description: null
package_name: hl7.fhir.r4b.core
derivation: specialization
name: ClinicalImpression
type: ClinicalImpression
elements:
  description: {isModifier: false, short: Why/how the assessment was performed, type: string, mustSupport: false, isSummary: true, index: 4}
  date: {isModifier: false, short: When the assessment was documented, type: dateTime, mustSupport: false, isSummary: true, index: 11}
  investigation:
    isModifier: false
    short: One or more sets of investigations (signs, symptoms, etc.)
    index: 15
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      code:
        isModifier: false
        short: A name/code for the set
        type: CodeableConcept
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/investigation-sets'}
        isSummary: false
        index: 16
      item:
        isModifier: false
        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/Media', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/StructureDefinition/RiskAssessment']
        type: Reference
        mustSupport: false
        array: true
        isSummary: false
        index: 17
    required: [code]
    isSummary: false
  protocol: {isModifier: false, short: Clinical Protocol followed, type: uri, mustSupport: false, array: true, isSummary: false, index: 18}
  assessor:
    isModifier: false
    short: The clinician performing the assessment
    refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole']
    type: Reference
    mustSupport: false
    isSummary: true
    index: 12
  supportingInfo:
    isModifier: false
    short: Information supporting the clinical impression
    refers: ['http://hl7.org/fhir/StructureDefinition/Resource']
    type: Reference
    mustSupport: false
    array: true
    isSummary: false
    index: 26
  encounter:
    isModifier: false
    short: Encounter created as part of
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter']
    type: Reference
    mustSupport: false
    isSummary: true
    index: 6
  problem:
    isModifier: false
    short: Relevant impressions of patient state
    refers: ['http://hl7.org/fhir/StructureDefinition/AllergyIntolerance', 'http://hl7.org/fhir/StructureDefinition/Condition']
    type: Reference
    mustSupport: false
    array: true
    isSummary: true
    index: 14
  statusReason: {isModifier: false, short: Reason for current status, type: CodeableConcept, mustSupport: false, isSummary: false, index: 2}
  note: {isModifier: false, short: Comments made about the ClinicalImpression, type: Annotation, mustSupport: false, array: true, isSummary: false, index: 27}
  summary: {isModifier: false, short: Summary of the assessment, type: string, mustSupport: false, isSummary: false, index: 19}
  effectiveDateTime: {isModifier: false, short: Time of assessment, type: dateTime, mustSupport: false, choiceOf: effective, isSummary: true, index: 9}
  prognosisCodeableConcept:
    isModifier: false
    short: Estimate of likely outcome
    type: CodeableConcept
    mustSupport: false
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis'}
    isSummary: false
    index: 24
  status:
    isModifier: true
    short: in-progress | completed | entered-in-error
    index: 1
    type: code
    mustSupport: false
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.1.0'}
    isModifierReason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    isSummary: true
  effective:
    isModifier: false
    short: Time of assessment
    mustSupport: false
    choices: [effectiveDateTime, effectivePeriod]
    isSummary: true
    index: 8
  previous:
    isModifier: false
    short: Reference to last assessment
    refers: ['http://hl7.org/fhir/StructureDefinition/ClinicalImpression']
    type: Reference
    mustSupport: false
    isSummary: false
    index: 13
  code: {isModifier: false, short: Kind of assessment performed, type: CodeableConcept, mustSupport: false, isSummary: true, index: 3}
  identifier: {isModifier: false, short: Business identifier, type: Identifier, mustSupport: false, array: true, isSummary: true, index: 0}
  finding:
    isModifier: false
    short: Possible or likely findings and diagnoses
    type: BackboneElement
    mustSupport: false
    array: true
    isSummary: false
    index: 20
    elements:
      itemCodeableConcept:
        isModifier: false
        short: What was found
        type: CodeableConcept
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/condition-code'}
        isSummary: false
        index: 21
      itemReference:
        isModifier: false
        short: What was found
        refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/Media', 'http://hl7.org/fhir/StructureDefinition/Observation']
        type: Reference
        mustSupport: false
        isSummary: false
        index: 22
      basis: {isModifier: false, short: Which investigations support finding, type: string, mustSupport: false, isSummary: false, index: 23}
  prognosisReference:
    isModifier: false
    short: RiskAssessment expressing likely outcome
    refers: ['http://hl7.org/fhir/StructureDefinition/RiskAssessment']
    type: Reference
    mustSupport: false
    array: true
    isSummary: false
    index: 25
  subject:
    isModifier: false
    short: Patient or group assessed
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    mustSupport: false
    isSummary: true
    index: 5
  effectivePeriod: {isModifier: false, short: Time of assessment, type: Period, mustSupport: false, choiceOf: effective, isSummary: true, index: 10}
package_version: 4.1.0
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/ClinicalImpression
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 4.1.0
required: [status, subject]