ClinicalImpression - FHIR Resource (dstu2)

This ClinicalImpression Resource uses the FHIR API standard for access and structure.

Validate an ClinicalImpression FHIR Resource (dstu2)

Resource Attributes

Attribute	Field is list	Type	Description
action	true	Reference	"action" : [{ Reference(ReferralRequest|ProcedureRequest|Procedure|
assessor	false	Reference	The clinician performing the assessment
date	false	dateTime	When the assessment occurred
description	false	string	Why/how the assessment was performed
finding	true	Data Type	Possible or likely findings and diagnoses
investigations	true	Data Type	One or more sets of investigations (signs, symptions, etc.)
patient	false	Reference	The patient being assessed
plan	true	Reference	"plan" : [{ Reference(CarePlan|Appointment|CommunicationRequest|
previous	false	Reference	Reference to last assessment
problem	true	Reference	General assessment of patient state
prognosis	false	string	Estimate of likely outcome
protocol	false	uri	Clinical Protocol followed
resolved	true	CodeableConcept	Diagnoses/conditions resolved since previous assessment
ruledOut	true	Data Type	Diagnosis considered not possible
status	false	code	in-progress | completed | entered-in-error
summary	false	string	Summary of the assessment
triggerCodeableConcept	false	CodeableConcept	"triggerCodeableConcept" : { CodeableConcept },
triggerReference	false	Reference	"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 Parameter	Field Type	Resource Fields Searched
action	reference	action
assessor	reference	assessor
date	date	date
finding	text	finding.item
investigation	reference	investigations.item
patient	reference	patient
plan	reference	plan
previous	reference	previous
problem	reference	problem
resolved	text	resolved
ruledout	text	ruledOut.item
status	text	status
trigger	reference	triggerReference
trigger-code	text	triggerCodeableConcept