1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
//! ClinicalImpression
//!
//! URL: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
//!
//! Version: 5.0.0
//!
//! ClinicalImpression Resource: A record of a clinical assessment performed to determine what problem(s) may affect the patient before planning treatments or management strategies.
//!
//! FHIR: <https://build.fhir.org/>
//!
//! UML: <https://build.fhir.org/uml.html>
// Allow unused crate::r5::types as types;
#![allow(unused_imports)]
use crate::r5::types;
use ::serde::{Deserialize, Serialize};
use fhir_derive_macros::Validate;
/// 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.
///
/// A `ClinicalImpression` captures the narrative and structured reasoning a
/// clinician goes through while evaluating a patient: the problems or
/// conditions considered, the evidence and findings that support or rule out
/// those problems, the prognosis, and any change in the patient's condition
/// relative to a previous assessment. It is a point-in-time snapshot of
/// clinical thinking, typically produced during or shortly after an encounter,
/// and is often used to justify subsequent orders, referrals, or care plans.
///
/// # Related resources
///
/// A `ClinicalImpression` is usually linked to the [`Patient`](crate::r5::resources::patient::Patient)
/// or group being assessed via `subject`, and may reference the `Encounter`
/// during which it was formed, the performing practitioner via
/// `performer`, and a prior `ClinicalImpression` via `previous`. Findings and
/// status information are commonly expressed using
/// [`CodeableConcept`](crate::r5::types::CodeableConcept), while supporting
/// evidence may reference `Observation`, `Condition`, or other diagnostic
/// resources through `supporting_info`.
///
/// # Examples
///
/// ```
/// use fhir::r5::resources::clinical_impression::ClinicalImpression;
///
/// let value = ClinicalImpression::default();
/// let json = ::serde_json::to_value(&value).unwrap();
/// let back: ClinicalImpression = ::serde_json::from_value(json).unwrap();
/// assert_eq!(value, back);
/// ```
#[serde_with::skip_serializing_none]
#[derive(Debug, Default, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct ClinicalImpression {
/// Logical id of this artifact
pub id: Option<types::String>,
/// Metadata about the resource
pub meta: Option<types::Meta>,
/// A set of rules under which this content was created
pub implicit_rules: Option<types::Uri>,
/// Language of the resource content
pub language: Option<types::Code>,
/// Text summary of the resource, for human interpretation
pub text: Option<types::Narrative>,
/// Contained, inline Resources
pub contained: Option<Vec<::serde_json::Value>>,
/// Additional content defined by implementations
pub extension: Option<Vec<types::Extension>>,
/// Extensions that cannot be ignored
pub modifier_extension: Option<Vec<types::Extension>>,
/// Business identifier
pub identifier: Option<Vec<types::Identifier>>,
/// The workflow state of this assessment: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
pub status: types::Code,
/// Coded or textual reason explaining why the assessment currently has this status
pub status_reason: Option<types::CodeableConcept>,
/// Why/how the assessment was performed
pub description: Option<types::String>,
/// The [`Patient`](crate::r5::resources::patient::Patient) or group whose condition is being assessed
pub subject: types::Reference,
/// The Encounter during which this ClinicalImpression was created
pub encounter: Option<types::Reference>,
/// Time of assessment
pub effective_date_time: Option<types::DateTime>,
/// Time of assessment
pub effective_period: Option<types::Period>,
/// When the assessment was documented
pub date: Option<types::DateTime>,
/// The clinician performing the assessment
pub performer: Option<types::Reference>,
/// Reference to last assessment
pub previous: Option<types::Reference>,
/// Relevant impressions of patient state
pub problem: Option<Vec<types::Reference>>,
/// Change in the status/pattern of a subject's condition since previously
/// assessed, such as worsening, improving, or no change
pub change_pattern: Option<types::CodeableConcept>,
/// Clinical Protocol followed
pub protocol: Option<Vec<types::Uri>>,
/// Summary of the assessment
pub summary: Option<types::String>,
/// Possible or likely findings and diagnoses
pub finding: Option<Vec<ClinicalImpressionFinding>>,
/// Estimate of likely outcome
pub prognosis_codeable_concept: Option<Vec<types::CodeableConcept>>,
/// RiskAssessment expressing likely outcome
pub prognosis_reference: Option<Vec<types::Reference>>,
/// Information supporting the clinical impression
pub supporting_info: Option<Vec<types::Reference>>,
/// Comments made about the ClinicalImpression
pub note: Option<Vec<types::Annotation>>,
}
/// Possible or likely findings and diagnoses.
#[serde_with::skip_serializing_none]
#[derive(Debug, Default, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct ClinicalImpressionFinding {
/// Unique id for inter-element referencing
pub id: Option<types::String>,
/// Additional content defined by implementations
pub extension: Option<Vec<types::Extension>>,
/// Extensions that cannot be ignored even if unrecognized
pub modifier_extension: Option<Vec<types::Extension>>,
/// What was found
pub item: Option<types::CodeableReference>,
/// Which investigations support finding
pub basis: Option<types::String>,
}
#[cfg(test)]
mod tests {
use super::*;
type T = ClinicalImpression;
#[test]
fn test_default() {
let _ = T::default();
}
#[test]
fn test_serde_round_trip() {
let value = T::default();
let json = ::serde_json::to_value(&value).expect("to_value");
let back: T = ::serde_json::from_value(json).expect("from_value");
assert_eq!(value, back);
}
}