ClinicalImpression

A record of a clinical assessment performed to determine what problem%28s%29 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.

Structure

Search Parameters

_haste-health-author (reference)

The author of the resource

Resource.meta.extension.where(url='https://haste.health/author').value

_type (token)

Derived from the R4B Definition

$this.type().name

_text (string)

Search on the narrative of the resource

_content (string)

Search on the entire content of the resource

_id (token)

Logical id of this artifact

Resource.id

_lastUpdated (date)

When the resource version last changed

Resource.meta.lastUpdated

_profile (uri)

Profiles this resource claims to conform to

Resource.meta.profile

_query (token)

A custom search profile that describes a specific defined query operation

_security (token)

Security Labels applied to this resource

Resource.meta.security

_source (uri)

Identifies where the resource comes from

Resource.meta.source

_tag (token)

Tags applied to this resource

Resource.meta.tag

date (date)

Multiple Resources: * %5BAllergyIntolerance%5D%28allergyintolerance.html%29: Date first version of the resource instance was recorded* %5BCarePlan%5D%28careplan.html%29: Time period plan covers* %5BCareTeam%5D%28careteam.html%29: Time period team covers* %5BClinicalImpression%5D%28clinicalimpression.html%29: When the assessment was documented* %5BComposition%5D%28composition.html%29: Composition editing time* %5BConsent%5D%28consent.html%29: When this Consent was created or indexed* %5BDiagnosticReport%5D%28diagnosticreport.html%29: The clinically relevant time of the report* %5BEncounter%5D%28encounter.html%29: A date within the period the Encounter lasted* %5BEpisodeOfCare%5D%28episodeofcare.html%29: The provided date search value falls within the episode of care's period* %5BFamilyMemberHistory%5D%28familymemberhistory.html%29: When history was recorded or last updated* %5BFlag%5D%28flag.html%29: Time period when flag is active* %5BImmunization%5D%28immunization.html%29: Vaccination %28non%29-Administration Date* %5BList%5D%28list.html%29: When the list was prepared* %5BObservation%5D%28observation.html%29: Obtained date/time. If the obtained element is a period, a date that falls in the period* %5BProcedure%5D%28procedure.html%29: When the procedure was performed* %5BRiskAssessment%5D%28riskassessment.html%29: When was assessment made?* %5BSupplyRequest%5D%28supplyrequest.html%29: When the request was made

AllergyIntolerance.recordedDate / CarePlan.period / CareTeam.period / ClinicalImpression.date / Composition.date / Consent.dateTime / DiagnosticReport.effective / Encounter.period / EpisodeOfCare.period / FamilyMemberHistory.date / Flag.period / Immunization.occurrence / List.date / Observation.effective / Procedure.performed / (RiskAssessment.occurrence.ofType(dateTime)) / SupplyRequest.authoredOn

patient (reference)

Multiple Resources: * %5BAllergyIntolerance%5D%28allergyintolerance.html%29: Who the sensitivity is for* %5BCarePlan%5D%28careplan.html%29: Who the care plan is for* %5BCareTeam%5D%28careteam.html%29: Who care team is for* %5BClinicalImpression%5D%28clinicalimpression.html%29: Patient or group assessed* %5BComposition%5D%28composition.html%29: Who and/or what the composition is about* %5BCondition%5D%28condition.html%29: Who has the condition?* %5BConsent%5D%28consent.html%29: Who the consent applies to* %5BDetectedIssue%5D%28detectedissue.html%29: Associated patient* %5BDeviceRequest%5D%28devicerequest.html%29: Individual the service is ordered for* %5BDeviceUseStatement%5D%28deviceusestatement.html%29: Search by subject - a patient* %5BDiagnosticReport%5D%28diagnosticreport.html%29: The subject of the report if a patient* %5BDocumentManifest%5D%28documentmanifest.html%29: The subject of the set of documents* %5BDocumentReference%5D%28documentreference.html%29: Who/what is the subject of the document* %5BEncounter%5D%28encounter.html%29: The patient or group present at the encounter* %5BEpisodeOfCare%5D%28episodeofcare.html%29: The patient who is the focus of this episode of care* %5BFamilyMemberHistory%5D%28familymemberhistory.html%29: The identity of a subject to list family member history items for* %5BFlag%5D%28flag.html%29: The identity of a subject to list flags for* %5BGoal%5D%28goal.html%29: Who this goal is intended for* %5BImagingStudy%5D%28imagingstudy.html%29: Who the study is about* %5BImmunization%5D%28immunization.html%29: The patient for the vaccination record* %5BList%5D%28list.html%29: If all resources have the same subject* %5BMedicationAdministration%5D%28medicationadministration.html%29: The identity of a patient to list administrations for* %5BMedicationDispense%5D%28medicationdispense.html%29: The identity of a patient to list dispenses for* %5BMedicationRequest%5D%28medicationrequest.html%29: Returns prescriptions for a specific patient* %5BMedicationStatement%5D%28medicationstatement.html%29: Returns statements for a specific patient.* %5BNutritionOrder%5D%28nutritionorder.html%29: The identity of the person who requires the diet, formula or nutritional supplement* %5BObservation%5D%28observation.html%29: The subject that the observation is about %28if patient%29* %5BProcedure%5D%28procedure.html%29: Search by subject - a patient* %5BRiskAssessment%5D%28riskassessment.html%29: Who/what does assessment apply to?* %5BServiceRequest%5D%28servicerequest.html%29: Search by subject - a patient* %5BSupplyDelivery%5D%28supplydelivery.html%29: Patient for whom the item is supplied* %5BVisionPrescription%5D%28visionprescription.html%29: The identity of a patient to list dispenses for

AllergyIntolerance.patient / CarePlan.subject.where(resolve() is Patient) / CareTeam.subject.where(resolve() is Patient) / ClinicalImpression.subject.where(resolve() is Patient) / Composition.subject.where(resolve() is Patient) / Condition.subject.where(resolve() is Patient) / Consent.patient / DetectedIssue.patient / DeviceRequest.subject.where(resolve() is Patient) / DeviceUseStatement.subject / DiagnosticReport.subject.where(resolve() is Patient) / DocumentManifest.subject.where(resolve() is Patient) / DocumentReference.subject.where(resolve() is Patient) / Encounter.subject.where(resolve() is Patient) / EpisodeOfCare.patient / FamilyMemberHistory.patient / Flag.subject.where(resolve() is Patient) / Goal.subject.where(resolve() is Patient) / ImagingStudy.subject.where(resolve() is Patient) / Immunization.patient / List.subject.where(resolve() is Patient) / MedicationAdministration.subject.where(resolve() is Patient) / MedicationDispense.subject.where(resolve() is Patient) / MedicationRequest.subject.where(resolve() is Patient) / MedicationStatement.subject.where(resolve() is Patient) / NutritionOrder.patient / Observation.subject.where(resolve() is Patient) / Procedure.subject.where(resolve() is Patient) / RiskAssessment.subject.where(resolve() is Patient) / ServiceRequest.subject.where(resolve() is Patient) / SupplyDelivery.patient / VisionPrescription.patient

assessor (reference)

The clinician performing the assessment

ClinicalImpression.assessor

encounter (reference)

Encounter created as part of

ClinicalImpression.encounter

finding-code (token)

What was found

ClinicalImpression.finding.itemCodeableConcept

finding-ref (reference)

What was found

ClinicalImpression.finding.itemReference

identifier (token)

Business identifier

ClinicalImpression.identifier

investigation (reference)

Record of a specific investigation

ClinicalImpression.investigation.item

previous (reference)

Reference to last assessment

ClinicalImpression.previous

problem (reference)

Relevant impressions of patient state

ClinicalImpression.problem

status (token)

in-progress / completed / entered-in-error

ClinicalImpression.status

subject (reference)

Patient or group assessed

ClinicalImpression.subject

supporting-info (reference)

Information supporting the clinical impression

ClinicalImpression.supportingInfo