CambioOpenServicesIG - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: ClinicalImpressionTriage

Cambio Core profile for communicating triage data of a patient. Concerns triages calculated using different protocols. For Use case specific profiles, this profile can be derived for the use case profile to be complient with the Cambio core profile.

Usages:

• Derived from this Profile: ClinicalImpressionTriageRettsV1 and ClinicalImpressionTriageRetts
• Refer to this Profile: QuestionnaireResponsePrehospitalNoteV1 and QuestionnaireResponsePrehospitalNoteV2

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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier of the triage
status	?!Σ	1..1	code	completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
code	Σ	1..1	CodeableConcept	Snomed CT for Triage Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 225390008
subject	Σ	1..1	Reference(Patient)	Patient assessed
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
encounter	Σ	1..1	Reference(Encounter)	The encounter during which the triage is performed
identifier	Σ	0..1	Identifier	Prehospital care encounter-ID
effective[x]	Σ	1..1	dateTime	Time of triage
assessor	Σ	1..1	Reference(Practitioner | PractitionerRole)	The staff calculating the triage
identifier	Σ	0..1	Identifier	HSA-ID of Staff
investigation		0..*	BackboneElement	The Vital signs for the triage
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Snomed Code for the vital sign Binding: InvestigationType (example): A name/code for a set of investigations.
item		0..1	Reference(Observation)	Reference for the Vital sign
protocol		0..1	uri	Clinical triage Protocol followed
finding		0..*	BackboneElement	Possible or likely findings and diagnoses
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	code for finding in the triage Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
note		0..1	Annotation	Comments made about the ClinicalImpression
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ClinicalImpression.status	required	ClinicalImpressionStatus http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 From the FHIR Standard
ClinicalImpression.code	example
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

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
identifier		0..*	Identifier	Identifier of the triage
status		1..1	code	completed | entered-in-error
statusReason		0..0
code		1..1	CodeableConcept	Snomed CT for Triage
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 225390008
description		0..0
subject		1..1	Reference(Patient)	Patient assessed
identifier		0..1	Identifier	Logical reference, when literal reference is not known
encounter		1..1	Reference(Encounter)	The encounter during which the triage is performed
identifier		0..1	Identifier	Prehospital care encounter-ID
effective[x]		1..1	dateTime	Time of triage
date		0..0
assessor		1..1	Reference(Practitioner | PractitionerRole)	The staff calculating the triage
identifier		0..1	Identifier	HSA-ID of Staff
investigation		0..*	BackboneElement	The Vital signs for the triage
code		1..1	CodeableConcept	Snomed Code for the vital sign
item		0..1	Reference(Observation)	Reference for the Vital sign
protocol		0..1	uri	Clinical triage Protocol followed
summary		0..0
finding		0..*	BackboneElement	Possible or likely findings and diagnoses
itemCodeableConcept		0..1	CodeableConcept	code for finding in the triage
itemReference		0..0
basis		0..0
prognosisCodeableConcept
coding		0..*	Coding	Triage level
prognosisReference		0..0
supportingInfo		0..0
note		0..1	Annotation	Comments made about the ClinicalImpression
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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier of the triage
status	?!Σ	1..1	code	completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
code	Σ	1..1	CodeableConcept	Snomed CT for Triage Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 225390008
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient)	Patient assessed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	1..1	Reference(Encounter)	The encounter during which the triage is performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Prehospital care encounter-ID
display	Σ	0..1	string	Text alternative for the resource
effective[x]	Σ	1..1	dateTime	Time of triage
assessor	Σ	1..1	Reference(Practitioner | PractitionerRole)	The staff calculating the triage
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	HSA-ID of Staff
display	Σ	0..1	string	Text alternative for the resource
previous		0..1	Reference(ClinicalImpression)	Reference to last assessment
problem	Σ	0..*	Reference(Condition | AllergyIntolerance)	Relevant impressions of patient state
investigation		0..*	BackboneElement	The Vital signs for the triage
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	Snomed Code for the vital sign Binding: InvestigationType (example): A name/code for a set of investigations.
item		0..1	Reference(Observation)	Reference for the Vital sign
protocol		0..1	uri	Clinical triage Protocol followed
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	code for finding in the triage Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
prognosisCodeableConcept		0..*	CodeableConcept	Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Triage level
text	Σ	0..1	string	Plain text representation of the concept
note		0..1	Annotation	Comments made about the ClinicalImpression
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ClinicalImpression.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ClinicalImpression.status	required	ClinicalImpressionStatus http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 From the FHIR Standard
ClinicalImpression.code	example
ClinicalImpression.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ClinicalImpression.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ClinicalImpression.assessor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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
ClinicalImpression.prognosisCodeableConcept	example	ClinicalImpressionPrognosis http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis 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: 7 elements
Fixed: 2 elements
Prohibited: 8 elements

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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier of the triage
status	?!Σ	1..1	code	completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
code	Σ	1..1	CodeableConcept	Snomed CT for Triage Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 225390008
subject	Σ	1..1	Reference(Patient)	Patient assessed
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
encounter	Σ	1..1	Reference(Encounter)	The encounter during which the triage is performed
identifier	Σ	0..1	Identifier	Prehospital care encounter-ID
effective[x]	Σ	1..1	dateTime	Time of triage
assessor	Σ	1..1	Reference(Practitioner | PractitionerRole)	The staff calculating the triage
identifier	Σ	0..1	Identifier	HSA-ID of Staff
investigation		0..*	BackboneElement	The Vital signs for the triage
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Snomed Code for the vital sign Binding: InvestigationType (example): A name/code for a set of investigations.
item		0..1	Reference(Observation)	Reference for the Vital sign
protocol		0..1	uri	Clinical triage Protocol followed
finding		0..*	BackboneElement	Possible or likely findings and diagnoses
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	code for finding in the triage Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
note		0..1	Annotation	Comments made about the ClinicalImpression
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ClinicalImpression.status	required	ClinicalImpressionStatus http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 From the FHIR Standard
ClinicalImpression.code	example
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()

Differential View

This structure is derived from ClinicalImpression

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
identifier		0..*	Identifier	Identifier of the triage
status		1..1	code	completed | entered-in-error
statusReason		0..0
code		1..1	CodeableConcept	Snomed CT for Triage
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 225390008
description		0..0
subject		1..1	Reference(Patient)	Patient assessed
identifier		0..1	Identifier	Logical reference, when literal reference is not known
encounter		1..1	Reference(Encounter)	The encounter during which the triage is performed
identifier		0..1	Identifier	Prehospital care encounter-ID
effective[x]		1..1	dateTime	Time of triage
date		0..0
assessor		1..1	Reference(Practitioner | PractitionerRole)	The staff calculating the triage
identifier		0..1	Identifier	HSA-ID of Staff
investigation		0..*	BackboneElement	The Vital signs for the triage
code		1..1	CodeableConcept	Snomed Code for the vital sign
item		0..1	Reference(Observation)	Reference for the Vital sign
protocol		0..1	uri	Clinical triage Protocol followed
summary		0..0
finding		0..*	BackboneElement	Possible or likely findings and diagnoses
itemCodeableConcept		0..1	CodeableConcept	code for finding in the triage
itemReference		0..0
basis		0..0
prognosisCodeableConcept
coding		0..*	Coding	Triage level
prognosisReference		0..0
supportingInfo		0..0
note		0..1	Annotation	Comments made about the ClinicalImpression
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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier of the triage
status	?!Σ	1..1	code	completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
code	Σ	1..1	CodeableConcept	Snomed CT for Triage Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 225390008
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient)	Patient assessed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	1..1	Reference(Encounter)	The encounter during which the triage is performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Prehospital care encounter-ID
display	Σ	0..1	string	Text alternative for the resource
effective[x]	Σ	1..1	dateTime	Time of triage
assessor	Σ	1..1	Reference(Practitioner | PractitionerRole)	The staff calculating the triage
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	HSA-ID of Staff
display	Σ	0..1	string	Text alternative for the resource
previous		0..1	Reference(ClinicalImpression)	Reference to last assessment
problem	Σ	0..*	Reference(Condition | AllergyIntolerance)	Relevant impressions of patient state
investigation		0..*	BackboneElement	The Vital signs for the triage
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	Snomed Code for the vital sign Binding: InvestigationType (example): A name/code for a set of investigations.
item		0..1	Reference(Observation)	Reference for the Vital sign
protocol		0..1	uri	Clinical triage Protocol followed
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	code for finding in the triage Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
prognosisCodeableConcept		0..*	CodeableConcept	Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Triage level
text	Σ	0..1	string	Plain text representation of the concept
note		0..1	Annotation	Comments made about the ClinicalImpression
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ClinicalImpression.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ClinicalImpression.status	required	ClinicalImpressionStatus http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 From the FHIR Standard
ClinicalImpression.code	example
ClinicalImpression.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ClinicalImpression.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ClinicalImpression.assessor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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
ClinicalImpression.prognosisCodeableConcept	example	ClinicalImpressionPrognosis http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis 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: 7 elements
Fixed: 2 elements
Prohibited: 8 elements

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