Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
subject	Σ	1..1	Reference(JanuSync Deidentified Patient)	Patient or group assessed
encounter	Σ	0..1	Reference(JanuSync Encounter)	Encounter created as part of
assessor	Σ	0..1	Reference(JanuSync MedicalDoctor PractitionerRole)	The clinician performing the assessment
Slices for finding		0..*	BackboneElement	Possible or likely findings and diagnoses Slice: Ordered, Open At End by value:itemCodeableConcept.coding.code
finding:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
finding:VitalSummary		0..1	BackboneElement	방문 활력징후 요약
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.vital
basis		1..1	string	방문 활력징후 텍스트 (Text of Vital Summary)
finding:Assessment		0..1	BackboneElement	방문 평가 내용
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.assessment
basis		1..1	string	방문 평가 텍스트 (Text of Assessment)
finding:Intervention		0..1	BackboneElement	방문 중재 내용
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.intervention
basis		1..1	string	방문 중재 텍스트 (Text of Intervention)
finding:Outcome		0..1	BackboneElement	방문 결과 요약
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.outcome
basis		1..1	string	방문 결과 텍스트 (Text of Outcome)
supportingInfo		0..*	Reference(JanuSync Composite Observation)	Information supporting the clinical impression
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.status	Base	required	Clinical Impression Status	📍4.0.1	FHIR Std.
ClinicalImpression.finding:VitalSummary.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Assessment.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Intervention.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Outcome.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ClinicalImpression	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ClinicalImpression	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ClinicalImpression	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ClinicalImpression	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ClinicalImpression	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
subject		1..1	Reference(JanuSync Deidentified Patient)	Patient or group assessed
encounter		0..1	Reference(JanuSync Encounter)	Encounter created as part of
assessor		0..1	Reference(JanuSync MedicalDoctor PractitionerRole)	The clinician performing the assessment
Slices for finding		0..*	BackboneElement	Possible or likely findings and diagnoses Slice: Ordered, Open At End by value:itemCodeableConcept.coding.code
finding:VitalSummary		0..1	BackboneElement	방문 활력징후 요약
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code		1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.vital
basis		1..1	string	방문 활력징후 텍스트 (Text of Vital Summary)
finding:Assessment		0..1	BackboneElement	방문 평가 내용
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code		1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.assessment
basis		1..1	string	방문 평가 텍스트 (Text of Assessment)
finding:Intervention		0..1	BackboneElement	방문 중재 내용
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code		1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.intervention
basis		1..1	string	방문 중재 텍스트 (Text of Intervention)
finding:Outcome		0..1	BackboneElement	방문 결과 요약
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code		1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.outcome
basis		1..1	string	방문 결과 텍스트 (Text of Outcome)
supportingInfo		0..*	Reference(JanuSync Composite Observation)	Information supporting the clinical impression
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.finding:VitalSummary.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Assessment.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Intervention.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Outcome.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
status	?!Σ	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
statusReason		0..1	CodeableConcept	Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a clinical impression.
code	Σ	0..1	CodeableConcept	Kind of assessment performed Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.
description	Σ	0..1	string	Why/how the assessment was performed
subject	Σ	1..1	Reference(JanuSync Deidentified Patient)	Patient or group assessed
encounter	Σ	0..1	Reference(JanuSync Encounter)	Encounter created as part of
effective[x]	Σ	0..1		Time of assessment
effectiveDateTime			dateTime
effectivePeriod			Period
date	Σ	0..1	dateTime	When the assessment was documented
assessor	Σ	0..1	Reference(JanuSync MedicalDoctor PractitionerRole)	The clinician performing the assessment
previous		0..1	Reference(ClinicalImpression)	Reference to last assessment
problem	Σ	0..*	Reference(Condition | AllergyIntolerance)	Relevant impressions of patient state
investigation		0..*	BackboneElement	One or more sets of investigations (signs, symptoms, etc.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations.
item		0..*	Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)	Record of a specific investigation
protocol		0..*	uri	Clinical Protocol followed
summary		0..1	string	Summary of the assessment
Slices for finding		0..*	BackboneElement	Possible or likely findings and diagnoses Slice: Ordered, Open At End by value:itemCodeableConcept.coding.code
finding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		0..1	string	Which investigations support finding
finding:VitalSummary		0..1	BackboneElement	방문 활력징후 요약
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.vital
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		1..1	string	방문 활력징후 텍스트 (Text of Vital Summary)
finding:Assessment		0..1	BackboneElement	방문 평가 내용
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.assessment
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		1..1	string	방문 평가 텍스트 (Text of Assessment)
finding:Intervention		0..1	BackboneElement	방문 중재 내용
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.intervention
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		1..1	string	방문 중재 텍스트 (Text of Intervention)
finding:Outcome		0..1	BackboneElement	방문 결과 요약
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.outcome
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		1..1	string	방문 결과 텍스트 (Text of Outcome)
prognosisCodeableConcept		0..*	CodeableConcept	Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.
prognosisReference		0..*	Reference(RiskAssessment)	RiskAssessment expressing likely outcome
supportingInfo		0..*	Reference(JanuSync Composite Observation)	Information supporting the clinical impression
note		0..*	Annotation	Comments made about the ClinicalImpression
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ClinicalImpression.status	Base	required	Clinical Impression Status	📍4.0.1	FHIR Std.
ClinicalImpression.statusReason	Base	example		Not State	Unknown
ClinicalImpression.code	Base	example		Not State	Unknown
ClinicalImpression.investigation.​code	Base	example	Investigation Type	📍4.0.1	FHIR Std.
ClinicalImpression.finding.​itemCodeableConcept	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
ClinicalImpression.finding:VitalSummary.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Assessment.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Intervention.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Outcome.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.prognosisCodeableConcept	Base	example	Clinical Impression Prognosis	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ClinicalImpression	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ClinicalImpression	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ClinicalImpression	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ClinicalImpression	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ClinicalImpression	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 0 element(16 nested mandatory elements)
Fixed: 8 elements

Structures

This structure refers to these other structures:

• JanuSync Deidentified Patient (http://connectdtx.kr/fhir/StructureDefinition/janusync-deidentified-patient)
• JanuSync Encounter (http://connectdtx.kr/fhir/StructureDefinition/janusync-encounter)
• JanuSync MedicalDoctor PractitionerRole (http://connectdtx.kr/fhir/StructureDefinition/janusync-medicaldoctor-practitionerrole)
• JanuSync Composite Observation (http://connectdtx.kr/fhir/StructureDefinition/janusync-composite-observation)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ClinicalImpression.finding (ordered, Open at End)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
subject	Σ	1..1	Reference(JanuSync Deidentified Patient)	Patient or group assessed
encounter	Σ	0..1	Reference(JanuSync Encounter)	Encounter created as part of
assessor	Σ	0..1	Reference(JanuSync MedicalDoctor PractitionerRole)	The clinician performing the assessment
Slices for finding		0..*	BackboneElement	Possible or likely findings and diagnoses Slice: Ordered, Open At End by value:itemCodeableConcept.coding.code
finding:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
finding:VitalSummary		0..1	BackboneElement	방문 활력징후 요약
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.vital
basis		1..1	string	방문 활력징후 텍스트 (Text of Vital Summary)
finding:Assessment		0..1	BackboneElement	방문 평가 내용
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.assessment
basis		1..1	string	방문 평가 텍스트 (Text of Assessment)
finding:Intervention		0..1	BackboneElement	방문 중재 내용
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.intervention
basis		1..1	string	방문 중재 텍스트 (Text of Intervention)
finding:Outcome		0..1	BackboneElement	방문 결과 요약
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.outcome
basis		1..1	string	방문 결과 텍스트 (Text of Outcome)
supportingInfo		0..*	Reference(JanuSync Composite Observation)	Information supporting the clinical impression
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.status	Base	required	Clinical Impression Status	📍4.0.1	FHIR Std.
ClinicalImpression.finding:VitalSummary.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Assessment.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Intervention.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Outcome.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ClinicalImpression	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ClinicalImpression	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ClinicalImpression	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ClinicalImpression	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ClinicalImpression	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
subject		1..1	Reference(JanuSync Deidentified Patient)	Patient or group assessed
encounter		0..1	Reference(JanuSync Encounter)	Encounter created as part of
assessor		0..1	Reference(JanuSync MedicalDoctor PractitionerRole)	The clinician performing the assessment
Slices for finding		0..*	BackboneElement	Possible or likely findings and diagnoses Slice: Ordered, Open At End by value:itemCodeableConcept.coding.code
finding:VitalSummary		0..1	BackboneElement	방문 활력징후 요약
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code		1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.vital
basis		1..1	string	방문 활력징후 텍스트 (Text of Vital Summary)
finding:Assessment		0..1	BackboneElement	방문 평가 내용
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code		1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.assessment
basis		1..1	string	방문 평가 텍스트 (Text of Assessment)
finding:Intervention		0..1	BackboneElement	방문 중재 내용
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code		1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.intervention
basis		1..1	string	방문 중재 텍스트 (Text of Intervention)
finding:Outcome		0..1	BackboneElement	방문 결과 요약
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
code		1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.outcome
basis		1..1	string	방문 결과 텍스트 (Text of Outcome)
supportingInfo		0..*	Reference(JanuSync Composite Observation)	Information supporting the clinical impression
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.finding:VitalSummary.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Assessment.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Intervention.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Outcome.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ClinicalImpression		0..*	ClinicalImpression	A clinical assessment performed when planning treatments and management strategies for a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
status	?!Σ	1..1	code	in-progress | completed | entered-in-error Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
statusReason		0..1	CodeableConcept	Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a clinical impression.
code	Σ	0..1	CodeableConcept	Kind of assessment performed Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.
description	Σ	0..1	string	Why/how the assessment was performed
subject	Σ	1..1	Reference(JanuSync Deidentified Patient)	Patient or group assessed
encounter	Σ	0..1	Reference(JanuSync Encounter)	Encounter created as part of
effective[x]	Σ	0..1		Time of assessment
effectiveDateTime			dateTime
effectivePeriod			Period
date	Σ	0..1	dateTime	When the assessment was documented
assessor	Σ	0..1	Reference(JanuSync MedicalDoctor PractitionerRole)	The clinician performing the assessment
previous		0..1	Reference(ClinicalImpression)	Reference to last assessment
problem	Σ	0..*	Reference(Condition | AllergyIntolerance)	Relevant impressions of patient state
investigation		0..*	BackboneElement	One or more sets of investigations (signs, symptoms, etc.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	A name/code for the set Binding: InvestigationType (example): A name/code for a set of investigations.
item		0..*	Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)	Record of a specific investigation
protocol		0..*	uri	Clinical Protocol followed
summary		0..1	string	Summary of the assessment
Slices for finding		0..*	BackboneElement	Possible or likely findings and diagnoses Slice: Ordered, Open At End by value:itemCodeableConcept.coding.code
finding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		0..1	string	Which investigations support finding
finding:VitalSummary		0..1	BackboneElement	방문 활력징후 요약
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.vital
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		1..1	string	방문 활력징후 텍스트 (Text of Vital Summary)
finding:Assessment		0..1	BackboneElement	방문 평가 내용
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.assessment
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		1..1	string	방문 평가 텍스트 (Text of Assessment)
finding:Intervention		0..1	BackboneElement	방문 중재 내용
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.intervention
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		1..1	string	방문 중재 텍스트 (Text of Intervention)
finding:Outcome		0..1	BackboneElement	방문 결과 요약
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
itemCodeableConcept		0..1	CodeableConcept	What was found Binding: JanuSync Observation Component Code ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: home-visit.outcome
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
itemReference		0..1	Reference(Condition | Observation | Media)	What was found
basis		1..1	string	방문 결과 텍스트 (Text of Outcome)
prognosisCodeableConcept		0..*	CodeableConcept	Estimate of likely outcome Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.
prognosisReference		0..*	Reference(RiskAssessment)	RiskAssessment expressing likely outcome
supportingInfo		0..*	Reference(JanuSync Composite Observation)	Information supporting the clinical impression
note		0..*	Annotation	Comments made about the ClinicalImpression
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ClinicalImpression.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ClinicalImpression.status	Base	required	Clinical Impression Status	📍4.0.1	FHIR Std.
ClinicalImpression.statusReason	Base	example		Not State	Unknown
ClinicalImpression.code	Base	example		Not State	Unknown
ClinicalImpression.investigation.​code	Base	example	Investigation Type	📍4.0.1	FHIR Std.
ClinicalImpression.finding.​itemCodeableConcept	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
ClinicalImpression.finding:VitalSummary.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Assessment.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Intervention.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.finding:Outcome.​itemCodeableConcept	Base	required	JanuSync Observation Component Code ValueSet	📦1.0.0	This IG
ClinicalImpression.prognosisCodeableConcept	Base	example	Clinical Impression Prognosis	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ClinicalImpression	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ClinicalImpression	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ClinicalImpression	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ClinicalImpression	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ClinicalImpression	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 0 element(16 nested mandatory elements)
Fixed: 8 elements

Structures

This structure refers to these other structures:

• JanuSync Deidentified Patient (http://connectdtx.kr/fhir/StructureDefinition/janusync-deidentified-patient)
• JanuSync Encounter (http://connectdtx.kr/fhir/StructureDefinition/janusync-encounter)
• JanuSync MedicalDoctor PractitionerRole (http://connectdtx.kr/fhir/StructureDefinition/janusync-medicaldoctor-practitionerrole)
• JanuSync Composite Observation (http://connectdtx.kr/fhir/StructureDefinition/janusync-composite-observation)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ClinicalImpression.finding (ordered, Open at End)