description: Base StructureDefinition for ClinicalImpression Resource
package_name: hl7.fhir.r3.core
derivation: specialization
name: ClinicalImpression
type: ClinicalImpression
elements:
  description: {type: string, short: Why/how the assessment was performed, isSummary: true, index: 3}
  date: {short: When the assessment was documented, type: dateTime, isSummary: true, index: 10}
  investigation:
    type: BackboneElement
    short: One or more sets of investigations (signs, symptions, etc.)
    array: true
    index: 14
    elements:
      code: {type: CodeableConcept, short: A name/code for the set, index: 15}
      item:
        short: Record of a specific investigation
        refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory', 'http://hl7.org/fhir/StructureDefinition/ImagingStudy', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/StructureDefinition/RiskAssessment']
        type: Reference
        array: true
        index: 16
    required: [code]
  protocol: {type: uri, short: Clinical Protocol followed, array: true, index: 17}
  assessor:
    short: The clinician performing the assessment
    refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner']
    type: Reference
    isSummary: true
    index: 11
  problem:
    short: Relevant impressions of patient state
    refers: ['http://hl7.org/fhir/StructureDefinition/AllergyIntolerance', 'http://hl7.org/fhir/StructureDefinition/Condition']
    type: Reference
    array: true
    isSummary: true
    index: 13
  note: {type: Annotation, short: Comments made about the ClinicalImpression, array: true, index: 29}
  summary: {type: string, short: Summary of the assessment, index: 18}
  effectiveDateTime: {short: Time of assessment, type: dateTime, choiceOf: effective, isSummary: true, index: 8}
  prognosisCodeableConcept: {short: Estimate of likely outcome, type: CodeableConcept, array: true, index: 26}
  status: {isModifier: true, short: draft | completed | entered-in-error, type: code, isSummary: true, index: 1}
  effective:
    short: Time of assessment
    choices: [effectiveDateTime, effectivePeriod]
    isSummary: true
    index: 7
  previous:
    short: Reference to last assessment
    refers: ['http://hl7.org/fhir/StructureDefinition/ClinicalImpression']
    type: Reference
    index: 12
  code: {short: Kind of assessment performed, type: CodeableConcept, isSummary: true, index: 2}
  identifier: {short: Business identifier, type: Identifier, array: true, isSummary: true, index: 0}
  context:
    short: Encounter or Episode created from
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'http://hl7.org/fhir/StructureDefinition/EpisodeOfCare']
    type: Reference
    isSummary: true
    index: 5
  action:
    short: Action taken as part of assessment procedure
    refers: ['http://hl7.org/fhir/StructureDefinition/Appointment', 'http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'http://hl7.org/fhir/StructureDefinition/Procedure', 'http://hl7.org/fhir/StructureDefinition/ProcedureRequest', 'http://hl7.org/fhir/StructureDefinition/ReferralRequest']
    type: Reference
    array: true
    index: 28
  finding:
    type: BackboneElement
    short: Possible or likely findings and diagnoses
    array: true
    index: 19
    elements:
      item:
        short: What was found
        choices: [itemCodeableConcept, itemReference, itemReference]
        index: 21
      itemCodeableConcept: {short: What was found, type: CodeableConcept, choiceOf: item, index: 22}
      itemReference:
        short: What was found
        refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
        type: Reference
        choiceOf: item
        index: 23
      basis: {type: string, short: Which investigations support finding, index: 25}
    required: [itemReference, item, itemCodeableConcept]
  prognosisReference:
    type: Reference
    short: RiskAssessment expressing likely outcome
    refers: ['http://hl7.org/fhir/StructureDefinition/RiskAssessment']
    array: true
    index: 27
  subject:
    short: Patient or group assessed
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    isSummary: true
    index: 4
  effectivePeriod: {short: Time of assessment, type: Period, choiceOf: effective, isSummary: true, index: 9}
package_version: 3.0.2
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: null
required: [status, subject]