ID

40097

Beschrijving

The form corresponds to an incomplete version of FHIR Resource ClinicalImpression, v4.0.1. It contains all data elements that query a medical issue. The file was created for analysis purposes. https://www.hl7.org/fhir/resourcelist.html 02.01.2020

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https://www.hl7.org/fhir/resourcelist.html

Trefwoorden

Versies (1)
  1. 12-03-20 12-03-20 -
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FHIR v4.0.1

Engels

Resource Clinical Impression (0)

1 Formulieren  
Clinical Impression
Beschrijving

Clinical Impression

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

ClinicalImpression.code

Datatype

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.
Beschrijving

ClinicalImpression.description

Datatype

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.
Beschrijving

ClinicalImpression.effective[x]

Datatype

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.
Beschrijving

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.

Datatype

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.
Beschrijving

ClinicalImpression.problem

Datatype

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.
Beschrijving

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.

Datatype

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.
Beschrijving

ClinicalImpression.investigation.item

Datatype

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.
Beschrijving

ClinicalImpression.protocol

Datatype

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.
Beschrijving

ClinicalImpression.summary

Datatype

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.
Beschrijving

ClinicalImpression.finding.itemCodeableConcept

Datatype

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.
Beschrijving

ClinicalImpression.finding.itemReference

Datatype

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.
Beschrijving

ClinicalImpression.finding.basis

Datatype

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.
Beschrijving

ClinicalImpression.prognosisCodeableConcept

Datatype

text

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

ClinicalImpression.prognosisReference

Datatype

text

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

ClinicalImpression.supportingInfo

Datatype

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.
Beschrijving

ClinicalImpression.note

Datatype

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 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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