableReference
    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DocumentReference
    l: DocumentReference
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConditionKind
  strength:
    v: example
  description:
    v: Identification of the Condition or diagnosis.
  value set:
    v: http://hl7.org/fhir/ValueSet/condition-code
    l: condition-code
mapping:
  identity:
    v: v2
  map:
    v: OBX

id:
  v: ClinicalAssessment.finding.basis
path:
  v: ClinicalAssessment.finding.basis
short:
  v: Which investigations support finding
definition:
  v: Which investigations support finding or diagnosis.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalAssessment.finding.basis
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: ClinicalAssessment.prognosis
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: J#50412
path:
  v: ClinicalAssessment.prognosis
short:
  v: Estimate of likely outcome
definition:
  v: Estimate of likely outcome.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalAssessment.prognosis
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableReference
    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RiskAssessment
    l: RiskAssessment
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalAssessmentPrognosis
  strength:
    v: example
  description:
    v: Prognosis or outlook findings.
  value set:
    v: http://hl7.org/fhir/ValueSet/clinicalassessment-prognosis
    l: clinicalassessment-prognosis
mapping:
  identity:
    v: v2
  map:
    v: PRB-22

id:
  v: ClinicalAssessment.supportingInfo
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: GF#7185, GF#18860.
path:
  v: ClinicalAssessment.supportingInfo
short:
  v: Information supporting the clinical assessment
definition:
  v: Information supporting the clinical assessment, which can contain investigation results.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalAssessment.supportingInfo
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource

id:
  v: ClinicalAssessment.note
path:
  v: ClinicalAssessment.note
short:
  v: Comments made about the ClinicalAssessment
definition:
  v: Commentary about the assessment, typically recorded after the assessment itself was made, though supplemental notes by the original author could also appear.
comment:
  v: Don't use this element for content that should more properly appear as one of the specific elements of the assessment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalAssessment.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
mapping:
  identity:
    v: workflow
  map:
    v: Event.note

element:
  id:
    v: ClinicalAssessment
  extension:
    url:
      v: http://hl7.org/fhir/build/StructureDefinition/svg
      l: http://hl7.org/fhir/build/StructureDefinition/svg
    value: Code
      v: 0,0
  path:
    v: ClinicalAssessment
  short:
    v: A clinical assessment performed when planning treatments and management strategies for a patient
  definition:
    v: A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow.
  min:
    v: 0
  max:
    v: *
  mapping:
    identity:
      v: workflow
    map:
      v: Event
  mapping:
    identity:
      v: v2
    map:
      v: Partial mapping for problem evaluation
  mapping:
    identity:
      v: w5
    map:
      v: clinical.general
element:
  id:
    v: ClinicalAssessment.identifier
  path:
    v: ClinicalAssessment.identifier
  short:
    v: Business identifier
  definition:
    v: Business identifiers assigned to this clinical assessment by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
  comment:
    v: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
  requirements:
    v: Allows identification of the clinical assessment as it is known by various participating systems and in a way that remains consistent across servers.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Identifier
      l: Identifier
  is summary:
    v: true
  mapping:
    identity:
      v: workflow
    map:
      v: Event.identifier
  mapping:
    identity:
      v: w5
    map:
      v: FiveWs.identifier
  mapping:
    identity:
      v: v2
    map:
      v: PID-3
element:
  id:
    v: ClinicalAssessment.status
  extension:
    url:
      v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
      l: committee-notes
    value: String
      v: GF#22730.
  path:
    v: ClinicalAssessment.status
  short:
    v: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
  definition:
    v: Identifies the workflow status of the assessment.
  comment:
    v: This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical assessment as not currently valid.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: code
      l: code
  is modifier:
    v: true
  is modifier reason:
    v: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
  is summary:
    v: true
  binding:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
        l: elementdefinition-bindingName
      value: String
        v: ClinicalAssessmentStatus
    strength:
      v: required
    description:
      v: The workflow state of a clinical assessment.
    value set:
      v: http://hl7.org/fhir/ValueSet/event-status
      l: event-status
  mapping:
    identity:
      v: workflow
    map:
      v: Event.status
  mapping:
    identity:
      v: w5
    map:
      v: FiveWs.status
  mapping:
    identity:
      v: v2
    map:
      v: PRB-14
element:
  id:
    v: ClinicalAssessment.statusReason
  extension:
    url:
      v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
      l: committee-notes
    value: String
      v: GF#22730.
  path:
    v: ClinicalAssessment.statusReason
  short:
    v: Reason for current status
  definition:
    v: Captures the reason for the current state of the ClinicalAssessment.
  comment:
    v: This is generally only used for "exception" statuses such as "not-done", "on-hold" or "stopped".
  alias:
    v: Suspended Reason
  alias:
    v: Cancelled Reason
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
  binding:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
        l: elementdefinition-bindingName
      value: String
        v: ClinicalAssessmentStatusReason
    strength:
      v: example
    description:
      v: Codes identifying the reason for the current state of a clinical assessment.
    value set:
      v: http://hl7.org/fhir/ValueSet/clinicalassessment-status-reason
      l: clinicalassessment-status-reason
  mapping:
    identity:
      v: workflow
    map:
      v: Event.statusReason
  mapping:
    identity:
      v: rim
    map:
      v: .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
element:
  id:
    v: ClinicalAssessment.description
  path:
    v: ClinicalAssessment.description
  short:
    v: Why/how the assessment was performed
  definition:
    v: A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
      l: string

v: true

id:
  v: ClinicalAssessment.subject
path:
  v: ClinicalAssessment.subject
short:
  v: Patient or group assessed
definition:
  v: The patient or group of individuals assessed as part of this record.
requirements:
  v: Group is typically for veterinary and/or public health purposes.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject
mapping:
  identity:
    v: v2
  map:
    v: PID-3

id:
  v: ClinicalAssessment.encounter
path:
  v: ClinicalAssessment.encounter
short:
  v: The Encounter during which this ClinicalAssessment was created
definition:
  v: The Encounter during which this ClinicalAssessment was created or to which the creation of this record is tightly associated.
comment:
  v: This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    l: Encounter
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.encounter
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context

id:
  v: ClinicalAssessment.effective[x]
path:
  v: ClinicalAssessment.effective[x]
short:
  v: Time of assessment
definition:
  v: The point in time or period over which the subject was assessed.
comment:
  v: This SHOULD be accurate to at least the minute, though some assessments only have a known date.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: v2
  map:
    v: PRB-2

id:
  v: ClinicalAssessment.date
path:
  v: ClinicalAssessment.date
short:
  v: When the assessment was documented
definition:
  v: Indicates when the documentation of the assessment was complete.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded

id:
  v: ClinicalAssessment.performer
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: GF#18861.
path:
  v: ClinicalAssessment.performer
short:
  v: The clinician performing the assessment
definition:
  v: The clinician performing the assessment.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    l: PractitionerRole
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor
mapping:
  identity:
    v: v2
  map:
    v: ROL-4

id:
  v: ClinicalAssessment.previous
path:
  v: ClinicalAssessment.previous
short:
  v: Reference to last assessment
definition:
  v: A reference to the last assessment that was conducted on this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.
comment:
  v: It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ClinicalAssessment
    l: ClinicalAssessment

id:
  v: ClinicalAssessment.problem
path:
  v: ClinicalAssessment.problem
short:
  v: Relevant assessments of patient state
definition:
  v: A list of the relevant problems/conditions for a patient.
comment:
  v: e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
    l: AllergyIntolerance
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: v2
  map:
    v: PRB-3 / IAM-7

id:
  v: ClinicalAssessment.changePattern
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: J#36197
path:
  v: ClinicalAssessment.changePattern
short:
  v: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change
definition:
  v: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change. It is a subjective assessment of the direction of the change.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalAssessmentChangePattern
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/ValueSet/clinicalassessment-change-pattern
    l: clinicalassessment-change-pattern

id:
  v: ClinicalAssessment.protocol
path:
  v: ClinicalAssessment.protocol
short:
  v: Clinical Protocol followed
definition:
  v: Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.
min:
  v: 0
max:
  v: *
type:
  code:
    v: uri
    l: uri

id:
  v: ClinicalAssessment.summary
path:
  v: ClinicalAssessment.summary
short:
  v: Text summary of the assessment
definition:
  v: A text summary of the investigations and the diagnosis.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: markdown
    l: markdown
mapping:
  identity:
    v: v2
  map:
    v: OBX

id:
  v: ClinicalAssessment.finding
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/svg
    l: http://hl7.org/fhir/build/StructureDefinition/svg
  value: Code
    v: 400,140
path:
  v: ClinicalAssessment.finding
short:
  v: Possible or likely findings and diagnoses
definition:
  v: Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.
min:
  v: 0
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: ClinicalAssessment.finding.item
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: GF#14150.
path:
  v: ClinicalAssessment.finding.item
short:
  v: What was found
definition:
  v: Specific text, code or reference for finding or diagnosis, which may include ruled-out or resolved conditions.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableReference
    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DocumentReference
    l: DocumentReference
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConditionKind
  strength:
    v: example
  description:
    v: Identification of the Condition or diagnosis.
  value set:
    v: http://hl7.org/fhir/ValueSet/condition-code
    l: condition-code
mapping:
  identity:
    v: v2
  map:
    v: OBX

id:
  v: ClinicalAssessment.finding.basis
path:
  v: ClinicalAssessment.finding.basis
short:
  v: Which investigations support finding
definition:
  v: Which investigations support finding or diagnosis.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: ClinicalAssessment.prognosis
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: J#50412
path:
  v: ClinicalAssessment.prognosis
short:
  v: Estimate of likely outcome
definition:
  v: Estimate of likely outcome.
min:
  v: 0
max:
  v: *
type:
  code:
    v: CodeableReference
    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RiskAssessment
    l: RiskAssessment
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalAssessmentPrognosis
  strength:
    v: example
  description:
    v: Prognosis or outlook findings.
  value set:
    v: http://hl7.org/fhir/ValueSet/clinicalassessment-prognosis
    l: clinicalassessment-prognosis
mapping:
  identity:
    v: v2
  map:
    v: PRB-22

id:
  v: ClinicalAssessment.supportingInfo
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: GF#7185, GF#18860.
path:
  v: ClinicalAssessment.supportingInfo
short:
  v: Information supporting the clinical assessment
definition:
  v: Information supporting the clinical assessment, which can contain investigation results.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource

id:
  v: ClinicalAssessment.note
path:
  v: ClinicalAssessment.note
short:
  v: Comments made about the ClinicalAssessment
definition:
  v: Commentary about the assessment, typically recorded after the assessment itself was made, though supplemental notes by the original author could also appear.
comment:
  v: Don't use this element for content that should more properly appear as one of the specific elements of the assessment.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Annotation
    l: Annotation
mapping:
  identity:
    v: workflow
  map:
    v: Event.note