ClinicalImpression - FHIR Resource (dstu2)


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

Validate an 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