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:
assessorwhich shall be set as a reference to the clinician's Practitionerehealth-clinicalimpression-decisioncan be set to a decision if applicable
The sections below contain further cases for manual assessment.
Preparing an Assessment of a measurement (Observation, QuestionnaireResponse or Media)
Add the following to the ClinicalImpression resource being prepared as described above:
ehealth-clinicalimpression-careplanwhich shall be set as a reference to the CarePlan that references the measurement’s ServiceRequestinvestigation.itemwhich shall be set to both a versioned and version-less (see info-box below) reference to the measurement
Versioned and version-less referencing from ClinicalImpression
The versioned reference is required to eliminate ambiguity as to what content the ClinicalImpression has assessment for. An example versioned reference is:
https://<base>/fhir/QuestionnaireResponse/11052/_history/2
The version number to use is taken from the resource’s .meta/versionId. Note that <base> is a substitution and that, in reality, it would reflect the eHealth environment in use.
The version-less reference is required to enable searching for the resource reference without having to know which version is referenced. An example version-less reference is:
https://<base>/fhir/QuestionnaireResponse/11052
Preparing an Assessment of a Clinical Impression
Add the following to the ClinicalImpression resource being prepared as described above:
previouswhich shall be set as a reference to the ClinicalImpression being assessedinvestigation.itemwhich shall be set to the same value as in thepreviousClinincalImpression