eHealth Infrastructure
3.2.0 - release

This page is part of the FUT Infrastructure (v3.2.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: ehealth-clinicalimpression - Detailed Descriptions

Active as of 2024-09-02

Definitions for the ehealth-clinicalimpression resource profile.

Guidance on how to interpret the contents of this table can be found here

0. ClinicalImpression
2. ClinicalImpression.extension
Control1..?
SlicingThis element introduces a set of slices on ClinicalImpression.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. ClinicalImpression.extension:assessorOrganization
    Slice NameassessorOrganization
    Control0..1
    TypeExtension(assessor-Organization) (Extension Type: Reference(ehealth-organization)referenced)
    6. ClinicalImpression.extension:carePlan
    Slice NamecarePlan
    Control0..1
    TypeExtension(Careplan) (Extension Type: Reference(ehealth-careplan)referenced)
    8. ClinicalImpression.extension:decisionContext
    Slice NamedecisionContext
    Control0..*
    TypeExtension(Decision context) (Extension Type: Reference(Parameters)referenced, contained)
    10. ClinicalImpression.extension:decision
    Slice Namedecision
    Control0..*
    TypeExtension(Decision) (Extension Type: CodeableConcept)
    12. ClinicalImpression.extension:episodeOfCare
    Slice NameepisodeOfCare
    Control1..1
    TypeExtension(Episode of care) (Extension Type: Reference(EpisodeOfCare))
    14. ClinicalImpression.extension:findingBasis
    Slice NamefindingBasis
    Control0..*
    TypeExtension(Questionnaire response finding basis) (Complex Extension)
    16. ClinicalImpression.code
    Control1..?
    BindingThe codes SHALL be taken from Clinical Impression Codes
    (required to http://ehealth.sundhed.dk/vs/clinicalimpression-codes)
    18. ClinicalImpression.subject
    TypeReference(ehealth-patient)referenced
    20. ClinicalImpression.assessor
    TypeReference(ehealth-practitioner)referenced
    22. ClinicalImpression.previous
    TypeReference(ehealth-clinicalimpression)referenced
    24. ClinicalImpression.problem
    TypeReference(ehealth-condition, AllergyIntolerance)referenced
    26. ClinicalImpression.investigation
    28. ClinicalImpression.investigation.extension
    SlicingThis element introduces a set of slices on ClinicalImpression.investigation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 30. ClinicalImpression.investigation.extension:viewInvestigationItem
      Slice NameviewInvestigationItem
      Control0..*
      TypeExtension(View investigation item) (Extension Type: Reference(ehealth-view)referenced)
      32. ClinicalImpression.investigation.code
      BindingFor example codes, see ClinicalImpression Investigation Item Codes
      (example to http://ehealth.sundhed.dk/vs/clinicalimpression-investigation-item-codes)
      34. ClinicalImpression.investigation.item
      TypeReference(ehealth-media, ehealth-observation, ehealth-questionnaireresponse, FamilyMemberHistory, DiagnosticReport, RiskAssessment, ImagingStudy)referenced
      36. ClinicalImpression.finding
      38. ClinicalImpression.finding.itemCodeableConcept
      BindingThe codes SHALL be taken from ClinicalImpression Finding Codes
      (required to http://ehealth.sundhed.dk/vs/clinicalimpression-finding-codes)
      40. ClinicalImpression.finding.itemReference
      TypeReference(Observation, ehealth-condition)
      42. ClinicalImpression.prognosisReference
      TypeReference(RiskAssessment)referenced
      44. ClinicalImpression.note
      46. ClinicalImpression.note.author[x]
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      SlicingThis element introduces a set of slices on ClinicalImpression.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • type @ $this
      • 48. ClinicalImpression.note.author[x]:authorReference
        Slice NameauthorReference
        Control0..1
        TypeReference(ehealth-practitioner, ehealth-patient, ehealth-relatedperson)
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        50. ClinicalImpression.note.author[x]:authorString
        Slice NameauthorString
        Control0..1
        Typestring
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

        Guidance on how to interpret the contents of this table can be found here

        0. ClinicalImpression
        Definition

        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. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow. This resource is called "ClinicalImpression" rather than "ClinicalAssessment" to avoid confusion with the recording of assessment tools such as Apgar score.

        ShortA clinical assessment performed when planning treatments and management strategies for a patient
        Control0..*
        Is Modifierfalse
        Summaryfalse
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
        dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
        dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
        dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        dom-6: A resource should have narrative for robust management (text.`div`.exists())
        2. ClinicalImpression.implicitRules
        Definition

        A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

        ShortA set of rules under which this content was created
        Comments

        Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

        Control0..1
        Typeuri
        Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        4. ClinicalImpression.extension
        Definition

        An Extension


        May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortExtensionAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control10..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on ClinicalImpression.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 6. ClinicalImpression.extension:assessorOrganization
          Slice NameassessorOrganization
          Definition

          The organization that the assessor is a part of.

          ShortAssessors Organization
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeExtension(assessor-Organization) (Extension Type: Reference(ehealth-organization)referenced)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          8. ClinicalImpression.extension:carePlan
          Slice NamecarePlan
          Definition

          Identifies the CarePlan context in which this particular resource was created.

          ShortThe Careplan
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeExtension(Careplan) (Extension Type: Reference(ehealth-careplan)referenced)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          10. ClinicalImpression.extension:decisionContext
          Slice NamedecisionContext
          Definition

          Library and relevant resources used for evaluation

          ShortLibrary and relevant resources used for evaluation
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(Decision context) (Extension Type: Reference(Parameters)referenced, contained)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          12. ClinicalImpression.extension:decision
          Slice Namedecision
          Definition

          Clinical impression decision, 'approved' or 'approved-for-sharing'

          Shortapproved | approved-for-sharing
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(Decision) (Extension Type: CodeableConcept)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          14. ClinicalImpression.extension:episodeOfCare
          Slice NameepisodeOfCare
          Definition

          Identifies the episode(s) of care that this resource is relevant to. Establishes the EpisodeOfCare as a 'grouper' of resources that are relevant to that episode.

          ShortAssociated Encounter episode of care
          Control1..1
          TypeExtension(Episode of care) (Extension Type: Reference(EpisodeOfCare))
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          16. ClinicalImpression.extension:findingBasis
          Slice NamefindingBasis
          Definition

          Basis for the overall clinical impression finding of the questionnaire response

          ShortThe basis for a clinical impression finding
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(Questionnaire response finding basis) (Complex Extension)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. ClinicalImpression.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Summaryfalse
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          20. ClinicalImpression.status
          Definition

          Identifies the workflow status of the assessment.

          Shortin-progress | completed | entered-in-error
          Comments

          This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid.

          Control1..1
          BindingThe codes SHALL be taken from ClinicalImpressionStatushttp://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1
          (required to http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1)

          The workflow state of a clinical impression.

          Typecode
          Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. ClinicalImpression.code
          Definition

          Categorizes the type of clinical assessment performed.

          ShortKind of assessment performed
          Comments

          This is present as a place-holder only and may be removed based on feedback/work group opinion.

          Control10..1
          BindingThe codes SHALL be taken from For example codes, see Clinical Impression Codes
          (required to http://ehealth.sundhed.dk/vs/clinicalimpression-codes)
          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Alternate Namestype
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. ClinicalImpression.subject
          Definition

          The patient or group of individuals assessed as part of this record.

          ShortPatient or group assessed
          Control1..1
          TypeReference(ehealth-patient, Patient, Group)referenced
          Is Modifierfalse
          Summarytrue
          Requirements

          Group is typically for veterinary and/or public health purposes.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. ClinicalImpression.assessor
          Definition

          The clinician performing the assessment.

          ShortThe clinician performing the assessment
          Control0..1
          TypeReference(ehealth-practitioner, Practitioner, PractitionerRole)referenced
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. ClinicalImpression.previous
          Definition

          A reference to the last assessment that was conducted on this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.

          ShortReference to last assessment
          Comments

          It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).

          Control0..1
          TypeReference(ehealth-clinicalimpression, ClinicalImpression)referenced
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. ClinicalImpression.problem
          Definition

          A list of the relevant problems/conditions for a patient.

          ShortRelevant impressions of patient state
          Comments

          e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.

          Control0..*
          TypeReference(ehealth-condition, AllergyIntolerance, Condition)referenced
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          32. ClinicalImpression.prognosisReference
          Definition

          RiskAssessment expressing likely outcome.

          ShortRiskAssessment expressing likely outcome
          Control0..*
          TypeReference(RiskAssessment)referenced
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

          Guidance on how to interpret the contents of this table can be found here

          0. ClinicalImpression
          Definition

          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. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow. This resource is called "ClinicalImpression" rather than "ClinicalAssessment" to avoid confusion with the recording of assessment tools such as Apgar score.

          ShortA clinical assessment performed when planning treatments and management strategies for a patient
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. ClinicalImpression.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          Comments

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          4. ClinicalImpression.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. ClinicalImpression.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. ClinicalImpression.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. ClinicalImpression.text
          Definition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          ShortText summary of the resource, for human interpretation
          Comments

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. ClinicalImpression.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. ClinicalImpression.extension
          Definition

          An Extension

          ShortExtension
          Control1..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on ClinicalImpression.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. ClinicalImpression.extension:assessorOrganization
            Slice NameassessorOrganization
            Definition

            The organization that the assessor is a part of.

            ShortAssessors Organization
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(assessor-Organization) (Extension Type: Reference(ehealth-organization)referenced)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. ClinicalImpression.extension:carePlan
            Slice NamecarePlan
            Definition

            Identifies the CarePlan context in which this particular resource was created.

            ShortThe Careplan
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Careplan) (Extension Type: Reference(ehealth-careplan)referenced)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. ClinicalImpression.extension:decisionContext
            Slice NamedecisionContext
            Definition

            Library and relevant resources used for evaluation

            ShortLibrary and relevant resources used for evaluation
            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(Decision context) (Extension Type: Reference(Parameters)referenced, contained)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            22. ClinicalImpression.extension:decision
            Slice Namedecision
            Definition

            Clinical impression decision, 'approved' or 'approved-for-sharing'

            Shortapproved | approved-for-sharing
            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(Decision) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            24. ClinicalImpression.extension:episodeOfCare
            Slice NameepisodeOfCare
            Definition

            Identifies the episode(s) of care that this resource is relevant to. Establishes the EpisodeOfCare as a 'grouper' of resources that are relevant to that episode.

            ShortAssociated Encounter episode of care
            Control1..1
            TypeExtension(Episode of care) (Extension Type: Reference(EpisodeOfCare))
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            26. ClinicalImpression.extension:findingBasis
            Slice NamefindingBasis
            Definition

            Basis for the overall clinical impression finding of the questionnaire response

            ShortThe basis for a clinical impression finding
            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(Questionnaire response finding basis) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. ClinicalImpression.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Summaryfalse
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            30. ClinicalImpression.identifier
            Definition

            Business identifiers assigned to this clinical impression by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

            ShortBusiness identifier
            Comments

            This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            Requirements

            Allows identification of the clinical impression as it is known by various participating systems and in a way that remains consistent across servers.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            32. ClinicalImpression.status
            Definition

            Identifies the workflow status of the assessment.

            Shortin-progress | completed | entered-in-error
            Comments

            This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid.

            Control1..1
            BindingThe codes SHALL be taken from ClinicalImpressionStatus
            (required to http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1)

            The workflow state of a clinical impression.

            Typecode
            Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            34. ClinicalImpression.statusReason
            Definition

            Captures the reason for the current state of the ClinicalImpression.

            ShortReason for current status
            Comments

            This is generally only used for "exception" statuses such as "not-done", "suspended" or "cancelled".

            [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].

            Control0..1
            Binding

            Codes identifying the reason for the current state of a clinical impression.

            TypeCodeableConcept
            Is Modifierfalse
            Summaryfalse
            Alternate NamesSuspended Reason, Cancelled Reason
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. ClinicalImpression.code
            Definition

            Categorizes the type of clinical assessment performed.

            ShortKind of assessment performed
            Comments

            This is present as a place-holder only and may be removed based on feedback/work group opinion.

            Control1..1
            BindingThe codes SHALL be taken from Clinical Impression Codes
            (required to http://ehealth.sundhed.dk/vs/clinicalimpression-codes)
            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Alternate Namestype
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. ClinicalImpression.description
            Definition

            A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.

            ShortWhy/how the assessment was performed
            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. ClinicalImpression.subject
            Definition

            The patient or group of individuals assessed as part of this record.

            ShortPatient or group assessed
            Control1..1
            TypeReference(ehealth-patient)referenced
            Is Modifierfalse
            Summarytrue
            Requirements

            Group is typically for veterinary and/or public health purposes.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. ClinicalImpression.encounter
            Definition

            The Encounter during which this ClinicalImpression was created or to which the creation of this record is tightly associated.

            ShortEncounter created as part of
            Comments

            This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.

            Control0..1
            TypeReference(Encounter)
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            44. ClinicalImpression.effective[x]
            Definition

            The point in time or period over which the subject was assessed.

            ShortTime of assessment
            Comments

            This SHOULD be accurate to at least the minute, though some assessments only have a known date.

            Control0..1
            TypeChoice of: dateTime, Period
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. ClinicalImpression.date
            Definition

            Indicates when the documentation of the assessment was complete.

            ShortWhen the assessment was documented
            Control0..1
            TypedateTime
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            48. ClinicalImpression.assessor
            Definition

            The clinician performing the assessment.

            ShortThe clinician performing the assessment
            Control0..1
            TypeReference(ehealth-practitioner)referenced
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            50. ClinicalImpression.previous
            Definition

            A reference to the last assessment that was conducted on this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.

            ShortReference to last assessment
            Comments

            It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).

            Control0..1
            TypeReference(ehealth-clinicalimpression)referenced
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. ClinicalImpression.problem
            Definition

            A list of the relevant problems/conditions for a patient.

            ShortRelevant impressions of patient state
            Comments

            e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.

            Control0..*
            TypeReference(ehealth-condition, AllergyIntolerance)referenced
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            54. ClinicalImpression.investigation
            Definition

            One or more sets of investigations (signs, symptoms, etc.). The actual grouping of investigations varies greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes.

            ShortOne or more sets of investigations (signs, symptoms, etc.)
            Control0..*
            TypeBackboneElement
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            56. ClinicalImpression.investigation.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            58. ClinicalImpression.investigation.extension
            Definition

            An Extension

            ShortExtension
            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on ClinicalImpression.investigation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 60. ClinicalImpression.investigation.extension:viewInvestigationItem
              Slice NameviewInvestigationItem
              Definition

              Investigation item for View resources so they can be approved.

              ShortView item
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(View investigation item) (Extension Type: Reference(ehealth-view)referenced)
              Is Modifierfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              62. ClinicalImpression.investigation.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              64. ClinicalImpression.investigation.code
              Definition

              A name/code for the group ("set") of investigations. Typically, this will be something like "signs", "symptoms", "clinical", "diagnostic", but the list is not constrained, and others such groups such as (exposure|family|travel|nutritional) history may be used.

              ShortA name/code for the set
              Control1..1
              BindingFor example codes, see ClinicalImpression Investigation Item Codes
              (example to http://ehealth.sundhed.dk/vs/clinicalimpression-investigation-item-codes)
              TypeCodeableConcept
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              66. ClinicalImpression.investigation.item
              Definition

              A record of a specific investigation that was undertaken.

              ShortRecord of a specific investigation
              Comments

              Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used.

              Control0..*
              TypeReference(ehealth-media, ehealth-observation, ehealth-questionnaireresponse, FamilyMemberHistory, DiagnosticReport, RiskAssessment, ImagingStudy)referenced
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              68. ClinicalImpression.protocol
              Definition

              Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.

              ShortClinical Protocol followed
              Control0..*
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              70. ClinicalImpression.summary
              Definition

              A text summary of the investigations and the diagnosis.

              ShortSummary of the assessment
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              72. ClinicalImpression.finding
              Definition

              Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.

              ShortPossible or likely findings and diagnoses
              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              74. ClinicalImpression.finding.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              76. ClinicalImpression.finding.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              78. ClinicalImpression.finding.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              80. ClinicalImpression.finding.itemCodeableConcept
              Definition

              Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.

              ShortWhat was found
              Control0..1
              BindingThe codes SHALL be taken from ClinicalImpression Finding Codes
              (required to http://ehealth.sundhed.dk/vs/clinicalimpression-finding-codes)
              TypeCodeableConcept
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. ClinicalImpression.finding.itemReference
              Definition

              Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.

              ShortWhat was found
              Control0..1
              TypeReference(Observation, ehealth-condition)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              84. ClinicalImpression.finding.basis
              Definition

              Which investigations support finding or diagnosis.

              ShortWhich investigations support finding
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              86. ClinicalImpression.prognosisCodeableConcept
              Definition

              Estimate of likely outcome.

              ShortEstimate of likely outcome
              Control0..*
              BindingFor example codes, see ClinicalImpressionPrognosis
              (example to http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis)

              Prognosis or outlook findings.

              TypeCodeableConcept
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              88. ClinicalImpression.prognosisReference
              Definition

              RiskAssessment expressing likely outcome.

              ShortRiskAssessment expressing likely outcome
              Control0..*
              TypeReference(RiskAssessment)referenced
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              90. ClinicalImpression.supportingInfo
              Definition

              Information supporting the clinical impression.

              ShortInformation supporting the clinical impression
              Control0..*
              TypeReference(Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              92. ClinicalImpression.note
              Definition

              Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.

              ShortComments made about the ClinicalImpression
              Comments

              Don't use this element for content that should more properly appear as one of the specific elements of the impression.

              Control0..*
              TypeAnnotation
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              94. ClinicalImpression.note.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              96. ClinicalImpression.note.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on ClinicalImpression.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 98. ClinicalImpression.note.author[x]
                Definition

                The individual responsible for making the annotation.

                ShortIndividual responsible for the annotation
                Comments

                Organization is used when there's no need for specific attribution as to who made the comment.

                Control0..1
                TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on ClinicalImpression.note.author[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                • type @ $this
                • 100. ClinicalImpression.note.author[x]:authorReference
                  Slice NameauthorReference
                  Definition

                  The individual responsible for making the annotation.

                  ShortIndividual responsible for the annotation
                  Comments

                  Organization is used when there's no need for specific attribution as to who made the comment.

                  Control0..1
                  TypeReference(ehealth-practitioner, ehealth-patient, ehealth-relatedperson)
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  102. ClinicalImpression.note.author[x]:authorString
                  Slice NameauthorString
                  Definition

                  The individual responsible for making the annotation.

                  ShortIndividual responsible for the annotation
                  Comments

                  Organization is used when there's no need for specific attribution as to who made the comment.

                  Control0..1
                  Typestring
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  104. ClinicalImpression.note.time
                  Definition

                  Indicates when this particular annotation was made.

                  ShortWhen the annotation was made
                  Control0..1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  106. ClinicalImpression.note.text
                  Definition

                  The text of the annotation in markdown format.

                  ShortThe annotation - text content (as markdown)
                  Control1..1
                  Typemarkdown
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))