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Reported Clinical Information
Appears In: CACDI LDM View
Clinical information about a patient, such as immunizations, procedures and other interventions, etc., reported by a patient or by another non-practitioner, e.g., a caregiver.<br/>This entity contains only the attributes and relationships common to all types of reported clinical information (e.g. to immunizations, procedures, etc.). <br/><br/>Since reported information is provided by a non-practitioner, expectations about its accuracy are low. Thus, although the information may sometimes be accurate (e.g., when a patient has access to prescriptions or to the report of a vaccination performed in a clinic), it may also be incomplete and inaccurate, as some patients may not recall their medical history precisely. <br/>
  • Attributes
  • Associations To
  • Constraints
  • Other Links
Attribute Type
Reported Clinical Information Date Time Date Time
Notes: The date and, if available, time reported by the patient, caregiver, or another source as when the clinical service (e.g., immunization, procedure, consumption or administration of medication) is stated to have been delivered. <br/>If a specific date and/or time is not available, its free text description can be entered instead, either in the free text field of this attribute (every logical data type has such a field) or in clinical notes.<br/>
Reported Clinical Information Source Code Codeable Concept
Notes: A coded concept that specifies the role type of the person who reported the information. <br/><br/><b>Value set</b>:<br/>https://fhir.infoway-inforoute.ca/ValueSet/immunizationreportingsourcecode<br/>
Relationship Target Entity
about   Patient
includes   Location
reported in   Health Care Service Event
includes performer   Health Care Provider
Constraint
XOR: Reported Clinical Information Patient Age Number, Reported Clinical Information Patient Age Range (if both specified)
Connection Direction Entity
Generalization From Reported Immunization
Generalization From Reported Procedure