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  • A ClinicalImpresssion:

    • .finding for each .component in the observation (e.g. systolic and diastolic blood pressure) or a single finding if the observation does not contain components.

      • Each finding for observation will have one of the following alert levels:

        • http://snomed.info/sct, 442082004, fund ved måling inden for referenceinterval (green)

        • http://snomed.info/sct, 442096005, fund ved måling uden for referenceinterval (red, yellow)

      • If the finding is for a component, then it will contain an observation code identifying the component (e.g. systolic blood pressure). With release 13 there will always be an observation code within the finding containing alert level

      • With Release 13 a new finding entry will be added. The finding will contain an overall assessment either green, yellow or red based on the worst severity from components or a single observation. (http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes)

    • A Task related to the ClinicalImpression with priority based on the highest alert level found:

      • asap if any values are found in “red alert” reference ranges

      • urgent if any values are found in “yellow alert” reference ranges

      • routine if no red or yellow alerts are found

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  • A ClinicalImpresssion:

    • .finding as follows:

      • If the triggered red set is not empty, a finding.item with a Coding:

        • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

        • code = red-question-answer

        • display = Rød spørgsmål/svar-kombination fundet i spørgeskemabesvarelsespørgeskemabesvarelse

        • With release 13

          • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

          • code = red

          • display = Red overall assessment

      • If the triggered yellow set is not empty, a finding.item with a Coding:

        • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

        • code = yellow-question-answer

        • display = Gul spørgsmål/svar-kombination fundet i spørgeskemabesvarelse

        • With release 13

          • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

          • code = yellow

          • display = yellow overall assessment

      • If both triggered sets are empty, a finding.item with a Coding:

        • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

        • code = green-question-answer

        • display = Grøn spørgsmål/svar-kombination fundet i spørgeskemabesvarelse

        • With release 13

          • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

          • code = green

          • display = Green overall assessment

      • If the Questionnaire does contain answer significance definitions but none have been triggered, a finding.item with a Coding:

        • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

        • code = no-effective-answer-significance

        • display = Ingen triageringsindikator for spørgsmål/svar-kombination har fundet anvendelse

      • If the Questionnaire does not contain answer significance definitions, a finding.item with a Coding:

        • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

        • code = no-answer-significance-defined

        • display = Ingen triageringsindikator defineret i spørgeskemaet

    • list of .ehealth-questionnaireresponse-finding-basis for each basis for the overall ClinicalImpression as follows:

      • linkId set to linkId for the Questionnaire item/QuestionnaireResponse item pair which triggered the finding basis

      • value set to value of the answer which triggered the finding basis

      • finding set to green-question-answer, yellow-question-answer or red-question-answer from http://ehealth.sundhed.dk/vs/clinicalimpression-finding-codes based on signifiance on triggered ehealth-questionnaire-answerSignificance

      • ehealth-questionnaire-answerSignificance is the triggered answerSignificance which is gathered from Questionnaire item

  • A Task related to the ClinicalImpression with:

    • priority set to the priority value determined above.

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