Package org.hl7.fhir.r5.model

Class 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:
    Serialized Form

    • Field Detail

      • 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.

      • 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.

      • 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.

      • 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.

      • 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:
        Constant Field Values

      • 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:
        Constant Field Values

      • 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:
        Constant Field Values

      • 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".

      • 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:
        Constant Field Values

      • 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:
        Constant Field Values

      • 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:
        Constant Field Values

      • 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:
        Constant Field Values

      • 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:
        Constant Field Values

      • 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:
        Constant Field Values

      • 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.dateTime | DiagnosticReport.effective | Encounter.actualPeriod | EpisodeOfCare.period | FamilyMemberHistory.date | Flag.period | (Immunization.occurrence as dateTime) | List.date | Observation.effective | Procedure.occurrence | (RiskAssessment.occurrence as dateTime) | SupplyRequest.authoredOn

        See Also:
        Constant Field Values

      • 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.dateTime | DiagnosticReport.effective | Encounter.actualPeriod | EpisodeOfCare.period | FamilyMemberHistory.date | Flag.period | (Immunization.occurrence as dateTime) | List.date | Observation.effective | Procedure.occurrence | (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 person 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 [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.patient | 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.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 | VisionPrescription.patient

        See Also:
        Constant Field Values

      • 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 person 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 [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.patient | 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.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 | 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".