| Package | hl7.fhir.eu.imaging-r5 |
| Type | StructureDefinition |
| Id | EHDSClinicalImpression |
| FHIR Version | R5 |
| Source | http://hl7.eu/fhir/imaging-r5/https://build.fhir.org/ig/hl7-eu/imaging/StructureDefinition-EHDSClinicalImpression.html |
| URL | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSClinicalImpression |
| Version | 0.1.0 |
| Status | draft |
| Date | 2025-03-21T08:17:12+00:00 |
| Name | EHDSClinicalImpression |
| Title | Clinical impression model |
| Realm | eu |
| Authority | hl7 |
| Description | C.34 - EHDS refined base model for Clinical impression |
| Copyright | Used by permission of HL7 Europe, all rights reserved Creative Commons License |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSClinicalImpression |
| Kind | logical |
| StructureDefinition | |
| EHDSClinicalImpression | Clinical impression model |
| EHDSClinicalImpression | Clinical impression model |
| StructureDefinition | |
| EHDSAllergyIntolerance | Allergy intolerance model |
| EHDSClinicalImpression | Clinical impression model |
| EHDSCondition | Condition model |
| EHDSEncounter | Encounter model |
| EHDSHealthProfessional | Health professional model |
| EHDSObservation | Observation model |
| EHDSPatient | Patient model |
| EHDSAllergyIntolerance | Allergy intolerance model |
| EHDSClinicalImpression | Clinical impression model |
| EHDSCondition | Condition model |
| EHDSEncounter | Encounter model |
| EHDSHealthProfessional | Health professional model |
| EHDSObservation | Observation model |
| EHDSPatient | Patient model |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition EHDSClinicalImpression
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  EHDSClinicalImpression | 0..* | Base | Clinical impression model Instances of this logical model can be the target of a Reference | |
  identifier | 1..* | Identifier | C.34.1 - Identifier | |
| code | 0..1 | CodeableConcept | C.34.2 - Code Binding Description: (preferred): SNOMED CT | |
 description | 0..1 | string | C.34.3 - Description | |
 date[x] | 0..1 | C.34.4 - Date | ||
 dateDateTime | dateTime | |||
 datePeriod | Period | |||
 patient | 1..1 | Reference(Patient model) | C.34.5 - Patient | |
| encounter | 0..1 | Reference(Encounter model) | C.34.6 - Encounter | |
| performer | 0..1 | Reference(Health professional model) | C.34.7 - Performer | |
| previousClinicalImpression | 0..1 | Reference(Clinical impression model) | C.34.8 - Previous clinical impression | |
| problem | 0..* | Reference(Condition model | Allergy intolerance model) | C.34.9 - Problem | |
| changePattern | 0..1 | CodeableConcept | C.34.10 - Change pattern Binding Description: (preferred): SNOMED CT | |
| protocol | 0..* | uri | C.34.11 - Protocol | |
| summary | 0..1 | string | C.34.12 - Summary | |
| finding | 0..* | Base | C.34.13 - Finding | |
| itemCode | 0..1 | CodeableConcept | C.34.13.1 - Item code Binding Description: (preferred): SNOMED CT | |
| itemReference | 0..1 | Reference(Condition model | Observation model) | C.34.13.2 - Item reference | |
| supportingInfo | 0..* | Reference(Resource) | C.34.14 - Supporting info | |
| comments | 0..* | string | C.34.15 - Comments | |
| Documentation for this format | ||||
FHIR{
"resourceType": "StructureDefinition",
"id": "EHDSClinicalImpression",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-be-target"
}
],
"url": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSClinicalImpression",
"version": "0.1.0",
"name": "EHDSClinicalImpression",
"title": "Clinical impression model",
"status": "draft",
"date": "2025-03-21T08:17:12+00:00",
"publisher": "HL7 Europe",
"contact": [
{
"name": "Xt-EHR",
"telecom": [
{
"system": "url",
"value": "http://Xt-EHR.eu"
}
]
}
],
"description": "C.34 - EHDS refined base model for Clinical impression",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "150",
"display": "Europe"
}
]
}
],
"copyright": "Used by permission of HL7 Europe, all rights reserved Creative Commons License",
"fhirVersion": "5.0.0",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "logical",
"abstract": false,
"type": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSClinicalImpression",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
"derivation": "specialization",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "5.0.0"
}
],
"element": [
{
"id": "EHDSClinicalImpression",
"path": "EHDSClinicalImpression",
"short": "Clinical impression model",
"definition": "C.34 - EHDS refined base model for Clinical impression",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "EHDSClinicalImpression.identifier",
"path": "EHDSClinicalImpression.identifier",
"short": "C.34.1 - Identifier",
"definition": "A business identifier of the impression.",
"min": 1,
"max": "*",
"base": {
"path": "EHDSClinicalImpression.identifier",
"min": 1,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
]
},
{
"id": "EHDSClinicalImpression.code",
"path": "EHDSClinicalImpression.code",
"short": "C.34.2 - Code",
"definition": "Kind of assessment performed.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
}
},
{
"id": "EHDSClinicalImpression.description",
"path": "EHDSClinicalImpression.description",
"short": "C.34.3 - Description",
"definition": "Textual description of the assessment.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.description",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSClinicalImpression.date[x]",
"path": "EHDSClinicalImpression.date[x]",
"short": "C.34.4 - Date",
"definition": "Assessment date or period",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.date[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
]
},
{
"id": "EHDSClinicalImpression.patient",
"path": "EHDSClinicalImpression.patient",
"short": "C.34.5 - Patient",
"definition": "Patient assessed",
"min": 1,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.patient",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient"
]
}
]
},
{
"id": "EHDSClinicalImpression.encounter",
"path": "EHDSClinicalImpression.encounter",
"short": "C.34.6 - Encounter",
"definition": "The Encounter during which this ClinicalImpression was created or to which the creation of this record is tightly associated.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSEncounter"
]
}
]
},
{
"id": "EHDSClinicalImpression.performer",
"path": "EHDSClinicalImpression.performer",
"short": "C.34.7 - Performer",
"definition": "The clinician performing the assessment.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.performer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"
]
}
]
},
{
"id": "EHDSClinicalImpression.previousClinicalImpression",
"path": "EHDSClinicalImpression.previousClinicalImpression",
"short": "C.34.8 - Previous clinical impression",
"definition": "Reference to last assessment",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.previousClinicalImpression",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSClinicalImpression"
]
}
]
},
{
"id": "EHDSClinicalImpression.problem",
"path": "EHDSClinicalImpression.problem",
"short": "C.34.9 - Problem",
"definition": "A list of the relevant problems/conditions for a patient.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSClinicalImpression.problem",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition",
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance"
]
}
]
},
{
"id": "EHDSClinicalImpression.changePattern",
"path": "EHDSClinicalImpression.changePattern",
"short": "C.34.10 - Change pattern",
"definition": "Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.changePattern",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
}
},
{
"id": "EHDSClinicalImpression.protocol",
"path": "EHDSClinicalImpression.protocol",
"short": "C.34.11 - 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.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSClinicalImpression.protocol",
"min": 0,
"max": "*"
},
"type": [
{
"code": "uri"
}
]
},
{
"id": "EHDSClinicalImpression.summary",
"path": "EHDSClinicalImpression.summary",
"short": "C.34.12 - Summary",
"definition": "Clinical impression summary.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.summary",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSClinicalImpression.finding",
"path": "EHDSClinicalImpression.finding",
"short": "C.34.13 - Finding",
"definition": "Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSClinicalImpression.finding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSClinicalImpression.finding.itemCode",
"path": "EHDSClinicalImpression.finding.itemCode",
"short": "C.34.13.1 - Item code",
"definition": "Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.finding.itemCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
}
},
{
"id": "EHDSClinicalImpression.finding.itemReference",
"path": "EHDSClinicalImpression.finding.itemReference",
"short": "C.34.13.2 - Item reference",
"definition": "Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSClinicalImpression.finding.itemReference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition",
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation"
]
}
]
},
{
"id": "EHDSClinicalImpression.supportingInfo",
"path": "EHDSClinicalImpression.supportingInfo",
"short": "C.34.14 - Supporting info",
"definition": "Information supporting the clinical impression",
"min": 0,
"max": "*",
"base": {
"path": "EHDSClinicalImpression.supportingInfo",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
]
},
{
"id": "EHDSClinicalImpression.comments",
"path": "EHDSClinicalImpression.comments",
"short": "C.34.15 - Comments",
"definition": "Comments made about the ClinicalImpression",
"min": 0,
"max": "*",
"base": {
"path": "EHDSClinicalImpression.comments",
"min": 0,
"max": "*"
},
"type": [
{
"code": "string"
}
]
}
]
},
"differential": {
"element": [
{
"id": "EHDSClinicalImpression",
"path": "EHDSClinicalImpression",
"short": "Clinical impression model",
"definition": "C.34 - EHDS refined base model for Clinical impression"
},
{
"id": "EHDSClinicalImpression.identifier",
"path": "EHDSClinicalImpression.identifier",
"short": "C.34.1 - Identifier",
"definition": "A business identifier of the impression.",
"min": 1,
"max": "*",
"type": [
{
"code": "Identifier"
}
]
},
{
"id": "EHDSClinicalImpression.code",
"path": "EHDSClinicalImpression.code",
"short": "C.34.2 - Code",
"definition": "Kind of assessment performed.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
}
},
{
"id": "EHDSClinicalImpression.description",
"path": "EHDSClinicalImpression.description",
"short": "C.34.3 - Description",
"definition": "Textual description of the assessment.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSClinicalImpression.date[x]",
"path": "EHDSClinicalImpression.date[x]",
"short": "C.34.4 - Date",
"definition": "Assessment date or period",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
]
},
{
"id": "EHDSClinicalImpression.patient",
"path": "EHDSClinicalImpression.patient",
"short": "C.34.5 - Patient",
"definition": "Patient assessed",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient"
]
}
]
},
{
"id": "EHDSClinicalImpression.encounter",
"path": "EHDSClinicalImpression.encounter",
"short": "C.34.6 - Encounter",
"definition": "The Encounter during which this ClinicalImpression was created or to which the creation of this record is tightly associated.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSEncounter"
]
}
]
},
{
"id": "EHDSClinicalImpression.performer",
"path": "EHDSClinicalImpression.performer",
"short": "C.34.7 - Performer",
"definition": "The clinician performing the assessment.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"
]
}
]
},
{
"id": "EHDSClinicalImpression.previousClinicalImpression",
"path": "EHDSClinicalImpression.previousClinicalImpression",
"short": "C.34.8 - Previous clinical impression",
"definition": "Reference to last assessment",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSClinicalImpression"
]
}
]
},
{
"id": "EHDSClinicalImpression.problem",
"path": "EHDSClinicalImpression.problem",
"short": "C.34.9 - Problem",
"definition": "A list of the relevant problems/conditions for a patient.",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition",
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance"
]
}
]
},
{
"id": "EHDSClinicalImpression.changePattern",
"path": "EHDSClinicalImpression.changePattern",
"short": "C.34.10 - Change pattern",
"definition": "Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
}
},
{
"id": "EHDSClinicalImpression.protocol",
"path": "EHDSClinicalImpression.protocol",
"short": "C.34.11 - 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.",
"min": 0,
"max": "*",
"type": [
{
"code": "uri"
}
]
},
{
"id": "EHDSClinicalImpression.summary",
"path": "EHDSClinicalImpression.summary",
"short": "C.34.12 - Summary",
"definition": "Clinical impression summary.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSClinicalImpression.finding",
"path": "EHDSClinicalImpression.finding",
"short": "C.34.13 - Finding",
"definition": "Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.",
"min": 0,
"max": "*",
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSClinicalImpression.finding.itemCode",
"path": "EHDSClinicalImpression.finding.itemCode",
"short": "C.34.13.1 - Item code",
"definition": "Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
}
},
{
"id": "EHDSClinicalImpression.finding.itemReference",
"path": "EHDSClinicalImpression.finding.itemReference",
"short": "C.34.13.2 - Item reference",
"definition": "Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition",
"https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation"
]
}
]
},
{
"id": "EHDSClinicalImpression.supportingInfo",
"path": "EHDSClinicalImpression.supportingInfo",
"short": "C.34.14 - Supporting info",
"definition": "Information supporting the clinical impression",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
]
},
{
"id": "EHDSClinicalImpression.comments",
"path": "EHDSClinicalImpression.comments",
"short": "C.34.15 - Comments",
"definition": "Comments made about the ClinicalImpression",
"min": 0,
"max": "*",
"type": [
{
"code": "string"
}
]
}
]
}
}