<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
  <version value="1.1.0" />
  <name value="CareConnect-GPC-ClinicalImpression-1" />
  <status value="draft" />
  <date value="2024-01-22T11:39:06.3872207+00:00" />
  <publisher value="NHS England" />
  <description value="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 &quot;ClinicalImpression&quot; rather than &quot;ClinicalAssessment&quot; to avoid confusion with the recording of assessment tools such as Apgar score." />
  <copyright value="Copyright © 2023 NHS England" />
  <fhirVersion value="3.0.2" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="ClinicalImpression" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression" />
  <derivation value="constraint" />
  <differential>
    <element id="ClinicalImpression.identifier.assigner">
      <path value="ClinicalImpression.identifier.assigner" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
      </type>
    </element>
    <element id="ClinicalImpression.subject">
      <path value="ClinicalImpression.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
      </type>
    </element>
    <element id="ClinicalImpression.context">
      <path value="ClinicalImpression.context" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" />
      </type>
    </element>
    <element id="ClinicalImpression.assessor">
      <path value="ClinicalImpression.assessor" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" />
      </type>
    </element>
    <element id="ClinicalImpression.previous">
      <path value="ClinicalImpression.previous" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
      </type>
    </element>
    <element id="ClinicalImpression.problem">
      <path value="ClinicalImpression.problem" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1" />
      </type>
    </element>
    <element id="ClinicalImpression.investigation.item">
      <path value="ClinicalImpression.investigation.item" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" />
      </type>
    </element>
    <element id="ClinicalImpression.summary">
      <path value="ClinicalImpression.summary" />
      <min value="1" />
    </element>
    <element id="ClinicalImpression.finding.item[x]">
      <path value="ClinicalImpression.finding.item[x]" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
      </type>
    </element>
    <element id="ClinicalImpression.action">
      <path value="ClinicalImpression.action" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Appointment-1" />
      </type>
    </element>
  </differential>
</StructureDefinition>