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 them 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 |