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.
package_name: fhir.r4.spirecore
derivation: constraint
name: SpireCoreClinicalImpression
type: ClinicalImpression
elements:
  investigation:
    elements:
      item:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory', 'http://hl7.org/fhir/StructureDefinition/ImagingStudy', 'http://hl7.org/fhir/StructureDefinition/Media', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/StructureDefinition/RiskAssessment', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReport', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-FamilyMemberHistory', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ImagingStudy', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Media', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-QuestionnaireResponse', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RiskAssessment']
        index: 11
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 12
  assessor:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
    index: 5
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 6
  supportingInfo:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Resource', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Resource']
    index: 17
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 18
  encounter:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter']
    index: 3
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 4
  problem:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/AllergyIntolerance', 'http://hl7.org/fhir/StructureDefinition/Condition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-AllergyIntolerance', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition']
    index: 9
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 10
  note:
    elements:
      author:
        choices: [authorReference, authorString]
        index: 20
      authorReference:
        type: Reference
        choiceOf: author
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
        index: 21
      authorString: {type: string, choiceOf: author, index: 22}
  previous:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/ClinicalImpression', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClinicalImpression']
    index: 7
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 8
  identifier:
    elements:
      assigner:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 0
  finding:
    elements:
      itemReference:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/Media', 'http://hl7.org/fhir/StructureDefinition/Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Media', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation']
        index: 13
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 14
  prognosisReference:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/RiskAssessment', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RiskAssessment']
    index: 15
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 16
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Group', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient']
    index: 1
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 2
package_version: 0.1.0-alpha
class: profile
kind: resource
url: https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClinicalImpression
base: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
version: null