Clinical impression data model_EN

FHIR description

eHealth description

Clinical impression

Collection name: clinical_impressions

Name		Type		M/O		Description and constraints	HL7 vs eHealth comparison result
id		string		M		System identifier of Clinical impression	Ok
status		string		M		Status of clinical impression. Fetches from the dictionary `eHealth/clinical_impression_statuses` Details on Clinical impression status model	Ok
code		{CodebleConcept}		M		Clinical impression code. Fetches from the dictionary `eHealth/clinical_impression_patient_categories`	Ok
description		string		O		Description of the Clinical impression	Ok
subject		string		M		Hashed patient_id	Doesn't comply with FHIR (datatype)
encounter		{Reference}		M		Encounter created as part of	Ok
effective_period		{Period}		O		Period when Clinical impression was assessed	Ok
effective_date_time		datetime		O		Time when Clinical impression was assessed	Ok
assessor		{Reference}		M		The employee performing the Clinical impression	Ok
previous		{Reference}		O		Reference to one of the previous Clinical impression	Ok
problems		[Reference]		O		Relevant impressions of patient state	Ok
summary		string		O		Summary of the impressions	Ok
findings	item_reference	[BackboneElement]	{Reference}	O	M	What was found. Now allowed: condition, observation	Ok
findings	basis	[BackboneElement]	string	O	O	Which investigations support finding	Ok
supporting_info		[Reference]		O		Reference on supporting medical events. Now allowed: episode_of_care, encounter, procedure, diagnostic_report	Ok
note		string		O		Comments made about the Clinical impression	Ok
context_episode_id		string		M		Identifier of the episode context based on Clinical impression as part of Encounter was created	Doesn't comply with FHIR
inserted_at		timestamp		M		Datetime when Clinical impression was created	Doesn't comply with FHIR
inserted_by		string		M		Identifier on the user created the Clinical impression	Doesn't comply with FHIR
updated_at		timestamp		M		Datetime when Clinical impression was last updated	Doesn't comply with FHIR
updated_by		string		M		Identifier on the user last updated the Clinical impression	Doesn't comply with FHIR

Example

eHealth Clinical impression document

{
    "id":"90a9e15b-b71b-4caf-8f2e-ff247e8a5600",
    "status":"completed",
    "code":[
       {
          "coding":[
             {
                "code":"Diabetics/Category_01",
                "system":"eHealth/clinical_impression_codes"
             }
          ]
       }
    ],
    "description":"Some description",
    "subject":"B0CDB414242BDFBE8C7D42780DAB09054A7C7B5DA90AB323796498C5CB23F868",
    "encounter":{
       "identifier":{
          "type":{
             "coding":[
                {
                   "system":"eHealth/resources",
                   "code":"encounter"
                }
             ]
          },
          "value":"9183a36b-4d45-4244-9339-63d81cd08d9c"
       }
    },
    "effective_period":{
       "start":"2021-08-02T10:45:16.000Z",
       "end":"2022-08-02T11:00:00.000Z"
    },
    "assessor":{
       "identifier":{
          "type":{
             "coding":[
                {
                   "system":"eHealth/resources",
                   "code":"employee"
                }
             ]
          },
          "value":"9183a36b-4d45-4244-9339-63d81cd08d9c"
       }
    },
    "previous":{
       "identifier":{
          "type":{
             "coding":[
                {
                   "system":"eHealth/resources",
                   "code":"clinical_impression"
                }
             ]
          },
          "value":"9183a36b-4d45-4244-9339-63d81cd08d9c"
       }
    },
    "problem":[
       {
          "identifier":{
             "type":{
                "coding":[
                   {
                      "system":"eHealth/resources",
                      "code":"condition"
                   }
                ]
             },
             "value":"9183a36b-4d45-4244-9339-63d81cd08d9c"
          }
       }
    ],
    "summary":"Some summary",
    "finding":[
          "item_reference":{
             "identifier":{
                "type":{
                   "coding":[
                      {
                         "system":"eHealth/resources",
                         "code":"condition"
                      }
                   ]
                },
                "value":"9183a36b-4d45-4244-9339-63d81cd08d9c"
             }
          },
          "basis":"Which investigations support finding"
       }
    ],
    "supporting_info":[
       {
          "identifier":{
             "type":{
                "coding":[
                   {
                      "system":"eHealth/resources",
                      "code":"episode_of_care"
                   }
                ]
             },
             "value":"9183a36b-4d45-4244-9339-63d81cd08d9c"
          }
       },
       {
          "identifier":{
             "type":{
                "coding":[
                   {
                      "system":"eHealth/resources",
                      "code":"diagnostic_report"
                   }
                ]
             },
             "value":"9183a36b-4d45-4244-9339-63d81cd08d9c"
          }
       }
    ],
    "note":"Some notes",
    "context_episode_id":"22b42cb6-bc01-4436-a1f4-a5a7365fa29a",
    "inserted_at":"2020-09-22T08:23:33.597Z",
    "inserted_by":"22b42cb6-bc01-4436-a1f4-a5a7365fa29a",
    "updated_at":"2020-09-22T08:23:33.597Z",
    "updated_by":"22b42cb6-bc01-4436-a1f4-a5a7365fa29a"
 }