description: This profile constrains [ClinicalImpression](http://hl7.org/fhir/StructureDefinition/ClinicalImpression) for use in the MCC FHIR Care Plan or other FHIR Care Plans.
package_name: hl7.fhir.us.mcc.r4b
derivation: constraint
name: MCCClinicalImpression
type: ClinicalImpression
elements:
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        resource-pertainsToGoal:
          match: {url: null}
          schema: {type: Extension, short: 'The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.', mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal', index: 1}
        changePattern:
          match: {url: null}
          schema: {type: Extension, short: 'Change in the status/pattern of a subject''s condition since previously assessed, such as worsening, improving, or no change', url: 'http://hl7.org/fhir/us/mcc/StructureDefinition/changePattern', index: 2}
          max: 1
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 3
    elements:
      type:
        elements:
          value: {index: 4}
  effective:
    mustSupport: true
    choices: []
    index: 6
  problem: {mustSupport: true, index: 7}
package_version: 1.0.0
extensions:
  resource-pertainsToGoal: {url: 'http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal', type: Extension, short: 'The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.', mustSupport: true, index: 1}
  changePattern: {url: 'http://hl7.org/fhir/us/mcc/StructureDefinition/changePattern', max: 1, type: Extension, short: 'Change in the status/pattern of a subject''s condition since previously assessed, such as worsening, improving, or no change', index: 2}
class: profile
kind: resource
url: http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression
base: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
version: 1.0.0
required: [problem]