Adding an Assessment

Assessments can be made on measurements and clinical impressions through ClinicalImpression Create. As described in ClinicalImpression, it has multiple uses in the eHealth Infrastructure for both automatic and manual assessment.

For preparing the ClinicalImpression resource for a manual assessment performed by a clinician, it is important to add the following to the ClinicalImpression:

• assessor which shall be set as a reference to the clinician's Practitioner

• ehealth-clinicalimpression-decision can be set to a decision if applicable

The sections below contain further cases for manual assessment.

Preparing an Assessment of a Measurement

Add the following to the ClinicalImpression resource being prepared as described above:

• ehealth-clinicalimpression-careplan which shall be set as a reference to the CarePlan that references the measurement’s ProcedureRequest

• investigation.item which shall be set to both a versioned and versionless reference to the measurement (Observation and QuestionnaireResponse)

• investigation.ehealth-clinicalimpression-mediaInvestigationItem which shall be set to both a versioned and versionless reference to the Media, when a Media is assessed

Preparing an Assessment of a Clinical Impression

Add the following to the ClinicalImpression resource being prepared as described above:

• previous which shall be set as a reference to the ClinicalImpression being assessed

• investigation.item which shall be set to both a versioned and versionless reference to the ClinicalImpression being assessed