description: Base StructureDefinition for ClinicalImpression Resource
package_name: hl7.fhir.core
derivation: specialization
name: ClinicalImpression
type: null
elements:
  patient: {type: Reference, short: The patient being assessed, isSummary: true, index: 0}
  description: {type: string, short: Why/how the assessment was performed, isSummary: true, index: 4}
  investigations:
    type: BackboneElement
    short: One or more sets of investigations (signs, symptions, etc.)
    array: true
    index: 11
    elements:
      code: {type: CodeableConcept, short: A name/code for the set, index: 12}
      item: {type: Reference, short: Record of a specific investigation, comments: Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used., array: true, index: 13}
    required: [code]
  date: {short: When the assessment occurred, comments: 'This SHOULD be accurate to at least the minute, though some assessments only have a known date.', type: dateTime, isSummary: true, index: 3}
  triggerReference: {type: Reference, short: Request or event that necessitated this assessment, choiceOf: trigger, index: 10}
  protocol: {type: uri, short: Clinical Protocol followed, index: 14}
  assessor: {type: Reference, short: The clinician performing the assessment, isSummary: true, index: 1}
  problem: {short: General assessment of patient state, comments: 'e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin.', type: Reference, array: true, isSummary: true, index: 6}
  resolved: {type: CodeableConcept, short: Diagnoses/conditions resolved since previous assessment, array: true, index: 19}
  summary: {type: string, short: Summary of the assessment, index: 15}
  status: {isModifier: true, short: in-progress | completed | entered-in-error, type: code, isSummary: true, index: 2}
  previous: {type: Reference, short: Reference to last assessment, comments: It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved)., index: 5}
  ruledOut:
    type: BackboneElement
    short: Diagnosis considered not possible
    array: true
    index: 20
    elements:
      item: {type: CodeableConcept, short: Specific text of code for diagnosis, index: 21}
      reason: {type: string, short: Grounds for elimination, index: 22}
    required: [item]
  action: {type: Reference, short: Actions taken during assessment, array: true, index: 25}
  finding:
    type: BackboneElement
    short: Possible or likely findings and diagnoses
    array: true
    index: 16
    elements:
      item: {type: CodeableConcept, short: Specific text or code for finding, index: 17}
      cause: {type: string, short: Which investigations support finding, index: 18}
    required: [item]
  trigger:
    short: Request or event that necessitated this assessment
    choices: [triggerCodeableConcept, triggerReference]
    index: 8
  triggerCodeableConcept: {type: CodeableConcept, short: Request or event that necessitated this assessment, choiceOf: trigger, index: 9}
  plan: {type: Reference, short: Plan of action after assessment, array: true, index: 24}
  prognosis: {type: string, short: Estimate of likely outcome, index: 23}
package_version: 1.4.0
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: null
required: [status, patient]