臺灣健保事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.2.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 評估-ClinicalImpression TWPAS

此評估-ClinicalImpression TWPAS Profile說明本IG如何進一步定義FHIR的ClinicalImpression Resource以呈現免疫製劑事前審查之評估（A）

Usages:

• Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS and 癌藥事前審查-Bundle TWPAS
• Refer to this Profile: 門診病歷-Composition OPD TWPAS
• Examples for this Profile: ClinicalImpression/cliImp-min
• CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

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
ClinicalImpression.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
ClinicalImpression.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas
ClinicalImpression.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ClinicalImpression.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ClinicalImpression.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
ClinicalImpression.subject	Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	Patient or group assessed
ClinicalImpression.encounter	Σ This element is included in summaries.	1..1	Reference(門診病歷-Encounter OPD TWPAS)	Encounter created as part of
ClinicalImpression.summary		1..1	string	評估，由醫院自行填寫。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.status	Base	required	Clinical Impression Status	📍4.0.1	FHIR Std.

Constraints

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: Bindings Constraints Obligations
ClinicalImpression			ClinicalImpression
ClinicalImpression.meta		1..1	Meta	Metadata about the resource
ClinicalImpression.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas
ClinicalImpression.subject		1..1	Reference(病人資訊-Patient TWPAS)	Patient or group assessed
ClinicalImpression.encounter		1..1	Reference(門診病歷-Encounter OPD TWPAS)	Encounter created as part of
ClinicalImpression.summary		1..1	string	評估，由醫院自行填寫。
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
ClinicalImpression.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
ClinicalImpression.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
ClinicalImpression.meta.id		0..1	string	Unique id for inter-element referencing
ClinicalImpression.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ClinicalImpression.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
ClinicalImpression.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
ClinicalImpression.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
ClinicalImpression.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas
ClinicalImpression.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
ClinicalImpression.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
ClinicalImpression.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ClinicalImpression.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
ClinicalImpression.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
ClinicalImpression.contained		0..*	Resource	Contained, inline Resources
ClinicalImpression.extension		0..*	Extension	Additional content defined by implementations
ClinicalImpression.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ClinicalImpression.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifier
ClinicalImpression.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
ClinicalImpression.statusReason		0..1	CodeableConcept	Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a clinical impression.
ClinicalImpression.code	Σ This element is included in summaries.	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.
ClinicalImpression.description	Σ This element is included in summaries.	0..1	string	Why/how the assessment was performed
ClinicalImpression.subject	Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	Patient or group assessed
ClinicalImpression.encounter	Σ This element is included in summaries.	1..1	Reference(門診病歷-Encounter OPD TWPAS)	Encounter created as part of
ClinicalImpression.effective[x]	Σ This element is included in summaries.	0..1		Time of assessment
ClinicalImpression.effective[x].effectiveDateTime			dateTime
ClinicalImpression.effective[x].effectivePeriod			Period
ClinicalImpression.date	Σ This element is included in summaries.	0..1	dateTime	When the assessment was documented
ClinicalImpression.assessor	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole)	The clinician performing the assessment
ClinicalImpression.previous		0..1	Reference(ClinicalImpression)	Reference to last assessment
ClinicalImpression.problem	Σ This element is included in summaries.	0..*	Reference(Condition | AllergyIntolerance)	Relevant impressions of patient state
ClinicalImpression.investigation		0..*	BackboneElement	One or more sets of investigations (signs, symptoms, etc.)
ClinicalImpression.investigation.id		0..1	string	Unique id for inter-element referencing
ClinicalImpression.investigation.extension		0..*	Extension	Additional content defined by implementations
ClinicalImpression.investigation.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ClinicalImpression.investigation.code		1..1	CodeableConcept	A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations.
ClinicalImpression.investigation.item		0..*	Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)	Record of a specific investigation
ClinicalImpression.protocol		0..*	uri	Clinical Protocol followed
ClinicalImpression.summary		1..1	string	評估，由醫院自行填寫。
ClinicalImpression.finding		0..*	BackboneElement	Possible or likely findings and diagnoses
ClinicalImpression.finding.id		0..1	string	Unique id for inter-element referencing
ClinicalImpression.finding.extension		0..*	Extension	Additional content defined by implementations
ClinicalImpression.finding.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ClinicalImpression.finding.itemCodeableConcept		0..1	CodeableConcept	What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
ClinicalImpression.finding.itemReference		0..1	Reference(Condition | Observation | Media)	What was found
ClinicalImpression.finding.basis		0..1	string	Which investigations support finding
ClinicalImpression.prognosisCodeableConcept		0..*	CodeableConcept	Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.
ClinicalImpression.prognosisReference		0..*	Reference(RiskAssessment)	RiskAssessment expressing likely outcome
ClinicalImpression.supportingInfo		0..*	Reference(Resource)	Information supporting the clinical impression
ClinicalImpression.note		0..*	Annotation	Comments made about the ClinicalImpression
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
ClinicalImpression.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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.

Constraints

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

Mandatory: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 門診病歷-Encounter OPD TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Encounter-opd-twpas)

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
ClinicalImpression.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
ClinicalImpression.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas
ClinicalImpression.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ClinicalImpression.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ClinicalImpression.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
ClinicalImpression.subject	Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	Patient or group assessed
ClinicalImpression.encounter	Σ This element is included in summaries.	1..1	Reference(門診病歷-Encounter OPD TWPAS)	Encounter created as part of
ClinicalImpression.summary		1..1	string	評估，由醫院自行填寫。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.status	Base	required	Clinical Impression Status	📍4.0.1	FHIR Std.

Constraints

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression			ClinicalImpression
ClinicalImpression.meta		1..1	Meta	Metadata about the resource
ClinicalImpression.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas
ClinicalImpression.subject		1..1	Reference(病人資訊-Patient TWPAS)	Patient or group assessed
ClinicalImpression.encounter		1..1	Reference(門診病歷-Encounter OPD TWPAS)	Encounter created as part of
ClinicalImpression.summary		1..1	string	評估，由醫院自行填寫。
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
ClinicalImpression.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
ClinicalImpression.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
ClinicalImpression.meta.id		0..1	string	Unique id for inter-element referencing
ClinicalImpression.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ClinicalImpression.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
ClinicalImpression.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
ClinicalImpression.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
ClinicalImpression.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas
ClinicalImpression.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
ClinicalImpression.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
ClinicalImpression.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ClinicalImpression.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
ClinicalImpression.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
ClinicalImpression.contained		0..*	Resource	Contained, inline Resources
ClinicalImpression.extension		0..*	Extension	Additional content defined by implementations
ClinicalImpression.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ClinicalImpression.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifier
ClinicalImpression.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
ClinicalImpression.statusReason		0..1	CodeableConcept	Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a clinical impression.
ClinicalImpression.code	Σ This element is included in summaries.	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.
ClinicalImpression.description	Σ This element is included in summaries.	0..1	string	Why/how the assessment was performed
ClinicalImpression.subject	Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	Patient or group assessed
ClinicalImpression.encounter	Σ This element is included in summaries.	1..1	Reference(門診病歷-Encounter OPD TWPAS)	Encounter created as part of
ClinicalImpression.effective[x]	Σ This element is included in summaries.	0..1		Time of assessment
ClinicalImpression.effective[x].effectiveDateTime			dateTime
ClinicalImpression.effective[x].effectivePeriod			Period
ClinicalImpression.date	Σ This element is included in summaries.	0..1	dateTime	When the assessment was documented
ClinicalImpression.assessor	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole)	The clinician performing the assessment
ClinicalImpression.previous		0..1	Reference(ClinicalImpression)	Reference to last assessment
ClinicalImpression.problem	Σ This element is included in summaries.	0..*	Reference(Condition | AllergyIntolerance)	Relevant impressions of patient state
ClinicalImpression.investigation		0..*	BackboneElement	One or more sets of investigations (signs, symptoms, etc.)
ClinicalImpression.investigation.id		0..1	string	Unique id for inter-element referencing
ClinicalImpression.investigation.extension		0..*	Extension	Additional content defined by implementations
ClinicalImpression.investigation.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ClinicalImpression.investigation.code		1..1	CodeableConcept	A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations.
ClinicalImpression.investigation.item		0..*	Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)	Record of a specific investigation
ClinicalImpression.protocol		0..*	uri	Clinical Protocol followed
ClinicalImpression.summary		1..1	string	評估，由醫院自行填寫。
ClinicalImpression.finding		0..*	BackboneElement	Possible or likely findings and diagnoses
ClinicalImpression.finding.id		0..1	string	Unique id for inter-element referencing
ClinicalImpression.finding.extension		0..*	Extension	Additional content defined by implementations
ClinicalImpression.finding.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ClinicalImpression.finding.itemCodeableConcept		0..1	CodeableConcept	What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
ClinicalImpression.finding.itemReference		0..1	Reference(Condition | Observation | Media)	What was found
ClinicalImpression.finding.basis		0..1	string	Which investigations support finding
ClinicalImpression.prognosisCodeableConcept		0..*	CodeableConcept	Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.
ClinicalImpression.prognosisReference		0..*	Reference(RiskAssessment)	RiskAssessment expressing likely outcome
ClinicalImpression.supportingInfo		0..*	Reference(Resource)	Information supporting the clinical impression
ClinicalImpression.note		0..*	Annotation	Comments made about the ClinicalImpression
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
ClinicalImpression.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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.

Constraints

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

Mandatory: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 門診病歷-Encounter OPD TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Encounter-opd-twpas)

Other representations of profile: CSV, Excel, Schematron