mn-core-clinical-impression
type: StructureDefinition
node role: treeRoot
id:
  v: mn-core-clinical-impression
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition mn-core-clinical-impression Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient #xD; status S 1..1 code Статус (in-progress | completed | entered-in-error) #xD; subject S 1..1 Reference(Монгол улсын үндсэн Patient профайл) Өвчтөн #xD; encounter S 0..1 Reference(Монгол улсын үндсэн Encounter профайл) Холбоотой үзлэг #xD; Slices for effective[x] S 0..1 dateTime, Period Time of assessment Slice: Unordered, Open by type:$this #xD; effective[x]:effectiveDateTime 0..1 dateTime Дүгнэлт гаргасан огноо #xD; assessor S 0..1 Reference(Монгол улсын үндсэн Practitioner профайл | Монгол улсын үндсэн PractitionerRole профайл) Үнэлгээ гаргасан эмч #xD; problem S 0..* Reference(Condition | AllergyIntolerance) Холбоотой өвчин, асуудал #xD; summary S 0..1 string Дүгнэлтийн хураангуй #xD; finding S 0..* BackboneElement Олдсон байдал #xD; itemCodeableConcept S 0..1 CodeableConcept Оношлогдсон байдал (код) #xD; note S 0..* Annotation Comments made about the ClinicalImpression #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: http://fhir.mn/fhir/StructureDefinition/mn-core-clinical-impression
  l: mn-core-clinical-impression
version:
  v: 0.1.0
name:
  v: MNCoreClinicalImpression
title:
  v: Монгол улсын үндсэн ClinicalImpression профайл
status:
  v: draft
date:
  v: 2026-09-08T10:09:36+08:00
publisher:
  v: Эрүүл мэндийн хөгжлийн төв (Health Development Center, Mongolia)
contact:
  name:
    v: Эрүүл мэндийн хөгжлийн төв (Health Development Center, Mongolia)
  telecom:
    system:
      v: url
    value:
      v: https://hdc.gov.mn
contact:
  name:
    v: Эрүүл мэндийн хөгжлийн төв (Health Development Center)
  telecom:
    system:
      v: url
    value:
      v: https://hdc.gov.mn
description:
  v: Эмнэлзүйн дүгнэлтийн үндсэн профайл.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: MN
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: ClinicalImpression
  l: ClinicalImpression
base definition:
  v: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
  l: ClinicalImpression
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: ClinicalImpression
    path:
      v: ClinicalImpression
    short:
      v: A clinical assessment performed when planning treatments and management strategies for a patient
    definition:
      v: A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow. This resource is called "ClinicalImpression" rather than "ClinicalAssessment" to avoid confusion with the recording of assessment tools such as Apgar score.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: ClinicalImpression
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim

Boolean
v: true

Markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: v2
map:
  v: Partial mapping for problem evaluation

id:
  v: ClinicalImpression.id
path:
  v: ClinicalImpression.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalImpression.meta
path:
  v: ClinicalImpression.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalImpression.implicitRules
path:
  v: ClinicalImpression.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: ClinicalImpression.language
path:
  v: ClinicalImpression.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages|4.0.1
    l: http://hl7.org/fhir/ValueSet/languages

id:
  v: ClinicalImpression.text
path:
  v: ClinicalImpression.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: ClinicalImpression.contained
path:
  v: ClinicalImpression.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.extension
path:
  v: ClinicalImpression.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.modifierExtension
path:
  v: ClinicalImpression.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.identifier
path:
  v: ClinicalImpression.identifier
short:
  v: Business identifier
definition:
  v: Business identifiers assigned to this clinical impression by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
comment:
  v: This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
requirements:
  v: Allows identification of the clinical impression as it is known by various participating systems and in a way that remains consistent across servers.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: v2
  map:
    v: PID-3

id:
  v: ClinicalImpression.status
path:
  v: ClinicalImpression.status
short:
  v: Статус (in-progress | completed | entered-in-error)
definition:
  v: Identifies the workflow status of the assessment.
comment:
  v: This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalImpression.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: true
is modifier reason:
  v: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalImpressionStatus
  strength:
    v: required
  description:
    v: The workflow state of a clinical impression.
  value set:
    v: http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1
    l: http://hl7.org/fhir/ValueSet/clinicalimpression-status
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: v2
  map:
    v: PRB-14

id:
  v: ClinicalImpression.statusReason
path:
  v: ClinicalImpression.statusReason
short:
  v: Reason for current status
definition:
  v: Captures the reason for the current state of the ClinicalImpression.
comment:
  v: This is generally only used for "exception" statuses such as "not-done", "suspended" or "cancelled". [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].
alias:
  v: Suspended Reason
alias:
  v: Cancelled Reason
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.statusReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalImpressionStatusReason
  strength:
    v: example
  description:
    v: Codes identifying the reason for the current state of a clinical impression.
mapping:
  identity:
    v: workflow
  map:
    v: Event.statusReason
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde

id:
  v: ClinicalImpression.code
path:
  v: ClinicalImpression.code
short:
  v: Kind of assessment performed
definition:
  v: Categorizes the type of clinical assessment performed.
comment:
  v: This is present as a place-holder only and may be removed based on feedback/work group opinion.
alias:
  v: type
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalImpressionCode
  strength:
    v: example
  description:
    v: Identifies categories of clinical impressions. This is a place-holder only. It may be removed.
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]

id:
  v: ClinicalImpression.description
path:
  v: ClinicalImpression.description
short:
  v: Why/how the assessment was performed
definition:
  v: A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: ClinicalImpression.subject
path:
  v: ClinicalImpression.subject
short:
  v: Өвчтөн
definition:
  v: The patient or group of individuals assessed as part of this record.
requirements:
  v: Group is typically for veterinary and/or public health purposes.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalImpression.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.mn/fhir/StructureDefinition/mn-core-patient
    l: mn-core-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: ClinicalImpression.encounter
path:
  v: ClinicalImpression.encounter
short:
  v: Холбоотой үзлэг
definition:
  v: The Encounter during which this ClinicalImpression was created or to which the creation of this record is tightly associated.
comment:
  v: This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.mn/fhir/StructureDefinition/mn-core-encounter
    l: mn-core-encounter
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.context
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context

id:
  v: ClinicalImpression.effective[x]
path:
  v: ClinicalImpression.effective[x]
slicing:
  discriminator:
    type:
      v: type
    path:
      v: $this
  ordered:
    v: false
  rules:
    v: open
short:
  v: Time of assessment
definition:
  v: The point in time or period over which the subject was assessed.
comment:
  v: This SHOULD be accurate to at least the minute, though some assessments only have a known date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: v2
  map:
    v: PRB-2

id:
  v: ClinicalImpression.effective[x]:effectiveDateTime
path:
  v: ClinicalImpression.effective[x]
slice name:
  v: effectiveDateTime
short:
  v: Дүгнэлт гаргасан огноо
definition:
  v: The point in time or period over which the subject was assessed.
comment:
  v: This SHOULD be accurate to at least the minute, though some assessments only have a known date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: v2
  map:
    v: PRB-2

id:
  v: ClinicalImpression.date
path:
  v: ClinicalImpression.date
short:
  v: When the assessment was documented
definition:
  v: Indicates when the documentation of the assessment was complete.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.date
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded

id:
  v: ClinicalImpression.assessor
path:
  v: ClinicalImpression.assessor
short:
  v: Үнэлгээ гаргасан эмч
definition:
  v: The clinician performing the assessment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.assessor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.mn/fhir/StructureDefinition/mn-core-practitioner
    l: mn-core-practitioner
  target profile:
    v: http://fhir.mn/fhir/StructureDefinition/mn-core-practitioner-role
    l: mn-core-practitioner-role
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: v2
  map:
    v: ROL-4

id:
  v: ClinicalImpression.previous
path:
  v: ClinicalImpression.previous
short:
  v: Reference to last assessment
definition:
  v: A reference to the last assessment that was conducted on this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.
comment:
  v: It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.previous
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ClinicalImpression|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false

id:
  v: ClinicalImpression.problem
path:
  v: ClinicalImpression.problem
short:
  v: Холбоотой өвчин, асуудал
definition:
  v: A list of the relevant problems/conditions for a patient.
comment:
  v: e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.problem
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: v2
  map:
    v: PRB-3 / IAM-7

id:
  v: ClinicalImpression.investigation
path:
  v: ClinicalImpression.investigation
short:
  v: One or more sets of investigations (signs, symptoms, etc.)
definition:
  v: One or more sets of investigations (signs, symptoms, etc.). The actual grouping of investigations varies greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.investigation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false

id:
  v: ClinicalImpression.investigation.id
path:
  v: ClinicalImpression.investigation.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalImpression.investigation.extension
path:
  v: ClinicalImpression.investigation.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalImpression.investigation.modifierExtension
path:
  v: ClinicalImpression.investigation.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.investigation.code
path:
  v: ClinicalImpression.investigation.code
short:
  v: A name/code for the set
definition:
  v: A name/code for the group ("set") of investigations. Typically, this will be something like "signs", "symptoms", "clinical", "diagnostic", but the list is not constrained, and others such groups such as (exposure|family|travel|nutritional) history may be used.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ClinicalImpression.investigation.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: InvestigationGroupType
  strength:
    v: example
  description:
    v: A name/code for a set of investigations.
  value set:
    v: http://hl7.org/fhir/ValueSet/investigation-sets|4.0.1
    l: http://hl7.org/fhir/ValueSet/investigation-sets

id:
  v: ClinicalImpression.investigation.item
path:
  v: ClinicalImpression.investigation.item
short:
  v: Record of a specific investigation
definition:
  v: A record of a specific investigation that was undertaken.
comment:
  v: Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.investigation.item
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RiskAssessment|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/RiskAssessment
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/ImagingStudy
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Media|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Media
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX-21

id:
  v: ClinicalImpression.protocol
path:
  v: ClinicalImpression.protocol
short:
  v: Clinical Protocol followed
definition:
  v: Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.protocol
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: uri
    l: uri
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  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false

id:
  v: ClinicalImpression.summary
path:
  v: ClinicalImpression.summary
short:
  v: Дүгнэлтийн хураангуй
definition:
  v: A text summary of the investigations and the diagnosis.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.summary
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    v: 0
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    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
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    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX

id:
  v: ClinicalImpression.finding
path:
  v: ClinicalImpression.finding
short:
  v: Олдсон байдал
definition:
  v: Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.finding
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    v: 0
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    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: ClinicalImpression.finding.id
path:
  v: ClinicalImpression.finding.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
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    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
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    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalImpression.finding.extension
path:
  v: ClinicalImpression.finding.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ClinicalImpression.finding.modifierExtension
path:
  v: ClinicalImpression.finding.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ClinicalImpression.finding.itemCodeableConcept
path:
  v: ClinicalImpression.finding.itemCodeableConcept
short:
  v: Оношлогдсон байдал (код)
definition:
  v: Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.finding.itemCodeableConcept
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ConditionKind
  strength:
    v: example
  description:
    v: Identification of the Condition or diagnosis.
  value set:
    v: http://hl7.org/fhir/ValueSet/condition-code|4.0.1
    l: http://hl7.org/fhir/ValueSet/condition-code
mapping:
  identity:
    v: v2
  map:
    v: OBX

id:
  v: ClinicalImpression.finding.itemReference
path:
  v: ClinicalImpression.finding.itemReference
short:
  v: What was found
definition:
  v: Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.finding.itemReference
  min:
    v: 0
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    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Media|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Media
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX

id:
  v: ClinicalImpression.finding.basis
path:
  v: ClinicalImpression.finding.basis
short:
  v: Which investigations support finding
definition:
  v: Which investigations support finding or diagnosis.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ClinicalImpression.finding.basis
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false

id:
  v: ClinicalImpression.prognosisCodeableConcept
path:
  v: ClinicalImpression.prognosisCodeableConcept
short:
  v: Estimate of likely outcome
definition:
  v: Estimate of likely outcome.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.prognosisCodeableConcept
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    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ClinicalImpressionPrognosis
  strength:
    v: example
  description:
    v: Prognosis or outlook findings.
  value set:
    v: http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis|4.0.1
    l: http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis
mapping:
  identity:
    v: v2
  map:
    v: PRB-22

id:
  v: ClinicalImpression.prognosisReference
path:
  v: ClinicalImpression.prognosisReference
short:
  v: RiskAssessment expressing likely outcome
definition:
  v: RiskAssessment expressing likely outcome.
min:
  v: 0
max:
  v: *
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  path:
    v: ClinicalImpression.prognosisReference
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    v: 0
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    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RiskAssessment|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/RiskAssessment
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false

id:
  v: ClinicalImpression.supportingInfo
path:
  v: ClinicalImpression.supportingInfo
short:
  v: Information supporting the clinical impression
definition:
  v: Information supporting the clinical impression.
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  v: 0
max:
  v: *
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  path:
    v: ClinicalImpression.supportingInfo
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    v: 0
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    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Resource
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false

id:
  v: ClinicalImpression.note
path:
  v: ClinicalImpression.note
short:
  v: Comments made about the ClinicalImpression
definition:
  v: Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.
comment:
  v: Don't use this element for content that should more properly appear as one of the specific elements of the impression.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ClinicalImpression.note
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    v: 0
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    v: *
type:
  code:
    v: Annotation
    l: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.note

element:
  id:
    v: ClinicalImpression
  path:
    v: ClinicalImpression
element:
  id:
    v: ClinicalImpression.status
  path:
    v: ClinicalImpression.status
  short:
    v: Статус (in-progress | completed | entered-in-error)
  must support:
    v: true
element:
  id:
    v: ClinicalImpression.subject
  path:
    v: ClinicalImpression.subject
  short:
    v: Өвчтөн
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://fhir.mn/fhir/StructureDefinition/mn-core-patient
      l: mn-core-patient
  must support:
    v: true
element:
  id:
    v: ClinicalImpression.encounter
  path:
    v: ClinicalImpression.encounter
  short:
    v: Холбоотой үзлэг
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://fhir.mn/fhir/StructureDefinition/mn-core-encounter
      l: mn-core-encounter
  must support:
    v: true
element:
  id:
    v: ClinicalImpression.effective[x]
  path:
    v: ClinicalImpression.effective[x]
  slicing:
    discriminator:
      type:
        v: type
      path:
        v: $this
    ordered:
      v: false
    rules:
      v: open
  must support:
    v: true
element:
  id:
    v: ClinicalImpression.effective[x]:effectiveDateTime
  path:
    v: ClinicalImpression.effective[x]
  slice name:
    v: effectiveDateTime
  short:
    v: Дүгнэлт гаргасан огноо
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: dateTime
      l: dateTime
element:
  id:
    v: ClinicalImpression.assessor
  path:
    v: ClinicalImpression.assessor
  short:
    v: Үнэлгээ гаргасан эмч
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://fhir.mn/fhir/StructureDefinition/mn-core-practitioner
      l: mn-core-practitioner
    target profile:
      v: http://fhir.mn/fhir/StructureDefinition/mn-core-practitioner-role
      l: mn-core-practitioner-role
  must support:
    v: true
element:
  id:
    v: ClinicalImpression.problem
  path:
    v: ClinicalImpression.problem
  short:
    v: Холбоотой өвчин, асуудал
  must support:
    v: true
element:
  id:
    v: ClinicalImpression.summary
  path:
    v: ClinicalImpression.summary
  short:
    v: Дүгнэлтийн хураангуй
  must support:
    v: true
element:
  id:
    v: ClinicalImpression.finding
  path:
    v: ClinicalImpression.finding
  short:
    v: Олдсон байдал
  must support:
    v: true
element:
  id:
    v: ClinicalImpression.finding.itemCodeableConcept
  path:
    v: ClinicalImpression.finding.itemCodeableConcept
  short:
    v: Оношлогдсон байдал (код)
  must support:
    v: true
element:
  id:
    v: ClinicalImpression.note
  path:
    v: ClinicalImpression.note
  must support:
    v: true