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Resource Clinical Impression (0)

1 Formulär  
Clinical Impression
Beskrivning

Clinical Impression

Alias
UMLS CUI-1
C2973287
Categorizes the type of clinical assessment performed.
Beskrivning

ClinicalImpression.code

Datatyp

text

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C2973287
UMLS CUI [1,3]
C0805701
A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.
Beskrivning

ClinicalImpression.description

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C0678257
UMLS CUI [1,3]
C0449255
UMLS CUI [2,1]
C2973287
UMLS CUI [2,2]
C0678257
UMLS CUI [2,3]
C0566251
UMLS CUI [2,4]
C0220825
UMLS CUI [3,1]
C2973287
UMLS CUI [3,2]
C0678257
UMLS CUI [3,3]
C0450429
The point in time or period over which the subject was assessed.
Beskrivning

ClinicalImpression.effective[x]

Datatyp

datetime

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C0220825
UMLS CUI [1,3]
C2348792
UMLS CUI [2,1]
C2973287
UMLS CUI [2,2]
C0220825
UMLS CUI [2,3]
C1948053
A reference to the last assessment that was conducted on this patient.
Beskrivning

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.

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C1706462
UMLS CUI [1,3]
C0205156
UMLS CUI [1,4]
C0220825
A list of the relevant problems/conditions for a patient.
Beskrivning

ClinicalImpression.problem

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C0745732
UMLS CUI [1,3]
C0012634
A name/code for the group ("set") of investigations.
Beskrivning

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.

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C0220825
UMLS CUI [1,3]
C1705195
UMLS CUI [1,4]
C0805701
UMLS CUI [2,1]
C2973287
UMLS CUI [2,2]
C0220825
UMLS CUI [2,3]
C1705195
UMLS CUI [2,4]
C0027365
A record of a specific investigation that was undertaken.
Beskrivning

ClinicalImpression.investigation.item

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C2355580
UMLS CUI [1,3]
C0205369
UMLS CUI [1,4]
C0220825
Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.
Beskrivning

ClinicalImpression.protocol

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C0008971
UMLS CUI [1,3]
C0586393
A text summary of the investigations and the diagnosis.
Beskrivning

ClinicalImpression.summary

Datatyp

text

Alias
UMLS CUI [1,1]
C0242482
UMLS CUI [1,2]
C0220825
UMLS CUI [2,1]
C0242482
UMLS CUI [2,2]
C0011900
Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.
Beskrivning

ClinicalImpression.finding.itemCodeableConcept

Datatyp

text

Alias
UMLS CUI [1,1]
C0205369
UMLS CUI [1,2]
C1527021
UMLS CUI [1,3]
C0243095
UMLS CUI [1,4]
C0332257
UMLS CUI [1,5]
C3714811
UMLS CUI [1,6]
C1407857
UMLS CUI [2,1]
C0205369
UMLS CUI [2,2]
C1527021
UMLS CUI [2,3]
C0011900
UMLS CUI [2,4]
C0332257
UMLS CUI [2,5]
C3714811
UMLS CUI [2,6]
C1407857
UMLS CUI [3,1]
C0205369
UMLS CUI [3,2]
C0805701
UMLS CUI [3,3]
C0243095
UMLS CUI [3,4]
C0332257
UMLS CUI [3,5]
C3714811
UMLS CUI [3,6]
C1407857
UMLS CUI [4,1]
C0205369
UMLS CUI [4,2]
C0805701
UMLS CUI [4,3]
C0011900
UMLS CUI [4,4]
C0332257
UMLS CUI [4,5]
C3714811
UMLS CUI [4,6]
C1407857
Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.
Beskrivning

ClinicalImpression.finding.itemReference

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C1706462
UMLS CUI [2,1]
C2973287
UMLS CUI [2,2]
C0011900
UMLS CUI [2,3]
C1706462
Which investigations support finding or diagnosis.
Beskrivning

ClinicalImpression.finding.basis

Datatyp

text

Alias
UMLS CUI [1,1]
C2911685
UMLS CUI [1,2]
C1999230
UMLS CUI [1,3]
C0243095
UMLS CUI [2,1]
C2911685
UMLS CUI [2,2]
C1999230
UMLS CUI [2,3]
C0011900
Estimate of likely outcome.
Beskrivning

ClinicalImpression.prognosisCodeableConcept

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C0750572
UMLS CUI [1,3]
C1444708
RiskAssessment expressing likely outcome.
Beskrivning

ClinicalImpression.prognosisReference

Datatyp

text

Alias
UMLS CUI [1,1]
C0086930
UMLS CUI [1,2]
C1444708
Information supporting the clinical impression.
Beskrivning

ClinicalImpression.supportingInfo

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C1546922
Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.
Beskrivning

ClinicalImpression.note

Datatyp

text

Alias
UMLS CUI [1,1]
C2973287
UMLS CUI [1,2]
C1546922
UMLS CUI [1,3]
C1317574
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Similar models

Resource Clinical Impression (0)

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Clinical Impression
C2973287 (UMLS CUI-1)
ClinicalImpression.code
Item
Categorizes the type of clinical assessment performed.
text
C0332307 (UMLS CUI [1,1])
C2973287 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
ClinicalImpression.description
Item
A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.
text
C2973287 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
C0449255 (UMLS CUI [1,3])
C2973287 (UMLS CUI [2,1])
C0678257 (UMLS CUI [2,2])
C0566251 (UMLS CUI [2,3])
C0220825 (UMLS CUI [2,4])
C2973287 (UMLS CUI [3,1])
C0678257 (UMLS CUI [3,2])
C0450429 (UMLS CUI [3,3])
ClinicalImpression.effective[x]
Item
The point in time or period over which the subject was assessed.
datetime
C2973287 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C2348792 (UMLS CUI [1,3])
C2973287 (UMLS CUI [2,1])
C0220825 (UMLS CUI [2,2])
C1948053 (UMLS CUI [2,3])
ClinicalImpression.previous
Item
A reference to the last assessment that was conducted on this patient.
text
C2973287 (UMLS CUI [1,1])
C1706462 (UMLS CUI [1,2])
C0205156 (UMLS CUI [1,3])
C0220825 (UMLS CUI [1,4])
ClinicalImpression.problem
Item
A list of the relevant problems/conditions for a patient.
text
C2973287 (UMLS CUI [1,1])
C0745732 (UMLS CUI [1,2])
C0012634 (UMLS CUI [1,3])
ClinicalImpression.investigation.code
Item
A name/code for the group ("set") of investigations.
text
C2973287 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C1705195 (UMLS CUI [1,3])
C0805701 (UMLS CUI [1,4])
C2973287 (UMLS CUI [2,1])
C0220825 (UMLS CUI [2,2])
C1705195 (UMLS CUI [2,3])
C0027365 (UMLS CUI [2,4])
ClinicalImpression.investigation.item
Item
A record of a specific investigation that was undertaken.
text
C2973287 (UMLS CUI [1,1])
C2355580 (UMLS CUI [1,2])
C0205369 (UMLS CUI [1,3])
C0220825 (UMLS CUI [1,4])
ClinicalImpression.protocol
Item
Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.
text
C2973287 (UMLS CUI [1,1])
C0008971 (UMLS CUI [1,2])
C0586393 (UMLS CUI [1,3])
ClinicalImpression.summary
Item
A text summary of the investigations and the diagnosis.
text
C0242482 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0242482 (UMLS CUI [2,1])
C0011900 (UMLS CUI [2,2])
ClinicalImpression.finding.itemCodeableConcept
Item
Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.
text
C0205369 (UMLS CUI [1,1])
C1527021 (UMLS CUI [1,2])
C0243095 (UMLS CUI [1,3])
C0332257 (UMLS CUI [1,4])
C3714811 (UMLS CUI [1,5])
C1407857 (UMLS CUI [1,6])
C0205369 (UMLS CUI [2,1])
C1527021 (UMLS CUI [2,2])
C0011900 (UMLS CUI [2,3])
C0332257 (UMLS CUI [2,4])
C3714811 (UMLS CUI [2,5])
C1407857 (UMLS CUI [2,6])
C0205369 (UMLS CUI [3,1])
C0805701 (UMLS CUI [3,2])
C0243095 (UMLS CUI [3,3])
C0332257 (UMLS CUI [3,4])
C3714811 (UMLS CUI [3,5])
C1407857 (UMLS CUI [3,6])
C0205369 (UMLS CUI [4,1])
C0805701 (UMLS CUI [4,2])
C0011900 (UMLS CUI [4,3])
C0332257 (UMLS CUI [4,4])
C3714811 (UMLS CUI [4,5])
C1407857 (UMLS CUI [4,6])
ClinicalImpression.finding.itemReference
Item
Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.
text
C2973287 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C1706462 (UMLS CUI [1,3])
C2973287 (UMLS CUI [2,1])
C0011900 (UMLS CUI [2,2])
C1706462 (UMLS CUI [2,3])
ClinicalImpression.finding.basis
Item
Which investigations support finding or diagnosis.
text
C2911685 (UMLS CUI [1,1])
C1999230 (UMLS CUI [1,2])
C0243095 (UMLS CUI [1,3])
C2911685 (UMLS CUI [2,1])
C1999230 (UMLS CUI [2,2])
C0011900 (UMLS CUI [2,3])
ClinicalImpression.prognosisCodeableConcept
Item
Estimate of likely outcome.
text
C2973287 (UMLS CUI [1,1])
C0750572 (UMLS CUI [1,2])
C1444708 (UMLS CUI [1,3])
ClinicalImpression.prognosisReference
Item
RiskAssessment expressing likely outcome.
text
C0086930 (UMLS CUI [1,1])
C1444708 (UMLS CUI [1,2])
ClinicalImpression.supportingInfo
Item
Information supporting the clinical impression.
text
C2973287 (UMLS CUI [1,1])
C1546922 (UMLS CUI [1,2])
ClinicalImpression.note
Item
Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.
text
C2973287 (UMLS CUI [1,1])
C1546922 (UMLS CUI [1,2])
C1317574 (UMLS CUI [1,3])
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