ClinicalImpression constructor
- @Default(R4ResourceType.ClinicalImpression) @JsonKey(unknownEnumValue: R4ResourceType.ClinicalImpression) R4ResourceType resourceType,
- @JsonKey(includeFromJson: true, includeToJson: false) int? dbId,
- @JsonKey(name: 'id') String? fhirId,
- FhirMeta? meta,
- FhirUri? implicitRules,
- @JsonKey(name: '_implicitRules') Element? implicitRulesElement,
- FhirCode? language,
- @JsonKey(name: '_language') Element? languageElement,
- Narrative? text,
- List<
Resource> ? contained, - @JsonKey(name: 'extension') List<
FhirExtension> ? extension_, - List<
FhirExtension> ? modifierExtension, - List<
Identifier> ? identifier, - FhirCode? status,
- @JsonKey(name: '_status') Element? statusElement,
- CodeableConcept? statusReason,
- CodeableConcept? code,
- String? description,
- @JsonKey(name: '_description') Element? descriptionElement,
- required Reference subject,
- Reference? encounter,
- FhirDateTime? effectiveDateTime,
- @JsonKey(name: '_effectiveDateTime') Element? effectiveDateTimeElement,
- Period? effectivePeriod,
- FhirDateTime? date,
- @JsonKey(name: '_date') Element? dateElement,
- Reference? assessor,
- Reference? previous,
- List<
Reference> ? problem, - List<
ClinicalImpressionInvestigation> ? investigation, - List<
FhirUri> ? protocol, - @JsonKey(name: '_protocol') List<
Element?> ? protocolElement, - String? summary,
- @JsonKey(name: '_summary') Element? summaryElement,
- List<
ClinicalImpressionFinding> ? finding, - List<
CodeableConcept> ? prognosisCodeableConcept, - List<
Reference> ? prognosisReference, - List<
Reference> ? supportingInfo, - List<
Annotation> ? note,
ClinicalImpression A record of a clinical assessment performed to determine what problem(s) 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.
resourceType
This is a ClinicalImpression resource
id The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta
The metadata about the resource. This is content that is
maintained by the infrastructure. Changes to the content might not always
be associated with version changes to the resource.
implicitRules
A reference to a set of rules that were followed when the
resource was constructed, and which must be understood when processing the
content. Often, this is a reference to an implementation guide that
defines the special rules along with other profiles etc.
implicitRulesElement
Extensions for implicitRules
language
The base language in which the resource is written.
languageElement
Extensions for language
text
A human-readable narrative that contains a summary of the resource
and can be used to represent the content of the resource to a human. The
narrative need not encode all the structured data, but is required to
contain sufficient detail to make it "clinically safe" for a human to just
read the narrative. Resource definitions may define what content should be
represented in the narrative to ensure clinical safety.
contained
These resources do not have an independent existence apart
from the resource that contains them - they cannot be identified
independently, and nor can they have their own independent transaction
scope.
extension_
May be used to represent additional information that is not
part of the basic definition of the resource. To make the use of
extensions safe and manageable, there is a strict set of governance
applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met
as part of the definition of the extension.
modifierExtension
May be used to represent additional information that
is not part of the basic definition of the resource and that modifies the
understanding of the element that contains it and/or the understanding of
the containing element's descendants. Usually modifier elements provide
negation or qualification. To make the use of extensions safe and
manageable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer is allowed to define an
extension, there is a set of requirements that SHALL be met as part of the
definition of the extension. Applications processing a resource are
required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on
Resource or DomainResource (including cannot change the meaning of
modifierExtension itself).
identifier
Business identifiers assigned to this clinical impression by
the performer or other systems which remain constant as the resource is
updated and propagates from server to server.
status
Identifies the workflow status of the assessment.
statusElement
Extensions for status
statusReason
Captures the reason for the current state of the
ClinicalImpression.
code
Categorizes the type of clinical assessment performed.
description
A summary of the context and/or cause of the assessment -
why / where it was performed, and what patient events/status prompted it.
descriptionElement
Extensions for description
subject
The patient or group of individuals assessed as part of this
record.
encounter
The Encounter during which this ClinicalImpression was
created or to which the creation of this record is tightly associated.
effectiveDateTime
The point in time or period over which the subject
was assessed.
effectiveDateTimeElement
Extensions for effectiveDateTime
effectivePeriod
The point in time or period over which the subject was
assessed.
date
Indicates when the documentation of the assessment was complete.
dateElement
Extensions for date
assessor
The clinician performing the assessment.
previous
A reference to the last assessment that was conducted on this
patient. 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.
problem
A list of the relevant problems/conditions for a patient.
investigation
One or more sets of investigations (signs, symptoms,
etc.). The actual grouping of investigations varies greatly depending on
the type and context of the assessment. These investigations may include
data generated during the assessment process, or data previously generated
and recorded that is pertinent to the outcomes.
protocol
Reference to a specific published clinical protocol that was
followed during this assessment, and/or that provides evidence in support
of the diagnosis.
protocolElement
Extensions for protocol
summary
A text summary of the investigations and the diagnosis.
summaryElement
Extensions for summary
finding
Specific findings or diagnoses that were considered likely or
relevant to ongoing treatment.
prognosisCodeableConcept
Estimate of likely outcome.
prognosisReference
RiskAssessment expressing likely outcome.
supportingInfo
Information supporting the clinical impression.
note
Commentary about the impression, typically recorded after the
impression itself was made, though supplemental notes by the original
author could also appear.
Implementation
const factory ClinicalImpression({
@Default(R4ResourceType.ClinicalImpression)
@JsonKey(unknownEnumValue: R4ResourceType.ClinicalImpression)
R4ResourceType resourceType,
@JsonKey(includeFromJson: true, includeToJson: false) int? dbId,
@JsonKey(name: 'id') String? fhirId,
FhirMeta? meta,
FhirUri? implicitRules,
@JsonKey(name: '_implicitRules') Element? implicitRulesElement,
FhirCode? language,
@JsonKey(name: '_language') Element? languageElement,
Narrative? text,
List<Resource>? contained,
@JsonKey(name: 'extension') List<FhirExtension>? extension_,
List<FhirExtension>? modifierExtension,
List<Identifier>? identifier,
FhirCode? status,
@JsonKey(name: '_status') Element? statusElement,
CodeableConcept? statusReason,
CodeableConcept? code,
String? description,
@JsonKey(name: '_description') Element? descriptionElement,
required Reference subject,
Reference? encounter,
FhirDateTime? effectiveDateTime,
@JsonKey(name: '_effectiveDateTime') Element? effectiveDateTimeElement,
Period? effectivePeriod,
FhirDateTime? date,
@JsonKey(name: '_date') Element? dateElement,
Reference? assessor,
Reference? previous,
List<Reference>? problem,
List<ClinicalImpressionInvestigation>? investigation,
List<FhirUri>? protocol,
@JsonKey(name: '_protocol') List<Element?>? protocolElement,
String? summary,
@JsonKey(name: '_summary') Element? summaryElement,
List<ClinicalImpressionFinding>? finding,
List<CodeableConcept>? prognosisCodeableConcept,
List<Reference>? prognosisReference,
List<Reference>? supportingInfo,
List<Annotation>? note,
}) = _ClinicalImpression;