{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1",
  "version": "1.1.0",
  "name": "CareConnect-GPC-ClinicalImpression-1",
  "status": "draft",
  "date": "2023-08-04",
  "publisher": "NHS England",
  "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.",
  "copyright": "Copyright © 2023 NHS England",
  "fhirVersion": "3.0.2",
  "kind": "resource",
  "abstract": false,
  "type": "ClinicalImpression",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ClinicalImpression.identifier.assigner",
        "path": "ClinicalImpression.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          }
        ]
      },
      {
        "id": "ClinicalImpression.subject",
        "path": "ClinicalImpression.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
          }
        ]
      },
      {
        "id": "ClinicalImpression.context",
        "path": "ClinicalImpression.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1"
          }
        ]
      },
      {
        "id": "ClinicalImpression.assessor",
        "path": "ClinicalImpression.assessor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
          }
        ]
      },
      {
        "id": "ClinicalImpression.previous",
        "path": "ClinicalImpression.previous",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1"
          }
        ]
      },
      {
        "id": "ClinicalImpression.problem",
        "path": "ClinicalImpression.problem",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
          }
        ]
      },
      {
        "id": "ClinicalImpression.investigation.item",
        "path": "ClinicalImpression.investigation.item",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RiskAssessment"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ImagingStudy"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1"
          }
        ]
      },
      {
        "id": "ClinicalImpression.summary",
        "path": "ClinicalImpression.summary",
        "min": 1
      },
      {
        "id": "ClinicalImpression.finding.item[x]",
        "path": "ClinicalImpression.finding.item[x]",
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
          }
        ]
      },
      {
        "id": "ClinicalImpression.action",
        "path": "ClinicalImpression.action",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Procedure"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Appointment-1"
          }
        ]
      }
    ]
  }
}