Te Whatu Ora, Central Region Integration Hub, published by Te Whatu Ora, Te Pae Hauora o Ruahine o Tararua, MidCentral. This guide is not an authorized publication; it is the continuous build for version 1.0.12-rc1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/centralRegion-integrationHub-ig/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• JSON

Resource Profile: NZCentralRegionClinicalImpression

ClinicalImpression resource for Te Whatu Ora, Central Region - holds mental health legal statuses

Usage:

• Examples for this Resource Profile: ClinicalImpression/MentalHealthLegalStatus

Formal Views of Profile Content

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

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

This structure is derived from ClinicalImpression

Name	Flags	Card.	Type	Description & Constraints
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
meta
Slices for extension				Content/Rules for all slices
process-timestamp	S	0..1	dateTime	Process TimeStamp URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
source-event-trigger	S	0..1	CodeableConcept	Source Event Trigger URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger Binding: hl7VS-eventTypeCode (required)
source-record-type	S	0..1	CodeableConcept	Source Record Type URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type Binding: hl7VS-messageType (required)
source-record-id	S	0..1	string	Source Record ID URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
source-data-mode-version	S	0..1	string	Source Data Model Version URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
process-client-id	S	0..1	string	Process Client ID URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
l4h-template-version	S	0..1	string	L4H Template Version URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
implicitRules		0..0
language		0..0
contained		0..0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
mentalHealth	S	1..1	(Complex)	NZ Central Region Mental Health URL: https://standards.digital.health.nz/ns/central-region/mental-health-status
Slices for extension				Content/Rules for all slices
extension:legalStatus		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
extension:reviewStatus		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
extension:startDateTime		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	dateTime	Value of extension
extension:endDateTime		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	dateTime	Value of extension
extension:location		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
extension:reminderDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:addedBy		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	string	Value of extension
extension:addedDateTime		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	dateTime	Value of extension
extension:lastUpdatedBy		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	string	Value of extension
extension:lastUpdatedDateTime		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	dateTime	Value of extension
extension:supplementaryLegalStatus		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
extension:supplementaryLegalStatusDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:reviewDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:courtNoticeSentDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:tribunalDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:courtLodgedDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:courtType		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
url		1..1	uri	identifies the meaning of the extension
identifier	S	1..1	Identifier	Business identifier
id		0..0
extension		0..0
use	S	1..1	code	usual | official | temp | secondary | old (If known)
type		0..0
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-clinical-impression-id
value	S	1..1	string	The value that is unique
period		0..0
assigner		0..0
status	S	1..1	code	in-progress | completed | entered-in-error
statusReason		0..0
code		0..0
description		0..0
subject	S	1..1	Reference(Patient | Group)	Patient or group assessed
id		0..0
extension		0..0
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
id		0..0
extension		0..0
use	S	1..1	code	usual | official | temp | secondary | old (If known)
type	S	1..1	CodeableConcept	Description of identifier
id		0..0
extension		0..0
coding	S	0..*	Coding	Code defined by a terminology system
id		0..0
extension		0..0
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0
text		0..0
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
period		0..0
assigner		0..0
display	S	0..1	string	Text alternative for the resource
encounter		0..0
effective[x]	S	0..1	dateTime	Time of assessment
date	S	0..1	dateTime	When the assessment was documented
assessor
id		0..0
extension		0..0
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
type	S	1..1	uri	Type the reference refers to (e.g. 'Practitioner') Required Pattern: Practitioner
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
id		0..0
extension		0..0
use	S	1..1	code	usual | official | temp | secondary | old (If known)
type	S	1..1	CodeableConcept	Description of identifier
id		0..0
extension		0..0
coding	S	0..*	Coding	Code defined by a terminology system
id		0..0
extension		0..0
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: LR
display	S	1..1	string	Representation defined by the system Required Pattern: Local Registry ID
userSelected		0..0
text		0..0
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
value		0..1	string	The value that is unique
period		0..0
assigner		0..0
display	S	0..1	string	Text alternative for the resource
previous		0..0
problem		0..0
protocol		0..0
summary		0..0
prognosisCodeableConcept		0..0
prognosisReference		0..0
supportingInfo		0..0
note	S	0..1	Annotation	Comments made about the ClinicalImpression
author[x]		0..0
time		0..0
text	S	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
meta	Σ	0..1	Meta	Metadata about the resource
Slices for extension				Content/Rules for all slices
process-timestamp	S	0..1	dateTime	Process TimeStamp URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
source-event-trigger	S	0..1	CodeableConcept	Source Event Trigger URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger Binding: hl7VS-eventTypeCode (required)
source-record-type	S	0..1	CodeableConcept	Source Record Type URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type Binding: hl7VS-messageType (required)
source-record-id	S	0..1	string	Source Record ID URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
source-data-mode-version	S	0..1	string	Source Data Model Version URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
process-client-id	S	0..1	string	Process Client ID URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
l4h-template-version	S	0..1	string	L4H Template Version URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
mentalHealth	S	1..1	(Complex)	NZ Central Region Mental Health URL: https://standards.digital.health.nz/ns/central-region/mental-health-status
Slices for extension				Content/Rules for all slices
extension:legalStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"legalStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthLegalStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:reviewStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reviewStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthReviewStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:startDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"startDateTime"
value[x]		0..1	dateTime	Value of extension
extension:endDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"endDateTime"
value[x]		0..1	dateTime	Value of extension
extension:location	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"location"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - Mental Health Review Location Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:reminderDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reminderDate"
value[x]		0..1	date	Value of extension
extension:addedBy	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"addedBy"
value[x]		1..1	string	Value of extension
extension:addedDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"addedDateTime"
value[x]		1..1	dateTime	Value of extension
extension:lastUpdatedBy	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"lastUpdatedBy"
value[x]		1..1	string	Value of extension
extension:lastUpdatedDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"lastUpdatedDateTime"
value[x]		1..1	dateTime	Value of extension
extension:supplementaryLegalStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"supplementaryLegalStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthLegalStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:supplementaryLegalStatusDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"supplementaryLegalStatusDate"
value[x]		0..1	date	Value of extension
extension:reviewDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reviewDate"
value[x]		0..1	date	Value of extension
extension:courtNoticeSentDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtNoticeSentDate"
value[x]		0..1	date	Value of extension
extension:tribunalDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"tribunalDate"
value[x]		0..1	date	Value of extension
extension:courtLodgedDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtLodgedDate"
value[x]		0..1	date	Value of extension
extension:courtType	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtType"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - Mental Health Court Type Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
url		1..1	uri	"https://standards.digital.health.nz/ns/central-region/mental-health-status"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business identifier
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-clinical-impression-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
subject	SΣ	1..1	Reference(Patient | Group)	Patient or group assessed
extension		0..0
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	SΣ	0..*	Coding	Code defined by a terminology system
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
effective[x]	SΣ	0..1	dateTime	Time of assessment
date	SΣ	0..1	dateTime	When the assessment was documented
assessor	Σ	0..1	Reference(Practitioner | PractitionerRole)	The clinician performing the assessment
extension		0..0
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. 'Practitioner') Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Practitioner
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	SΣ	0..*	Coding	Code defined by a terminology system
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: LR
display	SΣ	1..1	string	Representation defined by the system Required Pattern: Local Registry ID
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
value	Σ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
note	S	0..1	Annotation	Comments made about the ClinicalImpression
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalImpression.extension:mentalHealth.extension:legalStatus.value[x]	required	NZCentralRegionMentalHealthLegalStatusValueSet (a valid code from NZ Central Region - MentalHealthLegalStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-legal-status from this IG
ClinicalImpression.extension:mentalHealth.extension:reviewStatus.value[x]	required	NZCentralRegionMentalHealthReviewStatusValueSet (a valid code from NZ Central Region - MentalHealthReviewStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-review-status from this IG
ClinicalImpression.extension:mentalHealth.extension:location.value[x]	required	NZCentralRegionMentalHealthReviewLocationValueSet https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-review-location from this IG
ClinicalImpression.extension:mentalHealth.extension:supplementaryLegalStatus.value[x]	required	NZCentralRegionMentalHealthLegalStatusValueSet (a valid code from NZ Central Region - MentalHealthLegalStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-legal-status from this IG
ClinicalImpression.extension:mentalHealth.extension:courtType.value[x]	required	NZCentralRegionMentalHealthCourtTypeValueSet (a valid code from NZ Central Region - Mental Health Court Type Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-court-type from this IG
ClinicalImpression.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.status	required	ClinicalImpressionStatus http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 from the FHIR Standard
ClinicalImpression.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ClinicalImpression.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ClinicalImpression.assessor.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ClinicalImpression.assessor.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.assessor.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ClinicalImpression	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ClinicalImpression	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()

Name	Flags	Card.	Type	Description & Constraints
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
process-timestamp	S	0..1	dateTime	Process TimeStamp URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
source-event-trigger	S	0..1	CodeableConcept	Source Event Trigger URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger Binding: hl7VS-eventTypeCode (required)
source-record-type	S	0..1	CodeableConcept	Source Record Type URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type Binding: hl7VS-messageType (required)
source-record-id	S	0..1	string	Source Record ID URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
source-data-mode-version	S	0..1	string	Source Data Model Version URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
process-client-id	S	0..1	string	Process Client ID URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
l4h-template-version	S	0..1	string	L4H Template Version URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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".
text		0..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
mentalHealth	S	1..1	(Complex)	NZ Central Region Mental Health URL: https://standards.digital.health.nz/ns/central-region/mental-health-status
Slices for extension		0..*	Extension	Container holding the individual elements of the Patient's mental health status. Slice: Unordered, Open by value:url
extension:legalStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"legalStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthLegalStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:reviewStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reviewStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthReviewStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:startDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"startDateTime"
value[x]		0..1	dateTime	Value of extension
extension:endDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"endDateTime"
value[x]		0..1	dateTime	Value of extension
extension:location	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"location"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - Mental Health Review Location Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:reminderDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reminderDate"
value[x]		0..1	date	Value of extension
extension:addedBy	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"addedBy"
value[x]		1..1	string	Value of extension
extension:addedDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"addedDateTime"
value[x]		1..1	dateTime	Value of extension
extension:lastUpdatedBy	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"lastUpdatedBy"
value[x]		1..1	string	Value of extension
extension:lastUpdatedDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"lastUpdatedDateTime"
value[x]		1..1	dateTime	Value of extension
extension:supplementaryLegalStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"supplementaryLegalStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthLegalStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:supplementaryLegalStatusDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"supplementaryLegalStatusDate"
value[x]		0..1	date	Value of extension
extension:reviewDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reviewDate"
value[x]		0..1	date	Value of extension
extension:courtNoticeSentDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtNoticeSentDate"
value[x]		0..1	date	Value of extension
extension:tribunalDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"tribunalDate"
value[x]		0..1	date	Value of extension
extension:courtLodgedDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtLodgedDate"
value[x]		0..1	date	Value of extension
extension:courtType	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtType"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - Mental Health Court Type Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
url		1..1	uri	"https://standards.digital.health.nz/ns/central-region/mental-health-status"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business identifier
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-clinical-impression-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
subject	SΣ	1..1	Reference(Patient | Group)	Patient or group assessed
extension		0..0
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	SΣ	0..*	Coding	Code defined by a terminology system
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
effective[x]	SΣ	0..1	dateTime	Time of assessment
date	SΣ	0..1	dateTime	When the assessment was documented
assessor	Σ	0..1	Reference(Practitioner | PractitionerRole)	The clinician performing the assessment
extension		0..0
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. 'Practitioner') Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Practitioner
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	SΣ	0..*	Coding	Code defined by a terminology system
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: LR
display	SΣ	1..1	string	Representation defined by the system Required Pattern: Local Registry ID
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
value	Σ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
investigation		0..*	BackboneElement	One or more sets of investigations (signs, symptoms, etc.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations.
item		0..*	Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)	Record of a specific investigation
finding		0..*	BackboneElement	Possible or likely findings and diagnoses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		0..1	string	Which investigations support finding
note	S	0..1	Annotation	Comments made about the ClinicalImpression
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalImpression.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ClinicalImpression.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
ClinicalImpression.extension:mentalHealth.extension:legalStatus.value[x]	required	NZCentralRegionMentalHealthLegalStatusValueSet (a valid code from NZ Central Region - MentalHealthLegalStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-legal-status from this IG
ClinicalImpression.extension:mentalHealth.extension:reviewStatus.value[x]	required	NZCentralRegionMentalHealthReviewStatusValueSet (a valid code from NZ Central Region - MentalHealthReviewStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-review-status from this IG
ClinicalImpression.extension:mentalHealth.extension:location.value[x]	required	NZCentralRegionMentalHealthReviewLocationValueSet https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-review-location from this IG
ClinicalImpression.extension:mentalHealth.extension:supplementaryLegalStatus.value[x]	required	NZCentralRegionMentalHealthLegalStatusValueSet (a valid code from NZ Central Region - MentalHealthLegalStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-legal-status from this IG
ClinicalImpression.extension:mentalHealth.extension:courtType.value[x]	required	NZCentralRegionMentalHealthCourtTypeValueSet (a valid code from NZ Central Region - Mental Health Court Type Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-court-type from this IG
ClinicalImpression.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.status	required	ClinicalImpressionStatus http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 from the FHIR Standard
ClinicalImpression.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ClinicalImpression.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ClinicalImpression.assessor.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ClinicalImpression.assessor.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.assessor.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ClinicalImpression.investigation.code	example	InvestigationType http://hl7.org/fhir/ValueSet/investigation-sets from the FHIR Standard
ClinicalImpression.finding.itemCodeableConcept	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ClinicalImpression	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ClinicalImpression	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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: 12 elements(11 nested mandatory elements)
Must-Support: 41 elements
Prohibited: 47 elements

Extensions

This structure refers to these extensions:

• http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
• http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger
• http://ibm.com/fhir/cdm/StructureDefinition/source-record-type
• http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
• http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
• http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
• https://standards.digital.health.nz/ns/central-region/l4h-template-version
• https://standards.digital.health.nz/ns/central-region/mental-health-status

Differential View

This structure is derived from ClinicalImpression

Name	Flags	Card.	Type	Description & Constraints
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
meta
Slices for extension				Content/Rules for all slices
process-timestamp	S	0..1	dateTime	Process TimeStamp URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
source-event-trigger	S	0..1	CodeableConcept	Source Event Trigger URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger Binding: hl7VS-eventTypeCode (required)
source-record-type	S	0..1	CodeableConcept	Source Record Type URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type Binding: hl7VS-messageType (required)
source-record-id	S	0..1	string	Source Record ID URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
source-data-mode-version	S	0..1	string	Source Data Model Version URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
process-client-id	S	0..1	string	Process Client ID URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
l4h-template-version	S	0..1	string	L4H Template Version URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
implicitRules		0..0
language		0..0
contained		0..0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
mentalHealth	S	1..1	(Complex)	NZ Central Region Mental Health URL: https://standards.digital.health.nz/ns/central-region/mental-health-status
Slices for extension				Content/Rules for all slices
extension:legalStatus		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
extension:reviewStatus		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
extension:startDateTime		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	dateTime	Value of extension
extension:endDateTime		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	dateTime	Value of extension
extension:location		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
extension:reminderDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:addedBy		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	string	Value of extension
extension:addedDateTime		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	dateTime	Value of extension
extension:lastUpdatedBy		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	string	Value of extension
extension:lastUpdatedDateTime		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	dateTime	Value of extension
extension:supplementaryLegalStatus		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
extension:supplementaryLegalStatusDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:reviewDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:courtNoticeSentDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:tribunalDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:courtLodgedDate		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	date	Value of extension
extension:courtType		0..1	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		1..1	Coding	Value of extension
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
url		1..1	uri	identifies the meaning of the extension
identifier	S	1..1	Identifier	Business identifier
id		0..0
extension		0..0
use	S	1..1	code	usual | official | temp | secondary | old (If known)
type		0..0
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-clinical-impression-id
value	S	1..1	string	The value that is unique
period		0..0
assigner		0..0
status	S	1..1	code	in-progress | completed | entered-in-error
statusReason		0..0
code		0..0
description		0..0
subject	S	1..1	Reference(Patient | Group)	Patient or group assessed
id		0..0
extension		0..0
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
id		0..0
extension		0..0
use	S	1..1	code	usual | official | temp | secondary | old (If known)
type	S	1..1	CodeableConcept	Description of identifier
id		0..0
extension		0..0
coding	S	0..*	Coding	Code defined by a terminology system
id		0..0
extension		0..0
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0
text		0..0
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
period		0..0
assigner		0..0
display	S	0..1	string	Text alternative for the resource
encounter		0..0
effective[x]	S	0..1	dateTime	Time of assessment
date	S	0..1	dateTime	When the assessment was documented
assessor
id		0..0
extension		0..0
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
type	S	1..1	uri	Type the reference refers to (e.g. 'Practitioner') Required Pattern: Practitioner
identifier	S	1..1	Identifier	Logical reference, when literal reference is not known
id		0..0
extension		0..0
use	S	1..1	code	usual | official | temp | secondary | old (If known)
type	S	1..1	CodeableConcept	Description of identifier
id		0..0
extension		0..0
coding	S	0..*	Coding	Code defined by a terminology system
id		0..0
extension		0..0
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: LR
display	S	1..1	string	Representation defined by the system Required Pattern: Local Registry ID
userSelected		0..0
text		0..0
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
value		0..1	string	The value that is unique
period		0..0
assigner		0..0
display	S	0..1	string	Text alternative for the resource
previous		0..0
problem		0..0
protocol		0..0
summary		0..0
prognosisCodeableConcept		0..0
prognosisReference		0..0
supportingInfo		0..0
note	S	0..1	Annotation	Comments made about the ClinicalImpression
author[x]		0..0
time		0..0
text	S	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
meta	Σ	0..1	Meta	Metadata about the resource
Slices for extension				Content/Rules for all slices
process-timestamp	S	0..1	dateTime	Process TimeStamp URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
source-event-trigger	S	0..1	CodeableConcept	Source Event Trigger URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger Binding: hl7VS-eventTypeCode (required)
source-record-type	S	0..1	CodeableConcept	Source Record Type URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type Binding: hl7VS-messageType (required)
source-record-id	S	0..1	string	Source Record ID URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
source-data-mode-version	S	0..1	string	Source Data Model Version URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
process-client-id	S	0..1	string	Process Client ID URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
l4h-template-version	S	0..1	string	L4H Template Version URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
mentalHealth	S	1..1	(Complex)	NZ Central Region Mental Health URL: https://standards.digital.health.nz/ns/central-region/mental-health-status
Slices for extension				Content/Rules for all slices
extension:legalStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"legalStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthLegalStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:reviewStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reviewStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthReviewStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:startDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"startDateTime"
value[x]		0..1	dateTime	Value of extension
extension:endDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"endDateTime"
value[x]		0..1	dateTime	Value of extension
extension:location	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"location"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - Mental Health Review Location Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:reminderDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reminderDate"
value[x]		0..1	date	Value of extension
extension:addedBy	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"addedBy"
value[x]		1..1	string	Value of extension
extension:addedDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"addedDateTime"
value[x]		1..1	dateTime	Value of extension
extension:lastUpdatedBy	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"lastUpdatedBy"
value[x]		1..1	string	Value of extension
extension:lastUpdatedDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"lastUpdatedDateTime"
value[x]		1..1	dateTime	Value of extension
extension:supplementaryLegalStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"supplementaryLegalStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthLegalStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:supplementaryLegalStatusDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"supplementaryLegalStatusDate"
value[x]		0..1	date	Value of extension
extension:reviewDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reviewDate"
value[x]		0..1	date	Value of extension
extension:courtNoticeSentDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtNoticeSentDate"
value[x]		0..1	date	Value of extension
extension:tribunalDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"tribunalDate"
value[x]		0..1	date	Value of extension
extension:courtLodgedDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtLodgedDate"
value[x]		0..1	date	Value of extension
extension:courtType	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtType"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - Mental Health Court Type Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
url		1..1	uri	"https://standards.digital.health.nz/ns/central-region/mental-health-status"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business identifier
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-clinical-impression-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
subject	SΣ	1..1	Reference(Patient | Group)	Patient or group assessed
extension		0..0
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	SΣ	0..*	Coding	Code defined by a terminology system
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
effective[x]	SΣ	0..1	dateTime	Time of assessment
date	SΣ	0..1	dateTime	When the assessment was documented
assessor	Σ	0..1	Reference(Practitioner | PractitionerRole)	The clinician performing the assessment
extension		0..0
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. 'Practitioner') Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Practitioner
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	SΣ	0..*	Coding	Code defined by a terminology system
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: LR
display	SΣ	1..1	string	Representation defined by the system Required Pattern: Local Registry ID
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
value	Σ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
note	S	0..1	Annotation	Comments made about the ClinicalImpression
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalImpression.extension:mentalHealth.extension:legalStatus.value[x]	required	NZCentralRegionMentalHealthLegalStatusValueSet (a valid code from NZ Central Region - MentalHealthLegalStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-legal-status from this IG
ClinicalImpression.extension:mentalHealth.extension:reviewStatus.value[x]	required	NZCentralRegionMentalHealthReviewStatusValueSet (a valid code from NZ Central Region - MentalHealthReviewStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-review-status from this IG
ClinicalImpression.extension:mentalHealth.extension:location.value[x]	required	NZCentralRegionMentalHealthReviewLocationValueSet https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-review-location from this IG
ClinicalImpression.extension:mentalHealth.extension:supplementaryLegalStatus.value[x]	required	NZCentralRegionMentalHealthLegalStatusValueSet (a valid code from NZ Central Region - MentalHealthLegalStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-legal-status from this IG
ClinicalImpression.extension:mentalHealth.extension:courtType.value[x]	required	NZCentralRegionMentalHealthCourtTypeValueSet (a valid code from NZ Central Region - Mental Health Court Type Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-court-type from this IG
ClinicalImpression.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.status	required	ClinicalImpressionStatus http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 from the FHIR Standard
ClinicalImpression.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ClinicalImpression.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ClinicalImpression.assessor.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ClinicalImpression.assessor.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.assessor.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ClinicalImpression	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ClinicalImpression	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
process-timestamp	S	0..1	dateTime	Process TimeStamp URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
source-event-trigger	S	0..1	CodeableConcept	Source Event Trigger URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger Binding: hl7VS-eventTypeCode (required)
source-record-type	S	0..1	CodeableConcept	Source Record Type URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type Binding: hl7VS-messageType (required)
source-record-id	S	0..1	string	Source Record ID URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
source-data-mode-version	S	0..1	string	Source Data Model Version URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
process-client-id	S	0..1	string	Process Client ID URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
l4h-template-version	S	0..1	string	L4H Template Version URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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".
text		0..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
mentalHealth	S	1..1	(Complex)	NZ Central Region Mental Health URL: https://standards.digital.health.nz/ns/central-region/mental-health-status
Slices for extension		0..*	Extension	Container holding the individual elements of the Patient's mental health status. Slice: Unordered, Open by value:url
extension:legalStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"legalStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthLegalStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:reviewStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reviewStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthReviewStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:startDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"startDateTime"
value[x]		0..1	dateTime	Value of extension
extension:endDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"endDateTime"
value[x]		0..1	dateTime	Value of extension
extension:location	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"location"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - Mental Health Review Location Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:reminderDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reminderDate"
value[x]		0..1	date	Value of extension
extension:addedBy	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"addedBy"
value[x]		1..1	string	Value of extension
extension:addedDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"addedDateTime"
value[x]		1..1	dateTime	Value of extension
extension:lastUpdatedBy	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"lastUpdatedBy"
value[x]		1..1	string	Value of extension
extension:lastUpdatedDateTime	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"lastUpdatedDateTime"
value[x]		1..1	dateTime	Value of extension
extension:supplementaryLegalStatus	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"supplementaryLegalStatus"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - MentalHealthLegalStatus Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
extension:supplementaryLegalStatusDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"supplementaryLegalStatusDate"
value[x]		0..1	date	Value of extension
extension:reviewDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reviewDate"
value[x]		0..1	date	Value of extension
extension:courtNoticeSentDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtNoticeSentDate"
value[x]		0..1	date	Value of extension
extension:tribunalDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"tribunalDate"
value[x]		0..1	date	Value of extension
extension:courtLodgedDate	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtLodgedDate"
value[x]		0..1	date	Value of extension
extension:courtType	S	0..1	Extension	Extension
extension		0..0
url		1..1	uri	"courtType"
value[x]	S	1..1	Coding	Value of extension Binding: NZ Central Region - Mental Health Court Type Value Set (required)
extension		0..0
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
url		1..1	uri	"https://standards.digital.health.nz/ns/central-region/mental-health-status"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business identifier
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-clinical-impression-id
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
subject	SΣ	1..1	Reference(Patient | Group)	Patient or group assessed
extension		0..0
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	SΣ	0..*	Coding	Code defined by a terminology system
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
effective[x]	SΣ	0..1	dateTime	Time of assessment
date	SΣ	0..1	dateTime	When the assessment was documented
assessor	Σ	0..1	Reference(Practitioner | PractitionerRole)	The clinician performing the assessment
extension		0..0
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. 'Practitioner') Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Practitioner
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
extension		0..0
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
extension		0..0
coding	SΣ	0..*	Coding	Code defined by a terminology system
extension		0..0
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: LR
display	SΣ	1..1	string	Representation defined by the system Required Pattern: Local Registry ID
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
value	Σ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
investigation		0..*	BackboneElement	One or more sets of investigations (signs, symptoms, etc.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations.
item		0..*	Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)	Record of a specific investigation
finding		0..*	BackboneElement	Possible or likely findings and diagnoses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		0..1	string	Which investigations support finding
note	S	0..1	Annotation	Comments made about the ClinicalImpression
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalImpression.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ClinicalImpression.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
ClinicalImpression.extension:mentalHealth.extension:legalStatus.value[x]	required	NZCentralRegionMentalHealthLegalStatusValueSet (a valid code from NZ Central Region - MentalHealthLegalStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-legal-status from this IG
ClinicalImpression.extension:mentalHealth.extension:reviewStatus.value[x]	required	NZCentralRegionMentalHealthReviewStatusValueSet (a valid code from NZ Central Region - MentalHealthReviewStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-review-status from this IG
ClinicalImpression.extension:mentalHealth.extension:location.value[x]	required	NZCentralRegionMentalHealthReviewLocationValueSet https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-review-location from this IG
ClinicalImpression.extension:mentalHealth.extension:supplementaryLegalStatus.value[x]	required	NZCentralRegionMentalHealthLegalStatusValueSet (a valid code from NZ Central Region - MentalHealthLegalStatus Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-legal-status from this IG
ClinicalImpression.extension:mentalHealth.extension:courtType.value[x]	required	NZCentralRegionMentalHealthCourtTypeValueSet (a valid code from NZ Central Region - Mental Health Court Type Code System) https://standards.digital.health.nz/fhir/central-region/ValueSet-mental-health-court-type from this IG
ClinicalImpression.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.status	required	ClinicalImpressionStatus http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 from the FHIR Standard
ClinicalImpression.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ClinicalImpression.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ClinicalImpression.assessor.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ClinicalImpression.assessor.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ClinicalImpression.assessor.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ClinicalImpression.investigation.code	example	InvestigationType http://hl7.org/fhir/ValueSet/investigation-sets from the FHIR Standard
ClinicalImpression.finding.itemCodeableConcept	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ClinicalImpression	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ClinicalImpression	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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: 12 elements(11 nested mandatory elements)
Must-Support: 41 elements
Prohibited: 47 elements

Extensions

This structure refers to these extensions:

• http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
• http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger
• http://ibm.com/fhir/cdm/StructureDefinition/source-record-type
• http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
• http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
• http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
• https://standards.digital.health.nz/ns/central-region/l4h-template-version
• https://standards.digital.health.nz/ns/central-region/mental-health-status