Implementation Guide
23.1.0 - R4 APIs

Publish Box goes here

Resource Profile: Profile - Athena ClinicalImpression

Official URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-clinicalimpressn-profile Version: 23.1.0
Active as of 2022-03-01 Computable Name: AthenaClinicalImpression

athena clinicalimpression profile

This ClinicalImpression profile is part of the set of resource profiles supported by the API Server used with the athenaPractice and athenaFlow products. It further describes read and search capabilities of these products. Note: The create and update operations are NOT supported for this resource.

Overview

A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition

Scope and Usage

This profile is used to define the content that will be returned by the API Server in response to requests to access ClinicalImpression resources. All elements listed in the differential profile view are Supported, which means that the API Server is capable of supplying these fields from the product database when they have been populated via the product or its APIs.

Source

The ClinicalImpression resource is a record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. It is derived from the ASSESS table in athenaPractice and in athenaFlow. Specific detail can be found in the Mappings tab in the profile detail page.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ClinicalImpression

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... id 1..1 id Logical id of this artifact
... meta 0..1 Meta Metadata about the resource
.... versionId 0..1 id Version specific identifier
.... lastUpdated 0..1 instant When the resource version last changed
.... Slices for profile 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena ClinicalImpression Profile 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-clinicalimpressn-profile
.... Slices for security 0..4 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
..... security:SENSITIVECHART 0..1 Coding Security Labels applied to this resource
..... security:CONFABBR 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
..... security:LOCATION 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
..... security:CONFTYPEID 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... tag 1..2 Coding Tags applied to this resource
... identifier 0..* Identifier Business identifier
... subject 1..1 Reference(Patient) Patient or group assessed
... encounter 0..1 Reference(Encounter) Encounter created as part of
... effective[x] 0..1 dateTime Time of assessment
... date 0..1 dateTime When the assessment was documented
... assessor 0..1 Reference(Practitioner) The clinician performing the assessment
... problem 0..* Reference(Condition) Relevant impressions of patient state
... summary 0..1 string Summary of the assessment
... note 0..* Annotation Comments made about the ClinicalImpression

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... Slices for profile Σ 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena ClinicalImpression Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-clinicalimpressn-profile
.... Slices for security Σ 0..4 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
..... security:LOCATION Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
..... security:CONFTYPEID Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier Σ 0..* Identifier Business identifier
... status ?!Σ 1..1 code in-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.

... subject Σ 1..1 Reference(Patient) Patient or group assessed
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... effective[x] Σ 0..1 dateTime Time of assessment
... date Σ 0..1 dateTime When the assessment was documented
... assessor Σ 0..1 Reference(Practitioner) The clinician performing the assessment
... problem Σ 0..* Reference(Condition) Relevant impressions of patient state
... summary 0..1 string Summary of the assessment
... note 0..* Annotation Comments made about the ClinicalImpression

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ClinicalImpression.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:LOCATIONextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:CONFTYPEIDextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
ClinicalImpression.statusrequiredClinicalImpressionStatus
http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena ClinicalImpression Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-clinicalimpressn-profile
.... Slices for security Σ 0..4 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... security:LOCATION Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... security:CONFTYPEID Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... 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 Business identifier
... status ?!Σ 1..1 code in-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: (unbound) (example): Codes identifying the reason for the current state of a clinical impression.

... code Σ 0..1 CodeableConcept Kind of assessment performed
Binding: (unbound) (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.

... description Σ 0..1 string Why/how the assessment was performed
... subject Σ 1..1 Reference(Patient) Patient or group assessed
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... effective[x] Σ 0..1 dateTime Time of assessment
... date Σ 0..1 dateTime When the assessment was documented
... assessor Σ 0..1 Reference(Practitioner) The clinician performing the assessment
... previous 0..1 Reference(ClinicalImpression) Reference to last assessment
... problem Σ 0..* Reference(Condition) Relevant impressions of patient state
... investigation 0..* BackboneElement One or more sets of investigations (signs, symptoms, etc.)
.... 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 A name/code for the set
Binding: InvestigationType (example): A name/code for a set of investigations.

.... item 0..* Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) Record of a specific investigation
... protocol 0..* uri Clinical Protocol followed
... summary 0..1 string Summary of the assessment
... 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 What was found
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.

.... itemReference 0..1 Reference(Condition | Observation | Media) What was found
.... basis 0..1 string Which investigations support finding
... prognosisCodeableConcept 0..* CodeableConcept Estimate of likely outcome
Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.


... prognosisReference 0..* Reference(RiskAssessment) RiskAssessment expressing likely outcome
... supportingInfo 0..* Reference(Resource) Information supporting the clinical impression
... note 0..* Annotation Comments made about the ClinicalImpression

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ClinicalImpression.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:LOCATIONextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:CONFTYPEIDextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
ClinicalImpression.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ClinicalImpression.statusrequiredClinicalImpressionStatus
http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1
from the FHIR Standard
ClinicalImpression.statusReasonexample
ClinicalImpression.codeexample
ClinicalImpression.investigation.codeexampleInvestigationType
http://hl7.org/fhir/ValueSet/investigation-sets
from the FHIR Standard
ClinicalImpression.finding.itemCodeableConceptexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
ClinicalImpression.prognosisCodeableConceptexampleClinicalImpressionPrognosis
http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis
from the FHIR Standard

This structure is derived from ClinicalImpression

Summary

Mandatory: 3 elements(9 nested mandatory elements)
Fixed: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ClinicalImpression.meta.profile
  • The element 1 is sliced based on the value of ClinicalImpression.meta.security

Differential View

This structure is derived from ClinicalImpression

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... id 1..1 id Logical id of this artifact
... meta 0..1 Meta Metadata about the resource
.... versionId 0..1 id Version specific identifier
.... lastUpdated 0..1 instant When the resource version last changed
.... Slices for profile 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena ClinicalImpression Profile 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-clinicalimpressn-profile
.... Slices for security 0..4 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
..... security:SENSITIVECHART 0..1 Coding Security Labels applied to this resource
..... security:CONFABBR 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
..... security:LOCATION 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
..... security:CONFTYPEID 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... tag 1..2 Coding Tags applied to this resource
... identifier 0..* Identifier Business identifier
... subject 1..1 Reference(Patient) Patient or group assessed
... encounter 0..1 Reference(Encounter) Encounter created as part of
... effective[x] 0..1 dateTime Time of assessment
... date 0..1 dateTime When the assessment was documented
... assessor 0..1 Reference(Practitioner) The clinician performing the assessment
... problem 0..* Reference(Condition) Relevant impressions of patient state
... summary 0..1 string Summary of the assessment
... note 0..* Annotation Comments made about the ClinicalImpression

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... Slices for profile Σ 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena ClinicalImpression Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-clinicalimpressn-profile
.... Slices for security Σ 0..4 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
..... security:LOCATION Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
..... security:CONFTYPEID Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier Σ 0..* Identifier Business identifier
... status ?!Σ 1..1 code in-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.

... subject Σ 1..1 Reference(Patient) Patient or group assessed
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... effective[x] Σ 0..1 dateTime Time of assessment
... date Σ 0..1 dateTime When the assessment was documented
... assessor Σ 0..1 Reference(Practitioner) The clinician performing the assessment
... problem Σ 0..* Reference(Condition) Relevant impressions of patient state
... summary 0..1 string Summary of the assessment
... note 0..* Annotation Comments made about the ClinicalImpression

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ClinicalImpression.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:LOCATIONextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:CONFTYPEIDextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
ClinicalImpression.statusrequiredClinicalImpressionStatus
http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena ClinicalImpression Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-clinicalimpressn-profile
.... Slices for security Σ 0..4 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... security:LOCATION Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... security:CONFTYPEID Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... 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 Business identifier
... status ?!Σ 1..1 code in-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: (unbound) (example): Codes identifying the reason for the current state of a clinical impression.

... code Σ 0..1 CodeableConcept Kind of assessment performed
Binding: (unbound) (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.

... description Σ 0..1 string Why/how the assessment was performed
... subject Σ 1..1 Reference(Patient) Patient or group assessed
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... effective[x] Σ 0..1 dateTime Time of assessment
... date Σ 0..1 dateTime When the assessment was documented
... assessor Σ 0..1 Reference(Practitioner) The clinician performing the assessment
... previous 0..1 Reference(ClinicalImpression) Reference to last assessment
... problem Σ 0..* Reference(Condition) Relevant impressions of patient state
... investigation 0..* BackboneElement One or more sets of investigations (signs, symptoms, etc.)
.... 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 A name/code for the set
Binding: InvestigationType (example): A name/code for a set of investigations.

.... item 0..* Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) Record of a specific investigation
... protocol 0..* uri Clinical Protocol followed
... summary 0..1 string Summary of the assessment
... 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 What was found
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.

.... itemReference 0..1 Reference(Condition | Observation | Media) What was found
.... basis 0..1 string Which investigations support finding
... prognosisCodeableConcept 0..* CodeableConcept Estimate of likely outcome
Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.


... prognosisReference 0..* Reference(RiskAssessment) RiskAssessment expressing likely outcome
... supportingInfo 0..* Reference(Resource) Information supporting the clinical impression
... note 0..* Annotation Comments made about the ClinicalImpression

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ClinicalImpression.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:LOCATIONextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.security:CONFTYPEIDextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ClinicalImpression.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
ClinicalImpression.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ClinicalImpression.statusrequiredClinicalImpressionStatus
http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1
from the FHIR Standard
ClinicalImpression.statusReasonexample
ClinicalImpression.codeexample
ClinicalImpression.investigation.codeexampleInvestigationType
http://hl7.org/fhir/ValueSet/investigation-sets
from the FHIR Standard
ClinicalImpression.finding.itemCodeableConceptexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
ClinicalImpression.prognosisCodeableConceptexampleClinicalImpressionPrognosis
http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis
from the FHIR Standard

This structure is derived from ClinicalImpression

Summary

Mandatory: 3 elements(9 nested mandatory elements)
Fixed: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ClinicalImpression.meta.profile
  • The element 1 is sliced based on the value of ClinicalImpression.meta.security

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Supported Interactions

Interactions supported by this resource are listed below.

Search Parameters

Search parameters are executed as specified in the HL7 FHIR RESTful API implementation definition. To search for ClinicalImpression resources, an application shall perform an HTTP GET, specifying the query parameters associated with the resource.

GET [base]/fhir/ClinicalImpression?{search-parameters}{&_count=[max-results]&_format=[json|xml]&_summary=[true|text|data]}

Where:

Name Description
[base] Specifies the base URL of the FHIR Server, e.g., https://apsandbox.fhirapi.athenahealth.com/demoAPIServer
[_count] Specifies the maximum number of search results to return in a single query. Note: The count of results does not limit the number of additional resources returned via the _include parameter. No more than max-results ClinicalImpression resources which match the search criteria will be returned. The API Server has default and maximum limits for the value that can be specified for this parameter. These limits may vary depending upon the client application vendors participation level in the Athenahealth Partner program. Note: The API Server support the HL7 FHIR Paging capability.
[_format] Specifies the format of the output and may be xml or json. When present, the _format value overrides the value of the Accept header in the request.
[_summary] Filters the output to include only narrative elements (_summary=text), summary elements (_summary=true) or to omit the generated narrative (_summary=data). Note: If the generated html narrative for the resource is not going to be used by the call, using _summary=data provides improved API response times, especially when returning larger result sets.
_id (token) The ID of the resource
_security (token) Search by a security label
_tag (token) Search by a resource tag
_lastUpdated (date)
_lastUpdated-fromnow (quantity) Like _lastUpdated except expressed as a positive or negative offset from the current time in units of time, e.g. _lastUpdated-fromnow=ge7||d for more than seven days in the future or =le-2||mo for less than two months in the past. The unit must be specified.
identifier (token) Business identifier
assessor (reference) The clinician performing the assessment
encounter (reference) Encounter created as part of
encounter-or-historical (reference)
date (date) When the assessment was documented
date-fromnow (quantity) Like occurrence except expressed as a positive or negative offset from the current time in units of time, e.g. occurrence-fromnow=ge7||d for more than seven days in the future or =le-2||mo for less than two months in the past. The unit must be specified.
problem (reference) Relevant impressions of patient state
status (token) in-progress | completed | entered-in-error
subject (reference) Patient or group assessed
patient (reference) Patient or group assessed
HTTP Response Codes

The following HTTP response codes are returned by this API call:

200 OK The query was performed and any results found are contained within the body of the HTTP response. Note: The search API will return 200 OK when the query itself is successful, regardless of whether or not any matching results were found.
401 Unauthorized Authorization is required for this request, and either the Authorization header is missing or the supplied user credentials in the Authorization header are not valid or have expired. The body of the HTTP response will contain an OperationOutcome resource that indicates that Authorization is required.
500 Server Error The server may return other error codes to indicate other error conditions. The body of the HTTP response will contain an OperationOutcome resource that indicates the nature of the error.