# PH ClinicalImpression - NHDR Implementation Guide Release 1.0 v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **PH ClinicalImpression**

## Resource Profile: PH ClinicalImpression 

| | |
| :--- | :--- |
| *Official URL*:https://nhdr.gov.ph/fhir/StructureDefinition/PH-ClinicalImpression | *Version*:0.1.0 |
| * Standards status: *[Draft](http://hl7.org/fhir/R4/versions.html#std-process) | *Computable Name*:PH_ClinicalImpression |
| **Copyright/Legal**: Used by permission of HL7 International, all rights reserved Creative Commons License | |

 
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. This resource is called "ClinicalImpression" rather than "ClinicalAssessment" to avoid confusion with the recording of assessment tools such as Apgar score. 

**Usages:**

* This Profile is not used by any profiles in this Implementation Guide

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/PHCDI|current/StructureDefinition/PH-ClinicalImpression)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-PH-ClinicalImpression.csv), [Excel](StructureDefinition-PH-ClinicalImpression.xlsx), [Schematron](StructureDefinition-PH-ClinicalImpression.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "PH-ClinicalImpression",
  "language" : "en-US",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  }],
  "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/PH-ClinicalImpression",
  "version" : "0.1.0",
  "name" : "PH_ClinicalImpression",
  "title" : "PH ClinicalImpression",
  "status" : "draft",
  "date" : "2026-04-15T05:29:46+00:00",
  "publisher" : "NHDR",
  "contact" : [{
    "name" : "NHDR",
    "telecom" : [{
      "system" : "url",
      "value" : "https://nhdr.gov.ph"
    }]
  }],
  "description" : "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. This resource is called \"ClinicalImpression\" rather than \"ClinicalAssessment\" to avoid confusion with the recording of assessment tools such as Apgar score.",
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "ClinicalImpression",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "ClinicalImpression",
      "path" : "ClinicalImpression"
    },
    {
      "id" : "ClinicalImpression.meta.extension:hfRecordedDate",
      "path" : "ClinicalImpression.meta.extension",
      "sliceName" : "hfRecordedDate",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate"]
      }]
    },
    {
      "id" : "ClinicalImpression.meta.extension:hfLastUpdated",
      "path" : "ClinicalImpression.meta.extension",
      "sliceName" : "hfLastUpdated",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated"]
      }]
    },
    {
      "id" : "ClinicalImpression.meta.lastUpdated",
      "path" : "ClinicalImpression.meta.lastUpdated",
      "short" : "When the resource was uploaded to the NHDR."
    },
    {
      "id" : "ClinicalImpression.implicitRules",
      "path" : "ClinicalImpression.implicitRules",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.language",
      "path" : "ClinicalImpression.language",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.text",
      "path" : "ClinicalImpression.text",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.contained",
      "path" : "ClinicalImpression.contained",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.extension",
      "path" : "ClinicalImpression.extension",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.modifierExtension",
      "path" : "ClinicalImpression.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.identifier",
      "path" : "ClinicalImpression.identifier",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.statusReason",
      "path" : "ClinicalImpression.statusReason",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.code",
      "path" : "ClinicalImpression.code",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.subject",
      "path" : "ClinicalImpression.subject",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }]
    },
    {
      "id" : "ClinicalImpression.encounter",
      "path" : "ClinicalImpression.encounter",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.effective[x]",
      "path" : "ClinicalImpression.effective[x]",
      "type" : [{
        "code" : "dateTime"
      }]
    },
    {
      "id" : "ClinicalImpression.date",
      "path" : "ClinicalImpression.date",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.assessor",
      "path" : "ClinicalImpression.assessor",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.previous",
      "path" : "ClinicalImpression.previous",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.problem",
      "path" : "ClinicalImpression.problem",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.investigation",
      "path" : "ClinicalImpression.investigation",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.protocol",
      "path" : "ClinicalImpression.protocol",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.summary",
      "path" : "ClinicalImpression.summary",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.finding.id",
      "path" : "ClinicalImpression.finding.id",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.finding.extension",
      "path" : "ClinicalImpression.finding.extension",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.finding.modifierExtension",
      "path" : "ClinicalImpression.finding.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.finding.itemReference",
      "path" : "ClinicalImpression.finding.itemReference",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.finding.basis",
      "path" : "ClinicalImpression.finding.basis",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.prognosisCodeableConcept",
      "path" : "ClinicalImpression.prognosisCodeableConcept",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.prognosisReference",
      "path" : "ClinicalImpression.prognosisReference",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.supportingInfo",
      "path" : "ClinicalImpression.supportingInfo",
      "max" : "0"
    },
    {
      "id" : "ClinicalImpression.note",
      "path" : "ClinicalImpression.note",
      "max" : "0"
    }]
  }
}

```
