NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression TUDomainResourceA clinical assessment performed when planning treatments and management strategies for a patient

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierBusiness identifier

... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (Required)
... statusReason 0..1CodeableConceptReason for current status
Binding: ClinicalImpression Status Reason (Example)
... description Σ0..1stringWhy/how the assessment was performed
... subject Σ1..1Reference(Patient | Group)Patient or group assessed
... encounter Σ0..1Reference(Encounter)The Encounter during which this ClinicalImpression was created
... effective[x] Σ0..1Time of assessment
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... date Σ0..1dateTimeWhen the assessment was documented
... performer Σ0..1Reference(Practitioner | PractitionerRole)The clinician performing the assessment
... previous 0..1Reference(ClinicalImpression)Reference to last assessment
... problem Σ0..*Reference(Condition | AllergyIntolerance)Relevant impressions of patient state

... changePattern 0..1CodeableConceptChange in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change
Binding: ClinicalImpression Change Pattern (Example)
... protocol 0..*uriClinical Protocol followed

... summary 0..1stringSummary of the assessment
... finding 0..*BackboneElementPossible or likely findings and diagnoses

.... item 0..1CodeableReference(Condition | Observation | DocumentReference)What was found
Binding: Condition/Problem/Diagnosis Codes (Example)
.... basis 0..1stringWhich investigations support finding
... prognosisCodeableConcept 0..*CodeableConceptEstimate of likely outcome
Binding: Clinical Impression Prognosis (Example)

... prognosisReference 0..*Reference(RiskAssessment)RiskAssessment expressing likely outcome

... supportingInfo 0..*Reference(Any)Information supporting the clinical impression

... note 0..*AnnotationComments made about the ClinicalImpression


doco Documentation for this format