## Profile Comparison between https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression vs https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression

Left: | AT APS ClinicalImpression (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression)
Right: | AT APS ClinicalImpression (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '1.1.0'
Information | StructureDefinition.date | Values for date differ: '2026-02-16T11:31:16+00:00' vs '2026-02-17T12:24:21+00:00'
Error | ClinicalImpression.previous | Type Mismatch: Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression]]) vs Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression]])
Error | ClinicalImpression.problem | Type Mismatch: Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition], CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance]]) vs Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition], CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance]])
Error | ClinicalImpression.finding.itemReference | Type Mismatch: Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition], CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media]]) vs Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition], CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media]])

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/ClinicalImpression |
copyright |  |
date | 2026-02-16T11:31:16+00:00 | 2026-02-17T12:24:21+00:00 | Values Differ
description | Das AT APS-Profil für die ClinicalImpression-Ressource berücksichtigt die österreichischen Vorgaben (z.B. Patient). |
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#AT |
kind | resource |
name | AtApsClinicalImpression |
publisher | ELGA GmbH |
purpose |  |
status | active |
title | AT APS ClinicalImpression |
type | ClinicalImpression |
url | https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression |
version | 1.0.0 | 1.1.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
ClinicalImpression |  | 0..* | ClinicalImpression | AT APS ClinicalImpression |  | 0..* | ClinicalImpression | AT APS ClinicalImpression |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business identifier | Σ | 0..* | Identifier | Business identifier |
status | ?!Σ | 1..1 | code | in-progress | completed | entered-in-error Binding: ?? (required): The workflow state of a clinical impression. | ?!Σ | 1..1 | code | in-progress | completed | entered-in-error Binding: ?? (required): The workflow state of a clinical impression. |
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a clinical impression. |  | 0..1 | CodeableConcept | Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a clinical impression. |
code | Σ | 0..1 | CodeableConcept | Kind of assessment performed Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed. | Σ | 0..1 | CodeableConcept | Kind of assessment performed Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed. |
description | Σ | 0..1 | string | Why/how the assessment was performed | Σ | 0..1 | string | Why/how the assessment was performed |
subject | Σ | 1..1 | Reference(AT APS Patient | Group) | Patient or group assessed | Σ | 1..1 | Reference(AT APS Patient | Group) | Patient or group assessed |
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
effective[x] | Σ | 0..1 | dateTime, Period | Time of assessment | Σ | 0..1 | dateTime, Period | Time of assessment |
date | Σ | 0..1 | dateTime | When the assessment was documented | Σ | 0..1 | dateTime | When the assessment was documented |
assessor | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole) | The clinician performing the assessment | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole) | The clinician performing the assessment |
previous |  | 0..1 | Reference(AT APS ClinicalImpression) | Reference to last assessment |  | 0..1 | Reference(AT APS ClinicalImpression) | Reference to last assessment | Type Mismatch: Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression]]) vs Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression]])
problem | Σ | 0..* | Reference(AT APS Condition | AT APS AllergyIntolerance) | Relevant impressions of patient state | Σ | 0..* | Reference(AT APS Condition | AT APS AllergyIntolerance) | Relevant impressions of patient state | Type Mismatch: Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition], CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance]]) vs Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition], CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance]])
investigation |  | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |  | 0..* | BackboneElement | One or more sets of investigations (signs, symptoms, etc.) |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code |  | 1..1 | CodeableConcept | A name/code for the set Binding: ?? (example): A name/code for a set of investigations. |  | 1..1 | CodeableConcept | A name/code for the set Binding: ?? (example): A name/code for a set of investigations. |
item |  | 0..* | Reference(AT APS Observation | QuestionnaireResponse | FamilyMemberHistory | AT APS DiagnosticReport | RiskAssessment | AT APS ImagingStudy | Media) | Record of a specific investigation |  | 0..* | Reference(AT APS Observation | QuestionnaireResponse | FamilyMemberHistory | AT APS DiagnosticReport | RiskAssessment | AT APS ImagingStudy | Media) | Record of a specific investigation |
protocol |  | 0..* | uri | Clinical Protocol followed |  | 0..* | uri | Clinical Protocol followed |
summary |  | 0..1 | string | Summary of the assessment |  | 0..1 | string | Summary of the assessment |
finding |  | 0..* | BackboneElement | Possible or likely findings and diagnoses |  | 0..* | BackboneElement | Possible or likely findings and diagnoses |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
itemCodeableConcept |  | 0..1 | CodeableConcept | What was found Binding: ?? (example): Identification of the Condition or diagnosis. |  | 0..1 | CodeableConcept | What was found Binding: ?? (example): Identification of the Condition or diagnosis. |
itemReference |  | 0..1 | Reference(AT APS Condition | AT APS Observation | Media) | What was found |  | 0..1 | Reference(AT APS Condition | AT APS Observation | Media) | What was found | Type Mismatch: Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition], CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media]]) vs Reference([CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition], CanonicalType[https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media]])
basis |  | 0..1 | string | Which investigations support finding |  | 0..1 | string | Which investigations support finding |
prognosisCodeableConcept |  | 0..* | CodeableConcept | Estimate of likely outcome Binding: ?? (example): Prognosis or outlook findings. |  | 0..* | CodeableConcept | Estimate of likely outcome Binding: ?? (example): Prognosis or outlook findings. |
prognosisReference |  | 0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome |  | 0..* | Reference(RiskAssessment) | RiskAssessment expressing likely outcome |
supportingInfo |  | 0..* | Reference(Resource) | Information supporting the clinical impression |  | 0..* | Reference(Resource) | Information supporting the clinical impression |
note |  | 0..* | Annotation | Comments made about the ClinicalImpression |  | 0..* | Annotation | Comments made about the ClinicalImpression |
Documentation for this format