Package org.hl7.fhir.r5.model

Class ClinicalImpression

java.lang.Object
org.hl7.fhir.r5.model.Base
org.hl7.fhir.r5.model.BaseResource
org.hl7.fhir.r5.model.Resource
org.hl7.fhir.r5.model.DomainResource
org.hl7.fhir.r5.model.ClinicalImpression
All Implemented Interfaces:
ca.uhn.fhir.model.api.IElement, Serializable, org.hl7.fhir.instance.model.api.IAnyResource, org.hl7.fhir.instance.model.api.IBase, org.hl7.fhir.instance.model.api.IBaseHasExtensions, org.hl7.fhir.instance.model.api.IBaseHasModifierExtensions, org.hl7.fhir.instance.model.api.IBaseResource, org.hl7.fhir.instance.model.api.IDomainResource
public class ClinicalImpression extends DomainResource
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.
See Also:

  • Field Details

    • identifier

      protected List<Identifier> 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

      protected Enumeration<Enumerations.EventStatus> status
      Identifies the workflow status of the assessment.

    • statusReason

      protected CodeableConcept statusReason
      Captures the reason for the current state of the ClinicalImpression.

    • description

      protected StringType description
      A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.

    • subject

      protected Reference subject
      The patient or group of individuals assessed as part of this record.

    • encounter

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

    • effective

      protected DataType effective
      The point in time or period over which the subject was assessed.

    • date

      protected DateTimeType date
      Indicates when the documentation of the assessment was complete.

    • performer

      protected Reference performer
      The clinician performing the assessment.

    • previous

      protected Reference 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

      protected List<Reference> problem
      A list of the relevant problems/conditions for a patient.

    • changePattern

      protected CodeableConcept changePattern
      Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change. It is a subjective assessment of the direction of the change.

    • protocol

      protected List<UriType> protocol
      Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.

    • summary

      protected StringType summary
      A text summary of the investigations and the diagnosis.

    • finding

      protected List<ClinicalImpression.ClinicalImpressionFindingComponent> finding
      Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.

    • prognosisCodeableConcept

      protected List<CodeableConcept> prognosisCodeableConcept
      Estimate of likely outcome.

    • prognosisReference

      protected List<Reference> prognosisReference
      RiskAssessment expressing likely outcome.

    • supportingInfo

      protected List<Reference> supportingInfo
      Information supporting the clinical impression, which can contain investigation results.

    • note

      protected List<Annotation> note
      Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.

    • SP_ENCOUNTER

      public static final String SP_ENCOUNTER
      Search parameter: encounter

      Description: The Encounter during which this ClinicalImpression was created
      Type: reference
      Path: ClinicalImpression.encounter

      See Also:

    • ENCOUNTER

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ENCOUNTER
      Fluent Client search parameter constant for encounter

      Description: The Encounter during which this ClinicalImpression was created
      Type: reference
      Path: ClinicalImpression.encounter

    • INCLUDE_ENCOUNTER

      public static final ca.uhn.fhir.model.api.Include INCLUDE_ENCOUNTER
      Constant for fluent queries to be used to add include statements. Specifies the path value of "ClinicalImpression:encounter".

    • SP_FINDING_CODE

      public static final String SP_FINDING_CODE
      Search parameter: finding-code

      Description: Reference to a concept (by class)
      Type: token
      Path: ClinicalImpression.finding.item.concept

      See Also:

    • FINDING_CODE

      public static final ca.uhn.fhir.rest.gclient.TokenClientParam FINDING_CODE
      Fluent Client search parameter constant for finding-code

      Description: Reference to a concept (by class)
      Type: token
      Path: ClinicalImpression.finding.item.concept

    • SP_FINDING_REF

      public static final String SP_FINDING_REF
      Search parameter: finding-ref

      Description: Reference to a resource (by instance)
      Type: reference
      Path: ClinicalImpression.finding.item.reference

      See Also:

    • FINDING_REF

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam FINDING_REF
      Fluent Client search parameter constant for finding-ref

      Description: Reference to a resource (by instance)
      Type: reference
      Path: ClinicalImpression.finding.item.reference

    • INCLUDE_FINDING_REF

      public static final ca.uhn.fhir.model.api.Include INCLUDE_FINDING_REF
      Constant for fluent queries to be used to add include statements. Specifies the path value of "ClinicalImpression:finding-ref".

    • SP_IDENTIFIER

      public static final String SP_IDENTIFIER
      Search parameter: identifier

      Description: Business identifier
      Type: token
      Path: ClinicalImpression.identifier

      See Also:

    • IDENTIFIER

      public static final ca.uhn.fhir.rest.gclient.TokenClientParam IDENTIFIER
      Fluent Client search parameter constant for identifier

      Description: Business identifier
      Type: token
      Path: ClinicalImpression.identifier

    • SP_PERFORMER

      public static final String SP_PERFORMER
      Search parameter: performer

      Description: The clinician performing the assessment
      Type: reference
      Path: ClinicalImpression.performer

      See Also:

    • PERFORMER

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PERFORMER
      Fluent Client search parameter constant for performer

      Description: The clinician performing the assessment
      Type: reference
      Path: ClinicalImpression.performer

    • INCLUDE_PERFORMER

      public static final ca.uhn.fhir.model.api.Include INCLUDE_PERFORMER
      Constant for fluent queries to be used to add include statements. Specifies the path value of "ClinicalImpression:performer".

    • SP_PREVIOUS

      public static final String SP_PREVIOUS
      Search parameter: previous

      Description: Reference to last assessment
      Type: reference
      Path: ClinicalImpression.previous

      See Also:

    • PREVIOUS

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PREVIOUS
      Fluent Client search parameter constant for previous

      Description: Reference to last assessment
      Type: reference
      Path: ClinicalImpression.previous

    • INCLUDE_PREVIOUS

      public static final ca.uhn.fhir.model.api.Include INCLUDE_PREVIOUS
      Constant for fluent queries to be used to add include statements. Specifies the path value of "ClinicalImpression:previous".

    • SP_PROBLEM

      public static final String SP_PROBLEM
      Search parameter: problem

      Description: Relevant impressions of patient state
      Type: reference
      Path: ClinicalImpression.problem

      See Also:

    • PROBLEM

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PROBLEM
      Fluent Client search parameter constant for problem

      Description: Relevant impressions of patient state
      Type: reference
      Path: ClinicalImpression.problem

    • INCLUDE_PROBLEM

      public static final ca.uhn.fhir.model.api.Include INCLUDE_PROBLEM
      Constant for fluent queries to be used to add include statements. Specifies the path value of "ClinicalImpression:problem".

    • SP_STATUS

      public static final String SP_STATUS
      Search parameter: status

      Description: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
      Type: token
      Path: ClinicalImpression.status

      See Also:

    • STATUS

      public static final ca.uhn.fhir.rest.gclient.TokenClientParam STATUS
      Fluent Client search parameter constant for status

      Description: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
      Type: token
      Path: ClinicalImpression.status

    • SP_SUBJECT

      public static final String SP_SUBJECT
      Search parameter: subject

      Description: Patient or group assessed
      Type: reference
      Path: ClinicalImpression.subject

      See Also:

    • SUBJECT

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam SUBJECT
      Fluent Client search parameter constant for subject

      Description: Patient or group assessed
      Type: reference
      Path: ClinicalImpression.subject

    • INCLUDE_SUBJECT

      public static final ca.uhn.fhir.model.api.Include INCLUDE_SUBJECT
      Constant for fluent queries to be used to add include statements. Specifies the path value of "ClinicalImpression:subject".

    • SP_SUPPORTING_INFO

      public static final String SP_SUPPORTING_INFO
      Search parameter: supporting-info

      Description: Information supporting the clinical impression
      Type: reference
      Path: ClinicalImpression.supportingInfo

      See Also:

    • SUPPORTING_INFO

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam SUPPORTING_INFO
      Fluent Client search parameter constant for supporting-info

      Description: Information supporting the clinical impression
      Type: reference
      Path: ClinicalImpression.supportingInfo

    • INCLUDE_SUPPORTING_INFO

      public static final ca.uhn.fhir.model.api.Include INCLUDE_SUPPORTING_INFO
      Constant for fluent queries to be used to add include statements. Specifies the path value of "ClinicalImpression:supporting-info".

    • SP_DATE

      public static final String SP_DATE
      Search parameter: date

      Description: Multiple Resources: [AllergyIntolerance](allergyintolerance.html): Date first version of the resource instance was recorded [CarePlan](careplan.html): Time period plan covers [CareTeam](careteam.html): A date within the coverage time period. [ClinicalImpression](clinicalimpression.html): When the assessment was documented [Composition](composition.html): Composition editing time [Consent](consent.html): When consent was agreed to [DiagnosticReport](diagnosticreport.html): The clinically relevant time of the report [Encounter](encounter.html): A date within the actualPeriod the Encounter lasted [EpisodeOfCare](episodeofcare.html): The provided date search value falls within the episode of care's period [FamilyMemberHistory](familymemberhistory.html): When history was recorded or last updated [Flag](flag.html): Time period when flag is active [Immunization](immunization.html): Vaccination (non)-Administration Date [List](list.html): When the list was prepared [Observation](observation.html): Obtained date/time. If the obtained element is a period, a date that falls in the period [Procedure](procedure.html): When the procedure occurred or is occurring [RiskAssessment](riskassessment.html): When was assessment made? [SupplyRequest](supplyrequest.html): When the request was made
      Type: date
      Path: AllergyIntolerance.recordedDate | CarePlan.period | ClinicalImpression.date | Composition.date | Consent.date | DiagnosticReport.effective.as(dateTime) | DiagnosticReport.effective.as(Period) | Encounter.actualPeriod | EpisodeOfCare.period | FamilyMemberHistory.date | Flag.period | (Immunization.occurrence as dateTime) | List.date | Observation.effective.as(dateTime) | Observation.effective.as(Period) | Observation.effective.as(Timing) | Observation.effective.as(instant) | Procedure.occurrence.as(dateTime) | Procedure.occurrence.as(Period) | Procedure.occurrence.as(Timing) | (RiskAssessment.occurrence as dateTime) | SupplyRequest.authoredOn

      See Also:

    • DATE

      public static final ca.uhn.fhir.rest.gclient.DateClientParam DATE
      Fluent Client search parameter constant for date

      Description: Multiple Resources: [AllergyIntolerance](allergyintolerance.html): Date first version of the resource instance was recorded [CarePlan](careplan.html): Time period plan covers [CareTeam](careteam.html): A date within the coverage time period. [ClinicalImpression](clinicalimpression.html): When the assessment was documented [Composition](composition.html): Composition editing time [Consent](consent.html): When consent was agreed to [DiagnosticReport](diagnosticreport.html): The clinically relevant time of the report [Encounter](encounter.html): A date within the actualPeriod the Encounter lasted [EpisodeOfCare](episodeofcare.html): The provided date search value falls within the episode of care's period [FamilyMemberHistory](familymemberhistory.html): When history was recorded or last updated [Flag](flag.html): Time period when flag is active [Immunization](immunization.html): Vaccination (non)-Administration Date [List](list.html): When the list was prepared [Observation](observation.html): Obtained date/time. If the obtained element is a period, a date that falls in the period [Procedure](procedure.html): When the procedure occurred or is occurring [RiskAssessment](riskassessment.html): When was assessment made? [SupplyRequest](supplyrequest.html): When the request was made
      Type: date
      Path: AllergyIntolerance.recordedDate | CarePlan.period | ClinicalImpression.date | Composition.date | Consent.date | DiagnosticReport.effective.as(dateTime) | DiagnosticReport.effective.as(Period) | Encounter.actualPeriod | EpisodeOfCare.period | FamilyMemberHistory.date | Flag.period | (Immunization.occurrence as dateTime) | List.date | Observation.effective.as(dateTime) | Observation.effective.as(Period) | Observation.effective.as(Timing) | Observation.effective.as(instant) | Procedure.occurrence.as(dateTime) | Procedure.occurrence.as(Period) | Procedure.occurrence.as(Timing) | (RiskAssessment.occurrence as dateTime) | SupplyRequest.authoredOn

    • SP_PATIENT

      public static final String SP_PATIENT
      Search parameter: patient

      Description: Multiple Resources: [AllergyIntolerance](allergyintolerance.html): Who the sensitivity is for [CarePlan](careplan.html): Who the care plan is for [CareTeam](careteam.html): Who care team is for [ClinicalImpression](clinicalimpression.html): Patient assessed [Composition](composition.html): Who and/or what the composition is about [Condition](condition.html): Who has the condition? [Consent](consent.html): Who the consent applies to [DetectedIssue](detectedissue.html): Associated patient [DeviceRequest](devicerequest.html): Individual the service is ordered for [DeviceUsage](deviceusage.html): Search by patient who used / uses the device [DiagnosticReport](diagnosticreport.html): The subject of the report if a patient [DocumentManifest](documentmanifest.html): The subject of the set of documents [DocumentReference](documentreference.html): Who/what is the subject of the document [Encounter](encounter.html): The patient present at the encounter [EpisodeOfCare](episodeofcare.html): The patient who is the focus of this episode of care [FamilyMemberHistory](familymemberhistory.html): The identity of a subject to list family member history items for [Flag](flag.html): The identity of a subject to list flags for [Goal](goal.html): Who this goal is intended for [ImagingStudy](imagingstudy.html): Who the study is about [Immunization](immunization.html): The patient for the vaccination record [List](list.html): If all resources have the same subject [MedicationAdministration](medicationadministration.html): The identity of a patient to list administrations for [MedicationDispense](medicationdispense.html): The identity of a patient to list dispenses for [MedicationRequest](medicationrequest.html): Returns prescriptions for a specific patient [MedicationUsage](medicationusage.html): Returns statements for a specific patient. [NutritionOrder](nutritionorder.html): The identity of the individual or set of individuals who requires the diet, formula or nutritional supplement [Observation](observation.html): The subject that the observation is about (if patient) [Procedure](procedure.html): Search by subject - a patient [RiskAssessment](riskassessment.html): Who/what does assessment apply to? [ServiceRequest](servicerequest.html): Search by subject - a patient [SupplyDelivery](supplydelivery.html): Patient for whom the item is supplied [SupplyRequest](supplyrequest.html): The patient or subject for whom the supply is destined [VisionPrescription](visionprescription.html): The identity of a patient to list dispenses for
      Type: reference
      Path: AllergyIntolerance.patient | CarePlan.subject.where(resolve() is Patient) | CareTeam.subject.where(resolve() is Patient) | ClinicalImpression.subject.where(resolve() is Patient) | Composition.subject.where(resolve() is Patient) | Condition.subject.where(resolve() is Patient) | Consent.subject.where(resolve() is Patient) | DetectedIssue.subject | DeviceRequest.subject.where(resolve() is Patient) | DeviceUsage.patient | DiagnosticReport.subject.where(resolve() is Patient) | DocumentManifest.subject.where(resolve() is Patient) | DocumentReference.subject.where(resolve() is Patient) | Encounter.subject.where(resolve() is Patient) | EpisodeOfCare.patient | FamilyMemberHistory.patient | Flag.subject.where(resolve() is Patient) | Goal.subject.where(resolve() is Patient) | ImagingStudy.subject.where(resolve() is Patient) | Immunization.patient | List.subject.where(resolve() is Patient) | MedicationAdministration.subject.where(resolve() is Patient) | MedicationDispense.subject.where(resolve() is Patient) | MedicationRequest.subject.where(resolve() is Patient) | MedicationUsage.subject.where(resolve() is Patient) | NutritionOrder.subject.where(resolve() is Patient) | Observation.subject.where(resolve() is Patient) | Procedure.subject.where(resolve() is Patient) | RiskAssessment.subject.where(resolve() is Patient) | ServiceRequest.subject.where(resolve() is Patient) | SupplyDelivery.patient | SupplyRequest.deliverFor | VisionPrescription.patient

      See Also:

    • PATIENT

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PATIENT
      Fluent Client search parameter constant for patient

      Description: Multiple Resources: [AllergyIntolerance](allergyintolerance.html): Who the sensitivity is for [CarePlan](careplan.html): Who the care plan is for [CareTeam](careteam.html): Who care team is for [ClinicalImpression](clinicalimpression.html): Patient assessed [Composition](composition.html): Who and/or what the composition is about [Condition](condition.html): Who has the condition? [Consent](consent.html): Who the consent applies to [DetectedIssue](detectedissue.html): Associated patient [DeviceRequest](devicerequest.html): Individual the service is ordered for [DeviceUsage](deviceusage.html): Search by patient who used / uses the device [DiagnosticReport](diagnosticreport.html): The subject of the report if a patient [DocumentManifest](documentmanifest.html): The subject of the set of documents [DocumentReference](documentreference.html): Who/what is the subject of the document [Encounter](encounter.html): The patient present at the encounter [EpisodeOfCare](episodeofcare.html): The patient who is the focus of this episode of care [FamilyMemberHistory](familymemberhistory.html): The identity of a subject to list family member history items for [Flag](flag.html): The identity of a subject to list flags for [Goal](goal.html): Who this goal is intended for [ImagingStudy](imagingstudy.html): Who the study is about [Immunization](immunization.html): The patient for the vaccination record [List](list.html): If all resources have the same subject [MedicationAdministration](medicationadministration.html): The identity of a patient to list administrations for [MedicationDispense](medicationdispense.html): The identity of a patient to list dispenses for [MedicationRequest](medicationrequest.html): Returns prescriptions for a specific patient [MedicationUsage](medicationusage.html): Returns statements for a specific patient. [NutritionOrder](nutritionorder.html): The identity of the individual or set of individuals who requires the diet, formula or nutritional supplement [Observation](observation.html): The subject that the observation is about (if patient) [Procedure](procedure.html): Search by subject - a patient [RiskAssessment](riskassessment.html): Who/what does assessment apply to? [ServiceRequest](servicerequest.html): Search by subject - a patient [SupplyDelivery](supplydelivery.html): Patient for whom the item is supplied [SupplyRequest](supplyrequest.html): The patient or subject for whom the supply is destined [VisionPrescription](visionprescription.html): The identity of a patient to list dispenses for
      Type: reference
      Path: AllergyIntolerance.patient | CarePlan.subject.where(resolve() is Patient) | CareTeam.subject.where(resolve() is Patient) | ClinicalImpression.subject.where(resolve() is Patient) | Composition.subject.where(resolve() is Patient) | Condition.subject.where(resolve() is Patient) | Consent.subject.where(resolve() is Patient) | DetectedIssue.subject | DeviceRequest.subject.where(resolve() is Patient) | DeviceUsage.patient | DiagnosticReport.subject.where(resolve() is Patient) | DocumentManifest.subject.where(resolve() is Patient) | DocumentReference.subject.where(resolve() is Patient) | Encounter.subject.where(resolve() is Patient) | EpisodeOfCare.patient | FamilyMemberHistory.patient | Flag.subject.where(resolve() is Patient) | Goal.subject.where(resolve() is Patient) | ImagingStudy.subject.where(resolve() is Patient) | Immunization.patient | List.subject.where(resolve() is Patient) | MedicationAdministration.subject.where(resolve() is Patient) | MedicationDispense.subject.where(resolve() is Patient) | MedicationRequest.subject.where(resolve() is Patient) | MedicationUsage.subject.where(resolve() is Patient) | NutritionOrder.subject.where(resolve() is Patient) | Observation.subject.where(resolve() is Patient) | Procedure.subject.where(resolve() is Patient) | RiskAssessment.subject.where(resolve() is Patient) | ServiceRequest.subject.where(resolve() is Patient) | SupplyDelivery.patient | SupplyRequest.deliverFor | VisionPrescription.patient

    • INCLUDE_PATIENT

      public static final ca.uhn.fhir.model.api.Include INCLUDE_PATIENT
      Constant for fluent queries to be used to add include statements. Specifies the path value of "ClinicalImpression:patient".

  • Constructor Details

  • Method Details