{ "description": "A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow. This resource is called \\\"ClinicalImpression\\\" rather than \\\"ClinicalAssessment\\\" to avoid confusion with the recording of assessment tools such as Apgar score.", "_filename": "CareConnect-GPC-ClinicalImpression-1.json", "package_name": "gpc.stu3.fhir-assets", "date": "2023-08-04", "derivation": "constraint", "publisher": "NHS England", "fhirVersion": "3.0.2", "name": "CareConnect-GPC-ClinicalImpression-1", "abstract": false, "copyright": "Copyright © 2023 NHS England", "type": "ClinicalImpression", "experimental": null, "resourceType": "StructureDefinition", "title": null, "package_version": "1.1.0", "status": "draft", "id": "06a2bc16-e7f8-4781-ab24-48fe4ae4569b", "kind": "resource", "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1", "version": "1.1.0", "differential": { "element": [ { "id": "ClinicalImpression.identifier.assigner", "path": "ClinicalImpression.identifier.assigner", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" } ] }, { "id": "ClinicalImpression.subject", "path": "ClinicalImpression.subject", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" } ] }, { "id": "ClinicalImpression.context", "path": "ClinicalImpression.context", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" } ] }, { "id": "ClinicalImpression.assessor", "path": "ClinicalImpression.assessor", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" } ] }, { "id": "ClinicalImpression.previous", "path": "ClinicalImpression.previous", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" } ] }, { "id": "ClinicalImpression.problem", "path": "ClinicalImpression.problem", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1" } ] }, { "id": "ClinicalImpression.investigation.item", "path": "ClinicalImpression.investigation.item", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RiskAssessment" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ImagingStudy" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" } ] }, { "id": "ClinicalImpression.summary", "min": 1, "path": "ClinicalImpression.summary" }, { "id": "ClinicalImpression.finding.item[x]", "path": "ClinicalImpression.finding.item[x]", "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" } ] }, { "id": "ClinicalImpression.action", "path": "ClinicalImpression.action", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Procedure" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Appointment-1" } ] } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression" }