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Clinicalimpression.profile.xml

Patient Care Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw XML (каноническая форма + also see XML Format Specification)

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StructureDefinition for clinicalimpression

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ClinicalImpression"/> 
  <meta> 
    <lastUpdated value="2019-05-17T12:34:53.932+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Имя</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Флаги</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Кард.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Тип</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Дополнительная информация об элементе">Описание и ограничения</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAACC
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            YH4DfLhBJgA2A7BBQJ9uwXWY3rhJqFo1AaiB1CBngwKZQcqAeSFSduL9Akj7qPF64jnALS5VTPwdgPwwJ+uog9Qcx4kRZiPKqxgAA
            AABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Resource"/>  
            <span title="ClinicalImpression : Запись клинической оценки, выполняемой для прогнозирования влияния
             проблем на пациента и перед планированием, проведением и оценкой терапевтических вмешательств,
             наиболее подходящих для состояния пациента. Клиническая оценка часто один в один совпадает
             с клинической консультацией/случаем обслуживания (encounter), но сильно варьируется в
             зависимости от клинического рабочего процесса. Этот ресурс назван &quot;ClinicalImpression&quot;,
             а не &quot;ClinicalAssessment&quot;, дабы избежать путаницы с инструментами оценки, например
             шкала Апгар.">ClinicalImpression</span> 
            <a name="ClinicalImpression"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6" title="Ballot Status = Trial Use">TU</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Клиническая оценка, выполняемая для планирования, проведения и оценки терапевтических
             вмешательств и прогнозирования последующего поведения пациента
            <br/>  Элементы, определённые в прародителе: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes.">id</a> , 
            <a href="resource.html#Resource" title="Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения
             этой информации не всегда можно ассоциировать с версионными изменениями ресурса.">meta</a> , 
            <a href="resource.html#Resource" title="Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо
             понимать при обработке этого содержимого. Often, this is a reference to an implementation
             guide that defines the special rules along with other profiles etc.">implicitRules</a> , 
            <a href="resource.html#Resource" title="Основной язык, на котором написан ресурс.">language</a> , 
            <a href="domainresource.html#DomainResource" title="Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может
             использоваться для представления содержимого ресурса человеку. От описательной части не
             требуется кодировать все структурированные данные, но она должна содержать достаточно
             сведений, чтобы простое её прочтение человеком было &quot;клинически безопасным&quot;.
             Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной
             части для обеспечения клинической безопасной.">text</a> , 
            <a href="domainresource.html#DomainResource" title="Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит -
             их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой
             транзакционной области действия.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="Может использоваться для представления дополнительной информации, не являющейся частью
             базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым,
             существует строгий набор управления применительно к определению и использованию расширений.
             Хотя каждому реализатору разрешается определять расширения, имеется набор требований,
             которые должны выполняться в рамках определения расширения.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="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.
             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).">modifierExtension</a> 
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            <span title="ClinicalImpression.identifier : 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.">identifier</span> 
            <a name="ClinicalImpression.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Business identifier
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
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            TRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ClinicalImpression.status : Определяет статус рабочего процесса проведения оценки.">status</span> 
            <a name="ClinicalImpression.status"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">draft | completed | entered-in-error
            <br/>  
            <a href="valueset-clinicalimpression-status.html" title="Рабочий статус клинической оценки.">Clinical Impression Status</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="ClinicalImpression.statusReason : Captures the reason for the current state of the ClinicalImpressio
            n.">statusReason</span> 
            <a name="ClinicalImpression.statusReason"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Reason for current status</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <span title="ClinicalImpression.code : Categorizes the type of clinical assessment performed.">code</span> 
            <a name="ClinicalImpression.code"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Kind of assessment performed</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="ClinicalImpression.description : Краткое изложение контекста и/или причин проведения оценки
             - почему/где она выполнялась, и какие события/статусы пациента вызвали ее.">description</span> 
            <a name="ClinicalImpression.description"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Почему/как проводилась оценка</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            <span title="ClinicalImpression.subject : The patient or group of individuals assessed as part of this
             record.">subject</span> 
            <a name="ClinicalImpression.subject"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Patient or group assessed</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <span title="ClinicalImpression.encounter : The Encounter during which this ClinicalImpression was
             created or to which the creation of this record is tightly associated.">encounter</span> 
            <a name="ClinicalImpression.encounter"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="encounter.html">Encounter</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Encounter created as part of</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="ClinicalImpression.effective[x] : The point in time or period over which the subject was
             assessed.">effective[x]</span> 
            <a name="ClinicalImpression.effective_x_"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Time of assessment</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
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            TRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes
             are specified, a time zone SHALL be populated. The format is a union of the schema types
             gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints
             but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.">effectiveDateTime</span> 
          </td> 
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            <a href="datatypes.html#dateTime">dateTime</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="Период времени, заданный датой начала и окончания и, необязательно, временем.">effectivePeriod</span> 
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            <a href="datatypes.html#Period">Period</a> 
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            <span title="ClinicalImpression.date : Indicates when the documentation of the assessment was complete.">date</span> 
            <a name="ClinicalImpression.date"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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        </tr> 

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            <span title="ClinicalImpression.assessor : Клиницист, выполняющий оценку.">assessor</span> 
            <a name="ClinicalImpression.assessor"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="practitioner.html">Practitioner</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Клиницист, выполняющий оценку</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="ClinicalImpression.previous : Ссылка на последнюю оценку, проведенную для этого пациента.
             Проведение оценок по своей природе часто/обычно не прекращается; поставщик медицинских
             услуг (врач или команда) проводит новые оценки на постоянной основе, как только появляются
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            <a name="ClinicalImpression.previous"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="clinicalimpression.html">ClinicalImpression</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="ClinicalImpression.problem : Это список общих проблем/состояний пациента.">problem</span> 
            <a name="ClinicalImpression.problem"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="condition.html">Condition</a>  | 
            <a href="allergyintolerance.html">AllergyIntolerance</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Relevant impressions of patient state
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="ClinicalImpression.investigation : Одно или несколько исследований (признаки, симптомы
             и т. д.). Фактическая группировка исследований сильно различается в зависимости от типа
             и контекста оценки. Эти исследования могут включать в себя данные, полученные в процессе
             оценки, или ранее созданные и записанные данные, которые имеют отношение к результатам.">investigation</span> 
            <a name="ClinicalImpression.investigation"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Одно или несколько исследований (признаки, симптомы и т. д.)
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="ClinicalImpression.investigation.code : A name/code for the group (&quot;set&quot;) of
             investigations. Typically, this will be something like &quot;signs&quot;, &quot;symptoms&quot;,
             &quot;clinical&quot;, &quot;diagnostic&quot;, but the list is not constrained, and others
             such groups such as (exposure|family|travel|nutritional) history may be used.">code</span> 
            <a name="ClinicalImpression.investigation.code"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Название/код для этой группы
            <br/>  
            <a href="valueset-investigation-sets.html" title="Название/код для набора исследований.">Investigation Type</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            <span title="ClinicalImpression.investigation.item : Запись о конкретном исследовании, которое было
             проведено.">item</span> 
            <a name="ClinicalImpression.investigation.item"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="observation.html">Observation</a>  | 
            <a href="questionnaireresponse.html">QuestionnaireResponse</a>  | 
            <a href="familymemberhistory.html">FamilyMemberHistory</a>  | 
            <a href="diagnosticreport.html">DiagnosticReport</a>  | 
            <a href="riskassessment.html">RiskAssessment</a>  | 
            <a href="imagingstudy.html">ImagingStudy</a>  | 
            <a href="media.html">Media</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Запись отдельного исследования
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
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            <span title="ClinicalImpression.protocol : Ссылка на конкретный опубликованный клинический протокол,
             которому следовали при проведении этой оценки, и/или который предоставляет доказательство
             в поддержку диагноза.">protocol</span> 
            <a name="ClinicalImpression.protocol"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#uri">uri</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Клинический протокол, которому следовали
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="ClinicalImpression.summary : Краткое текстовое изложение исследований и диагностики.">summary</span> 
            <a name="ClinicalImpression.summary"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Краткое содержание оценки</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="ClinicalImpression.finding : Конкретные выводы или диагнозы, которые считаются вероятными
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            <a name="ClinicalImpression.finding"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Возможные или вероятные выводы и диагнозы
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <br/>  
            <a href="valueset-condition-code.html" title="Идентификация состояния или диагноза.">Condition/Problem/Diagnosis Codes</a>  (
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="references.html#Reference">Reference</a> (
            <a href="condition.html">Condition</a>  | 
            <a href="observation.html">Observation</a>  | 
            <a href="media.html">Media</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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        </tr> 

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <br/>  
            <a href="valueset-clinicalimpression-prognosis.html" title="Prognosis or outlook findings.">Clinical Impression Prognosis</a>  (
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            <br/>  
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="references.html#Reference">Reference</a> (
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            <br/>  
          </td> 
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            EOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQ
            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="ClinicalImpression.supportingInfo : Information supporting the clinical impression.">supportingInfo</span> 
            <a name="ClinicalImpression.supportingInfo"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Information supporting the clinical impression
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAA
          AASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUO
            L+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
            ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
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            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="ClinicalImpression.note : Commentary about the impression, typically recorded after the
             impression itself was made, though supplemental notes by the original author could also
             appear.">note</span> 
            <a name="ClinicalImpression.note"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Annotation">Annotation</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Comments made about the ClinicalImpression
            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Документация по этому формату
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="patient"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pc"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/> 
  <version value="3.6.0"/> 
  <name value="ClinicalImpression"/> 
  <status value="draft"/> 
  <date value="2019-05-17T12:34:53+00:00"/> 
  <publisher value="Health Level Seven International (Patient Care)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/patientcare/index.cfm"/> 
    </telecom> 
  </contact> 
  <description value="Запись клинической оценки, выполняемой для прогнозирования влияния проблем на пациента
   и перед планированием, проведением и оценкой терапевтических вмешательств, наиболее подходящих
   для состояния пациента. Клиническая оценка часто один в один совпадает с клинической консультацией/с
  лучаем обслуживания (encounter), но сильно варьируется в зависимости от клинического рабочего
   процесса. Этот ресурс назван &quot;ClinicalImpression&quot;, а не &quot;ClinicalAssessment&quot;,
   дабы избежать путаницы с инструментами оценки, например шкала Апгар."/> 
  <fhirVersion value="3.6.0"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="ClinicalImpression"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="ClinicalImpression">
      <path value="ClinicalImpression"/> 
      <short value="Клиническая оценка, выполняемая для планирования, проведения и оценки терапевтических
       вмешательств и прогнозирования последующего поведения пациента"/> 
      <definition value="Запись клинической оценки, выполняемой для прогнозирования влияния проблем на пациента
       и перед планированием, проведением и оценкой терапевтических вмешательств, наиболее подходящих
       для состояния пациента. Клиническая оценка часто один в один совпадает с клинической консультацией/с
      лучаем обслуживания (encounter), но сильно варьируется в зависимости от клинического рабочего
       процесса. Этот ресурс назван &quot;ClinicalImpression&quot;, а не &quot;ClinicalAssessment&quot;,
       дабы избежать путаницы с инструментами оценки, например шкала Апгар."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ
         дана ссылка or SHALL refer to the containing resource"/> 
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
        l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
        ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
        anonical) = '#').exists()).not()).trace('unmatched', id).empty()"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@va
        lue=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="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."/> 
        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.div.exists()"/> 
        <xpath value="exists(f:text/h:div)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="Partial mapping for problem evaluation"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.id">
      <path value="ClinicalImpression.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ClinicalImpression.meta">
      <path value="ClinicalImpression.meta"/> 
      <short value="Метаданные ресурса"/> 
      <definition value="Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения
       этой информации не всегда можно ассоциировать с версионными изменениями ресурса."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ClinicalImpression.implicitRules">
      <path value="ClinicalImpression.implicitRules"/> 
      <short value="Свод правил, в соответствии с которыми создавалось это содержимое"/> 
      <definition value="Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо
       понимать при обработке этого содержимого. Often, this is a reference to an implementation
       guide that defines the special rules along with other profiles etc."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="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"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ClinicalImpression.language">
      <path value="ClinicalImpression.language"/> 
      <short value="Язык содержимого ресурса"/> 
      <definition value="Основной язык, на котором написан ресурс."/> 
      <comment value="Язык указывается для поддержки предварительной обработки текстов и доступности для понимания
       (например при преобразовании текста в речь используется языковой тег). HTML-тег language
       в описательной части применяется к этой описательной части. Языковой тег ресурса может
       использоваться для указания языков других представлений, генерируемых из данных ресурса

Не все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя
       автоматически принимать за язык описательной части. Если язык указан, его также следует
       указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang
       см. в правилах HTML5)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Естественный язык."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="ClinicalImpression.text">
      <path value="ClinicalImpression.text"/> 
      <short value="Краткое текстовое изложение ресурса для интерпретации человеком"/> 
      <definition value="Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может
       использоваться для представления содержимого ресурса человеку. От описательной части не
       требуется кодировать все структурированные данные, но она должна содержать достаточно
       сведений, чтобы простое её прочтение человеком было &quot;клинически безопасным&quot;.
       Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной
       части для обеспечения клинической безопасной."/> 
      <comment value="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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.contained">
      <path value="ClinicalImpression.contained"/> 
      <short value="Вложенные, встроенные инлайн ресурсы"/> 
      <definition value="Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит -
       их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой
       транзакционной области действия."/> 
      <comment value="Этого не следует делать, когда содержимое может быть идентифицировано должным образом,
       поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова
       восстановить её. Contained resources may have profiles and tags In their meta elements,
       but SHALL NOT have security labels."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.extension">
      <path value="ClinicalImpression.extension"/> 
      <short value="Дополнительное содержимое, определенное реализаторами"/> 
      <definition value="Может использоваться для представления дополнительной информации, не являющейся частью
       базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым,
       существует строгий набор управления применительно к определению и использованию расширений.
       Хотя каждому реализатору разрешается определять расширения, имеется набор требований,
       которые должны выполняться в рамках определения расширения."/> 
      <comment value="Не должно быть никаких предрассудков по использованию расширений любыми приложениями,
       проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют
       или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять
       простоту для всех."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.modifierExtension">
      <path value="ClinicalImpression.modifierExtension"/> 
      <short value="Расширения, которые нельзя игнорировать"/> 
      <definition value="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.
       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 value="Не должно быть никаких предрассудков по использованию расширений любыми приложениями,
       проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют
       или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять
       простоту для всех."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.identifier">
      <path value="ClinicalImpression.identifier"/> 
      <short value="Business identifier"/> 
      <definition value="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 value="This is a business identifier, not a resource identifier (see [discussion](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 value="Allows identification of the clinical impression as it is known by various participating
       systems and in a way that remains consistent across servers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.status">
      <path value="ClinicalImpression.status"/> 
      <short value="draft | completed | entered-in-error"/> 
      <definition value="Определяет статус рабочего процесса проведения оценки."/> 
      <comment value="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 value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="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"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Рабочий статус клинической оценки."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/clinicalimpression-status"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-14"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.statusReason">
      <path value="ClinicalImpression.statusReason"/> 
      <short value="Reason for current status"/> 
      <definition value="Captures the reason for the current state of the ClinicalImpression."/> 
      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;not-done&quot;,
       &quot;suspended&quot; or &quot;cancelled&quot;.

[distinct reason codes for different statuses can be enforced using invariants if they
       are universal bindings]."/> 
      <alias value="Suspended Reason"/> 
      <alias value="Cancelled Reason"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.statusReason"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionStatusReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes identifying the reason for the current state of a clinical impression."/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.statusReason"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.code">
      <path value="ClinicalImpression.code"/> 
      <short value="Kind of assessment performed"/> 
      <definition value="Categorizes the type of clinical assessment performed."/> 
      <comment value="This is present as a place-holder only and may be removed based on feedback/work group
       opinion."/> 
      <alias value="type"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.code"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Identifies categories of clinical impressions.  This is a place-holder only.  It may be
         removed."/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.description">
      <path value="ClinicalImpression.description"/> 
      <short value="Почему/как проводилась оценка"/> 
      <definition value="Краткое изложение контекста и/или причин проведения оценки - почему/где она выполнялась,
       и какие события/статусы пациента вызвали ее."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ClinicalImpression.subject">
      <path value="ClinicalImpression.subject"/> 
      <short value="Patient or group assessed"/> 
      <definition value="The patient or group of individuals assessed as part of this record."/> 
      <requirements value="Group is typically for veterinary and/or public health purposes."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.subject"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.encounter">
      <path value="ClinicalImpression.encounter"/> 
      <short value="Encounter created as part of"/> 
      <definition value="The Encounter during which this ClinicalImpression was created or to which the creation
       of this record is tightly associated."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.encounter"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.effective[x]">
      <path value="ClinicalImpression.effective[x]"/> 
      <short value="Time of assessment"/> 
      <definition value="The point in time or period over which the subject was assessed."/> 
      <comment value="This SHOULD be accurate to at least the minute, though some assessments only have a known
       date."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.effective[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-2"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.date">
      <path value="ClinicalImpression.date"/> 
      <short value="When the assessment was documented"/> 
      <definition value="Indicates when the documentation of the assessment was complete."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.date"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.assessor">
      <path value="ClinicalImpression.assessor"/> 
      <short value="Клиницист, выполняющий оценку"/> 
      <definition value="Клиницист, выполняющий оценку."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.assessor"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.author"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ROL-4"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.previous">
      <path value="ClinicalImpression.previous"/> 
      <short value="Ссылка на последнюю оценку"/> 
      <definition value="Ссылка на последнюю оценку, проведенную для этого пациента. Проведение оценок по своей
       природе часто/обычно не прекращается; поставщик медицинских услуг (врач или команда) проводит
       новые оценки на постоянной основе, как только появляются новые данные или меняется состояние
       пациента."/> 
      <comment value="Всегда есть вероятность, что существует несколько предыдущих оценок для пациента. Вопрос
       цитирования предыдущей оценки в том, что данная оценка связана с ним (см. resolved)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.previous"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ClinicalImpression.problem">
      <path value="ClinicalImpression.problem"/> 
      <short value="Relevant impressions of patient state"/> 
      <definition value="Это список общих проблем/состояний пациента."/> 
      <comment value="например пациентка беременна, у нее застойная сердечная недостаточность, аденокарцинома
       и аллергия на пенициллин."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.problem"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-3 / IAM-7"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.investigation">
      <path value="ClinicalImpression.investigation"/> 
      <short value="Одно или несколько исследований (признаки, симптомы и т. д.)"/> 
      <definition value="Одно или несколько исследований (признаки, симптомы и т. д.). Фактическая группировка
       исследований сильно различается в зависимости от типа и контекста оценки. Эти исследования
       могут включать в себя данные, полученные в процессе оценки, или ранее созданные и записанные
       данные, которые имеют отношение к результатам."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.investigation"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ClinicalImpression.investigation.id">
      <path value="ClinicalImpression.investigation.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.investigation.extension">
      <path value="ClinicalImpression.investigation.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.investigation.modifierExtension">
      <path value="ClinicalImpression.investigation.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.
       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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.investigation.code">
      <path value="ClinicalImpression.investigation.code"/> 
      <short value="Название/код для этой группы"/> 
      <definition value="A name/code for the group (&quot;set&quot;) of investigations. Typically, this will be
       something like &quot;signs&quot;, &quot;symptoms&quot;, &quot;clinical&quot;, &quot;diagnostic&quot;
      , but the list is not constrained, and others such groups such as (exposure|family|travel|nutritional
      ) history may be used."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.investigation.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="InvestigationGroupType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Название/код для набора исследований."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/investigation-sets"/> 
      </binding> 
    </element> 
    <element id="ClinicalImpression.investigation.item">
      <path value="ClinicalImpression.investigation.item"/> 
      <short value="Запись отдельного исследования"/> 
      <definition value="Запись о конкретном исследовании, которое было проведено."/> 
      <comment value="Большинство исследований являются наблюдениями одного или другого вида, но для сбора данных
       также могут быть использованы и некоторые другие специфичные виды ресурсов."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.investigation.item"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-21"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.protocol">
      <path value="ClinicalImpression.protocol"/> 
      <short value="Клинический протокол, которому следовали"/> 
      <definition value="Ссылка на конкретный опубликованный клинический протокол, которому следовали при проведении
       этой оценки, и/или который предоставляет доказательство в поддержку диагноза."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.protocol"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ClinicalImpression.summary">
      <path value="ClinicalImpression.summary"/> 
      <short value="Краткое содержание оценки"/> 
      <definition value="Краткое текстовое изложение исследований и диагностики."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.summary"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.finding">
      <path value="ClinicalImpression.finding"/> 
      <short value="Возможные или вероятные выводы и диагнозы"/> 
      <definition value="Конкретные выводы или диагнозы, которые считаются вероятными или имеющими отношение к
       текущей схеме лечения."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.finding"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ClinicalImpression.finding.id">
      <path value="ClinicalImpression.finding.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.finding.extension">
      <path value="ClinicalImpression.finding.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.finding.modifierExtension">
      <path value="ClinicalImpression.finding.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.
       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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.finding.itemCodeableConcept">
      <path value="ClinicalImpression.finding.itemCodeableConcept"/> 
      <short value="What was found"/> 
      <definition value="Specific text or code for finding or diagnosis, which may include ruled-out or resolved
       conditions."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.finding.itemCodeableConcept"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionKind"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Идентификация состояния или диагноза."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.finding.itemReference">
      <path value="ClinicalImpression.finding.itemReference"/> 
      <short value="What was found"/> 
      <definition value="Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.finding.itemReference"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.finding.basis">
      <path value="ClinicalImpression.finding.basis"/> 
      <short value="Какие исследования подтверждают выводы"/> 
      <definition value="Какие исследования подтверждают выводы или диагноз."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ClinicalImpression.finding.basis"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ClinicalImpression.prognosisCodeableConcept">
      <path value="ClinicalImpression.prognosisCodeableConcept"/> 
      <short value="Оценка вероятного исхода"/> 
      <definition value="Оценка вероятного исхода."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.prognosisCodeableConcept"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionPrognosis"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Prognosis or outlook findings."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-22"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.prognosisReference">
      <path value="ClinicalImpression.prognosisReference"/> 
      <short value="RiskAssessment expressing likely outcome"/> 
      <definition value="RiskAssessment expressing likely outcome."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.prognosisReference"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ClinicalImpression.supportingInfo">
      <path value="ClinicalImpression.supportingInfo"/> 
      <short value="Information supporting the clinical impression"/> 
      <definition value="Information supporting the clinical impression."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.supportingInfo"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ClinicalImpression.note">
      <path value="ClinicalImpression.note"/> 
      <short value="Comments made about the ClinicalImpression"/> 
      <definition value="Commentary about the impression, typically recorded after the impression itself was made,
       though supplemental notes by the original author could also appear."/> 
      <comment value="Don't use this element for content that should more properly appear as one of the specific
       elements of the impression."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ClinicalImpression.note"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.note"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="ClinicalImpression">
      <path value="ClinicalImpression"/> 
      <short value="Клиническая оценка, выполняемая для планирования, проведения и оценки терапевтических
       вмешательств и прогнозирования последующего поведения пациента"/> 
      <definition value="Запись клинической оценки, выполняемой для прогнозирования влияния проблем на пациента
       и перед планированием, проведением и оценкой терапевтических вмешательств, наиболее подходящих
       для состояния пациента. Клиническая оценка часто один в один совпадает с клинической консультацией/с
      лучаем обслуживания (encounter), но сильно варьируется в зависимости от клинического рабочего
       процесса. Этот ресурс назван &quot;ClinicalImpression&quot;, а не &quot;ClinicalAssessment&quot;,
       дабы избежать путаницы с инструментами оценки, например шкала Апгар."/> 
      <min value="0"/> 
      <max value="*"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="Partial mapping for problem evaluation"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.identifier">
      <path value="ClinicalImpression.identifier"/> 
      <short value="Business identifier"/> 
      <definition value="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 value="This is a business identifier, not a resource identifier (see [discussion](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 value="Allows identification of the clinical impression as it is known by various participating
       systems and in a way that remains consistent across servers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.status">
      <path value="ClinicalImpression.status"/> 
      <short value="draft | completed | entered-in-error"/> 
      <definition value="Определяет статус рабочего процесса проведения оценки."/> 
      <comment value="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 value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="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"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Рабочий статус клинической оценки."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/clinicalimpression-status"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-14"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.statusReason">
      <path value="ClinicalImpression.statusReason"/> 
      <short value="Reason for current status"/> 
      <definition value="Captures the reason for the current state of the ClinicalImpression."/> 
      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;not-done&quot;,
       &quot;suspended&quot; or &quot;cancelled&quot;.

[distinct reason codes for different statuses can be enforced using invariants if they
       are universal bindings]."/> 
      <alias value="Suspended Reason"/> 
      <alias value="Cancelled Reason"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionStatusReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes identifying the reason for the current state of a clinical impression."/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.statusReason"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.code">
      <path value="ClinicalImpression.code"/> 
      <short value="Kind of assessment performed"/> 
      <definition value="Categorizes the type of clinical assessment performed."/> 
      <comment value="This is present as a place-holder only and may be removed based on feedback/work group
       opinion."/> 
      <alias value="type"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Identifies categories of clinical impressions.  This is a place-holder only.  It may be
         removed."/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.description">
      <path value="ClinicalImpression.description"/> 
      <short value="Почему/как проводилась оценка"/> 
      <definition value="Краткое изложение контекста и/или причин проведения оценки - почему/где она выполнялась,
       и какие события/статусы пациента вызвали ее."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="ClinicalImpression.subject">
      <path value="ClinicalImpression.subject"/> 
      <short value="Patient or group assessed"/> 
      <definition value="The patient or group of individuals assessed as part of this record."/> 
      <requirements value="Group is typically for veterinary and/or public health purposes."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.encounter">
      <path value="ClinicalImpression.encounter"/> 
      <short value="Encounter created as part of"/> 
      <definition value="The Encounter during which this ClinicalImpression was created or to which the creation
       of this record is tightly associated."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.effective[x]">
      <path value="ClinicalImpression.effective[x]"/> 
      <short value="Time of assessment"/> 
      <definition value="The point in time or period over which the subject was assessed."/> 
      <comment value="This SHOULD be accurate to at least the minute, though some assessments only have a known
       date."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-2"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.date">
      <path value="ClinicalImpression.date"/> 
      <short value="When the assessment was documented"/> 
      <definition value="Indicates when the documentation of the assessment was complete."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.assessor">
      <path value="ClinicalImpression.assessor"/> 
      <short value="Клиницист, выполняющий оценку"/> 
      <definition value="Клиницист, выполняющий оценку."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.author"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ROL-4"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.previous">
      <path value="ClinicalImpression.previous"/> 
      <short value="Ссылка на последнюю оценку"/> 
      <definition value="Ссылка на последнюю оценку, проведенную для этого пациента. Проведение оценок по своей
       природе часто/обычно не прекращается; поставщик медицинских услуг (врач или команда) проводит
       новые оценки на постоянной основе, как только появляются новые данные или меняется состояние
       пациента."/> 
      <comment value="Всегда есть вероятность, что существует несколько предыдущих оценок для пациента. Вопрос
       цитирования предыдущей оценки в том, что данная оценка связана с ним (см. resolved)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/> 
      </type> 
    </element> 
    <element id="ClinicalImpression.problem">
      <path value="ClinicalImpression.problem"/> 
      <short value="Relevant impressions of patient state"/> 
      <definition value="Это список общих проблем/состояний пациента."/> 
      <comment value="например пациентка беременна, у нее застойная сердечная недостаточность, аденокарцинома
       и аллергия на пенициллин."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-3 / IAM-7"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.investigation">
      <path value="ClinicalImpression.investigation"/> 
      <short value="Одно или несколько исследований (признаки, симптомы и т. д.)"/> 
      <definition value="Одно или несколько исследований (признаки, симптомы и т. д.). Фактическая группировка
       исследований сильно различается в зависимости от типа и контекста оценки. Эти исследования
       могут включать в себя данные, полученные в процессе оценки, или ранее созданные и записанные
       данные, которые имеют отношение к результатам."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
    </element> 
    <element id="ClinicalImpression.investigation.code">
      <path value="ClinicalImpression.investigation.code"/> 
      <short value="Название/код для этой группы"/> 
      <definition value="A name/code for the group (&quot;set&quot;) of investigations. Typically, this will be
       something like &quot;signs&quot;, &quot;symptoms&quot;, &quot;clinical&quot;, &quot;diagnostic&quot;
      , but the list is not constrained, and others such groups such as (exposure|family|travel|nutritional
      ) history may be used."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="InvestigationGroupType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Название/код для набора исследований."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/investigation-sets"/> 
      </binding> 
    </element> 
    <element id="ClinicalImpression.investigation.item">
      <path value="ClinicalImpression.investigation.item"/> 
      <short value="Запись отдельного исследования"/> 
      <definition value="Запись о конкретном исследовании, которое было проведено."/> 
      <comment value="Большинство исследований являются наблюдениями одного или другого вида, но для сбора данных
       также могут быть использованы и некоторые другие специфичные виды ресурсов."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-21"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.protocol">
      <path value="ClinicalImpression.protocol"/> 
      <short value="Клинический протокол, которому следовали"/> 
      <definition value="Ссылка на конкретный опубликованный клинический протокол, которому следовали при проведении
       этой оценки, и/или который предоставляет доказательство в поддержку диагноза."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="uri"/> 
      </type> 
    </element> 
    <element id="ClinicalImpression.summary">
      <path value="ClinicalImpression.summary"/> 
      <short value="Краткое содержание оценки"/> 
      <definition value="Краткое текстовое изложение исследований и диагностики."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.finding">
      <path value="ClinicalImpression.finding"/> 
      <short value="Возможные или вероятные выводы и диагнозы"/> 
      <definition value="Конкретные выводы или диагнозы, которые считаются вероятными или имеющими отношение к
       текущей схеме лечения."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
    </element> 
    <element id="ClinicalImpression.finding.itemCodeableConcept">
      <path value="ClinicalImpression.finding.itemCodeableConcept"/> 
      <short value="What was found"/> 
      <definition value="Specific text or code for finding or diagnosis, which may include ruled-out or resolved
       conditions."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionKind"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Идентификация состояния или диагноза."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.finding.itemReference">
      <path value="ClinicalImpression.finding.itemReference"/> 
      <short value="What was found"/> 
      <definition value="Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.finding.basis">
      <path value="ClinicalImpression.finding.basis"/> 
      <short value="Какие исследования подтверждают выводы"/> 
      <definition value="Какие исследования подтверждают выводы или диагноз."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
    </element> 
    <element id="ClinicalImpression.prognosisCodeableConcept">
      <path value="ClinicalImpression.prognosisCodeableConcept"/> 
      <short value="Оценка вероятного исхода"/> 
      <definition value="Оценка вероятного исхода."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionPrognosis"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Prognosis or outlook findings."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-22"/> 
      </mapping> 
    </element> 
    <element id="ClinicalImpression.prognosisReference">
      <path value="ClinicalImpression.prognosisReference"/> 
      <short value="RiskAssessment expressing likely outcome"/> 
      <definition value="RiskAssessment expressing likely outcome."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/> 
      </type> 
    </element> 
    <element id="ClinicalImpression.supportingInfo">
      <path value="ClinicalImpression.supportingInfo"/> 
      <short value="Information supporting the clinical impression"/> 
      <definition value="Information supporting the clinical impression."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
    </element> 
    <element id="ClinicalImpression.note">
      <path value="ClinicalImpression.note"/> 
      <short value="Comments made about the ClinicalImpression"/> 
      <definition value="Commentary about the impression, typically recorded after the impression itself was made,
       though supplemental notes by the original author could also appear."/> 
      <comment value="Don't use this element for content that should more properly appear as one of the specific
       elements of the impression."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.note"/> 
      </mapping> 
    </element> 
  </differential> 
</StructureDefinition> 

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.