HL7 Europe Imaging Study Report
0.1.0-ballot - ci-build 150

HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/tree/master and changes regularly. See the Directory of published versions

Logical Model: EHDSClinicalImpression - Detailed Descriptions

Draft as of 2025-03-21

Definitions for the EHDSClinicalImpression logical model.

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

0. EHDSClinicalImpression
Definition

C.34 - EHDS refined base model for Clinical impression


Base definition for all types defined in FHIR type system.

ShortClinical impression modelBase for all types and resources
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSClinicalImpression.identifier
Definition

A business identifier of the impression.

ShortC.34.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
4. EHDSClinicalImpression.code
Definition

Kind of assessment performed.

ShortC.34.2 - Code
Control0..1
Binding

SNOMED CT

TypeCodeableConcept
6. EHDSClinicalImpression.description
Definition

Textual description of the assessment.

ShortC.34.3 - Description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. EHDSClinicalImpression.date[x]
Definition

Assessment date or period

ShortC.34.4 - Date
Control0..1
TypeChoice of: dateTime, Period
[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
10. EHDSClinicalImpression.patient
Definition

Patient assessed

ShortC.34.5 - Patient
Control1..1
TypeReference(Patient model)
12. EHDSClinicalImpression.encounter
Definition

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

ShortC.34.6 - Encounter
Control0..1
TypeReference(Encounter model)
14. EHDSClinicalImpression.performer
Definition

The clinician performing the assessment.

ShortC.34.7 - Performer
Control0..1
TypeReference(Health professional model)
16. EHDSClinicalImpression.previousClinicalImpression
Definition

Reference to last assessment

ShortC.34.8 - Previous clinical impression
Control0..1
TypeReference(Clinical impression model)
18. EHDSClinicalImpression.problem
Definition

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

ShortC.34.9 - Problem
Control0..*
TypeReference(Condition model, Allergy intolerance model)
20. EHDSClinicalImpression.changePattern
Definition

Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change.

ShortC.34.10 - Change pattern
Control0..1
Binding

SNOMED CT

TypeCodeableConcept
22. EHDSClinicalImpression.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.

ShortC.34.11 - Protocol
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. EHDSClinicalImpression.summary
Definition

Clinical impression summary.

ShortC.34.12 - Summary
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. EHDSClinicalImpression.finding
Definition

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

ShortC.34.13 - Finding
Control0..*
TypeBase
28. EHDSClinicalImpression.finding.itemCode
Definition

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

ShortC.34.13.1 - Item code
Control0..1
Binding

SNOMED CT

TypeCodeableConcept
30. EHDSClinicalImpression.finding.itemReference
Definition

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

ShortC.34.13.2 - Item reference
Control0..1
TypeReference(Condition model, Observation model)
32. EHDSClinicalImpression.supportingInfo
Definition

Information supporting the clinical impression

ShortC.34.14 - Supporting info
Control0..*
TypeReference(Resource)
34. EHDSClinicalImpression.comments
Definition

Comments made about the ClinicalImpression

ShortC.34.15 - Comments
Control0..*
Typestring
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 foundhere

0. EHDSClinicalImpression
Definition

C.34 - EHDS refined base model for Clinical impression

ShortClinical impression model
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSClinicalImpression.identifier
Definition

A business identifier of the impression.

ShortC.34.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
4. EHDSClinicalImpression.code
Definition

Kind of assessment performed.

ShortC.34.2 - Code
Control0..1
Binding

SNOMED CT

TypeCodeableConcept
6. EHDSClinicalImpression.description
Definition

Textual description of the assessment.

ShortC.34.3 - Description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. EHDSClinicalImpression.date[x]
Definition

Assessment date or period

ShortC.34.4 - Date
Control0..1
TypeChoice of: dateTime, Period
[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
10. EHDSClinicalImpression.patient
Definition

Patient assessed

ShortC.34.5 - Patient
Control1..1
TypeReference(Patient model)
12. EHDSClinicalImpression.encounter
Definition

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

ShortC.34.6 - Encounter
Control0..1
TypeReference(Encounter model)
14. EHDSClinicalImpression.performer
Definition

The clinician performing the assessment.

ShortC.34.7 - Performer
Control0..1
TypeReference(Health professional model)
16. EHDSClinicalImpression.previousClinicalImpression
Definition

Reference to last assessment

ShortC.34.8 - Previous clinical impression
Control0..1
TypeReference(Clinical impression model)
18. EHDSClinicalImpression.problem
Definition

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

ShortC.34.9 - Problem
Control0..*
TypeReference(Condition model, Allergy intolerance model)
20. EHDSClinicalImpression.changePattern
Definition

Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change.

ShortC.34.10 - Change pattern
Control0..1
Binding

SNOMED CT

TypeCodeableConcept
22. EHDSClinicalImpression.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.

ShortC.34.11 - Protocol
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. EHDSClinicalImpression.summary
Definition

Clinical impression summary.

ShortC.34.12 - Summary
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. EHDSClinicalImpression.finding
Definition

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

ShortC.34.13 - Finding
Control0..*
TypeBase
28. EHDSClinicalImpression.finding.itemCode
Definition

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

ShortC.34.13.1 - Item code
Control0..1
Binding

SNOMED CT

TypeCodeableConcept
30. EHDSClinicalImpression.finding.itemReference
Definition

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

ShortC.34.13.2 - Item reference
Control0..1
TypeReference(Condition model, Observation model)
32. EHDSClinicalImpression.supportingInfo
Definition

Information supporting the clinical impression

ShortC.34.14 - Supporting info
Control0..*
TypeReference(Resource)
34. EHDSClinicalImpression.comments
Definition

Comments made about the ClinicalImpression

ShortC.34.15 - Comments
Control0..*
Typestring
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 foundhere

0. EHDSClinicalImpression
Definition

C.34 - EHDS refined base model for Clinical impression

ShortClinical impression model
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSClinicalImpression.identifier
Definition

A business identifier of the impression.

ShortC.34.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
4. EHDSClinicalImpression.code
Definition

Kind of assessment performed.

ShortC.34.2 - Code
Control0..1
Binding

SNOMED CT

TypeCodeableConcept
6. EHDSClinicalImpression.description
Definition

Textual description of the assessment.

ShortC.34.3 - Description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. EHDSClinicalImpression.date[x]
Definition

Assessment date or period

ShortC.34.4 - Date
Control0..1
TypeChoice of: dateTime, Period
[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
10. EHDSClinicalImpression.patient
Definition

Patient assessed

ShortC.34.5 - Patient
Control1..1
TypeReference(Patient model)
12. EHDSClinicalImpression.encounter
Definition

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

ShortC.34.6 - Encounter
Control0..1
TypeReference(Encounter model)
14. EHDSClinicalImpression.performer
Definition

The clinician performing the assessment.

ShortC.34.7 - Performer
Control0..1
TypeReference(Health professional model)
16. EHDSClinicalImpression.previousClinicalImpression
Definition

Reference to last assessment

ShortC.34.8 - Previous clinical impression
Control0..1
TypeReference(Clinical impression model)
18. EHDSClinicalImpression.problem
Definition

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

ShortC.34.9 - Problem
Control0..*
TypeReference(Condition model, Allergy intolerance model)
20. EHDSClinicalImpression.changePattern
Definition

Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change.

ShortC.34.10 - Change pattern
Control0..1
Binding

SNOMED CT

TypeCodeableConcept
22. EHDSClinicalImpression.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.

ShortC.34.11 - Protocol
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. EHDSClinicalImpression.summary
Definition

Clinical impression summary.

ShortC.34.12 - Summary
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. EHDSClinicalImpression.finding
Definition

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

ShortC.34.13 - Finding
Control0..*
TypeBase
28. EHDSClinicalImpression.finding.itemCode
Definition

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

ShortC.34.13.1 - Item code
Control0..1
Binding

SNOMED CT

TypeCodeableConcept
30. EHDSClinicalImpression.finding.itemReference
Definition

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

ShortC.34.13.2 - Item reference
Control0..1
TypeReference(Condition model, Observation model)
32. EHDSClinicalImpression.supportingInfo
Definition

Information supporting the clinical impression

ShortC.34.14 - Supporting info
Control0..*
TypeReference(Resource)
34. EHDSClinicalImpression.comments
Definition

Comments made about the ClinicalImpression

ShortC.34.15 - Comments
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension