ClinicalImpression - FHIR Resource (dstu2)


Resource Attributes

AttributeField is listTypeDescription
actiontrueReference "action" : [{ Reference(ReferralRequest|ProcedureRequest|Procedure|
assessorfalseReference The clinician performing the assessment
datefalsedateTime When the assessment occurred
descriptionfalsestring Why/how the assessment was performed
findingtrueData Type Possible or likely findings and diagnoses
investigationstrueData Type One or more sets of investigations (signs, symptions, etc.)
patientfalseReference The patient being assessed
plantrueReference "plan" : [{ Reference(CarePlan|Appointment|CommunicationRequest|
previousfalseReference Reference to last assessment
problemtrueReference General assessment of patient state
prognosisfalsestring Estimate of likely outcome
protocolfalseuri Clinical Protocol followed
resolvedtrueCodeableConcept Diagnoses/conditions resolved since previous assessment
ruledOuttrueData Type Diagnosis considered not possible
statusfalsecode in-progress | completed | entered-in-error
summaryfalsestring Summary of the assessment
triggerCodeableConceptfalseCodeableConcept "triggerCodeableConcept" : { CodeableConcept },
triggerReferencefalseReference "triggerReference" : { Reference(Any) },

ClinicalImpression Structure


  
{
  "resourceType" : "ClinicalImpression",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "patient" : { Reference(Patient) }, // R!  The patient being assessed
  "assessor" : { Reference(Practitioner) }, // The clinician performing the assessment
  "status" : "<code>", // R!  in-progress | completed | entered-in-error
  "date" : "<dateTime>", // When the assessment occurred
  "description" : "<string>", // Why/how the assessment was performed
  "previous" : { Reference(ClinicalImpression) }, // Reference to last assessment
  "problem" : [{ Reference(Condition|AllergyIntolerance) }], // General assessment of patient state
  // trigger[x]: Request or event that necessitated this assessment. One of these 2:
  "triggerCodeableConcept" : { CodeableConcept },
  "triggerReference" : { Reference(Any) },
  "investigations" : [{ // One or more sets of investigations (signs, symptions, etc.)
    "code" : { CodeableConcept }, // R!  A name/code for the set
    "item" : [{ Reference(Observation|QuestionnaireResponse|FamilyMemberHistory|
    DiagnosticReport) }] // Record of a specific investigation
  }],
  "protocol" : "<uri>", // Clinical Protocol followed
  "summary" : "<string>", // Summary of the assessment
  "finding" : [{ // Possible or likely findings and diagnoses
    "item" : { CodeableConcept }, // R!  Specific text or code for finding
    "cause" : "<string>" // Which investigations support finding
  }],
  "resolved" : [{ CodeableConcept }], // Diagnoses/conditions resolved since previous assessment
  "ruledOut" : [{ // Diagnosis considered not possible
    "item" : { CodeableConcept }, // R!  Specific text of code for diagnosis
    "reason" : "<string>" // Grounds for elimination
  }],
  "prognosis" : "<string>", // Estimate of likely outcome
  "plan" : [{ Reference(CarePlan|Appointment|CommunicationRequest|
   DeviceUseRequest|DiagnosticOrder|MedicationOrder|NutritionOrder|Order|
   ProcedureRequest|ProcessRequest|ReferralRequest|SupplyRequest|
   VisionPrescription) }], // Plan of action after assessment
  "action" : [{ Reference(ReferralRequest|ProcedureRequest|Procedure|
   MedicationOrder|DiagnosticOrder|NutritionOrder|SupplyRequest|Appointment) }] // Actions taken during assessment
}


 

ClinicalImpression Search Parameters

The following search parameters can be used to query ClinicalImpression resources. Just submit the like so:

https://api.1up.health/fhir/dstu2/ClinicalImpression?query-param=queryvalue
Search ParameterField TypeResource Fields Searched
actionreferenceaction
assessorreferenceassessor
datedatedate
findingtextfinding.item
investigationreferenceinvestigations.item
patientreferencepatient
planreferenceplan
previousreferenceprevious
problemreferenceproblem
resolvedtextresolved
ruledouttextruledOut.item
statustextstatus
triggerreferencetriggerReference
trigger-codetexttriggerCodeableConcept