{
  "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": "SpireCore-ClinicalImpression.StructureDefinition.json",
  "package_name": "fhir.r4.spirecore",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "SpireCoreClinicalImpression",
  "abstract": false,
  "type": "ClinicalImpression",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "0.1.0-alpha",
  "status": "draft",
  "id": "8b396354-7685-43b6-9464-5ce4936e4e68",
  "kind": "resource",
  "url": "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClinicalImpression",
  "version": null,
  "differential": {
    "element": [ {
      "id": "ClinicalImpression.identifier.assigner",
      "path": "ClinicalImpression.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.subject",
      "path": "ClinicalImpression.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient", "http://hl7.org/fhir/StructureDefinition/Group", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Group" ]
      } ]
    }, {
      "id": "ClinicalImpression.subject.identifier.assigner",
      "path": "ClinicalImpression.subject.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.encounter",
      "path": "ClinicalImpression.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter" ]
      } ]
    }, {
      "id": "ClinicalImpression.encounter.identifier.assigner",
      "path": "ClinicalImpression.encounter.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.assessor",
      "path": "ClinicalImpression.assessor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole" ]
      } ]
    }, {
      "id": "ClinicalImpression.assessor.identifier.assigner",
      "path": "ClinicalImpression.assessor.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.previous",
      "path": "ClinicalImpression.previous",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ClinicalImpression", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClinicalImpression" ]
      } ]
    }, {
      "id": "ClinicalImpression.previous.identifier.assigner",
      "path": "ClinicalImpression.previous.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.problem",
      "path": "ClinicalImpression.problem",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition", "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-AllergyIntolerance" ]
      } ]
    }, {
      "id": "ClinicalImpression.problem.identifier.assigner",
      "path": "ClinicalImpression.problem.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.investigation.item",
      "path": "ClinicalImpression.investigation.item",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-QuestionnaireResponse", "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-FamilyMemberHistory", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RiskAssessment", "http://hl7.org/fhir/StructureDefinition/ImagingStudy", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ImagingStudy", "http://hl7.org/fhir/StructureDefinition/Media", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Media" ]
      } ]
    }, {
      "id": "ClinicalImpression.investigation.item.identifier.assigner",
      "path": "ClinicalImpression.investigation.item.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.finding.itemReference",
      "path": "ClinicalImpression.finding.itemReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation", "http://hl7.org/fhir/StructureDefinition/Media", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Media" ]
      } ]
    }, {
      "id": "ClinicalImpression.finding.itemReference.identifier.assigner",
      "path": "ClinicalImpression.finding.itemReference.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.prognosisReference",
      "path": "ClinicalImpression.prognosisReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RiskAssessment" ]
      } ]
    }, {
      "id": "ClinicalImpression.prognosisReference.identifier.assigner",
      "path": "ClinicalImpression.prognosisReference.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.supportingInfo",
      "path": "ClinicalImpression.supportingInfo",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Resource" ]
      } ]
    }, {
      "id": "ClinicalImpression.supportingInfo.identifier.assigner",
      "path": "ClinicalImpression.supportingInfo.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      } ]
    }, {
      "id": "ClinicalImpression.note.author[x]",
      "path": "ClinicalImpression.note.author[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner", "http://hl7.org/fhir/StructureDefinition/Patient", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization", "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization" ]
      }, {
        "code": "string"
      } ]
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"
}