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Resource "ClinicalImpression" Version "1" (StructureDefinition)

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XML or JSON representation. Try out the Profile as a questionnaire based web form . Edit this as XML or JSON. provenance for this resource

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression DomainResourceA clinical assessment performed when planning treatments and management strategies for a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierBusiness identifier
... status ?!Σ1..1codedraft | completed | entered-in-error
ClinicalImpressionStatus (Required)
... code Σ0..1CodeableConceptKind of assessment performed
... description Σ0..1stringWhy/how the assessment was performed
... subject Σ1..1Reference(Patient | Group)Patient or group assessed
... context Σ0..1Reference(Encounter | EpisodeOfCare)Encounter or Episode created from
... effective[x] Σ0..1Time of assessment
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... date Σ0..1dateTimeWhen the assessment was documented
... assessor Σ0..1Reference(Practitioner)The clinician performing the assessment
... previous 0..1Reference(ClinicalImpression)Reference to last assessment
... problem Σ0..*Reference(Condition | AllergyIntolerance)Relevant impressions of patient state
... investigation 0..*BackboneElementOne or more sets of investigations (signs, symptions, etc.)
.... code 1..1CodeableConceptA name/code for the set
Investigation Type (Example)
.... item 0..*Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy)Record of a specific investigation
... protocol 0..*uriClinical Protocol followed
... summary 0..1stringSummary of the assessment
... finding 0..*BackboneElementPossible or likely findings and diagnoses
.... item[x] 1..1What was found
Condition/Problem/Diagnosis Codes (Example)
..... itemCodeableConceptCodeableConcept
..... itemReferenceReference(Condition | Observation)
.... basis 0..1stringWhich investigations support finding
... prognosisCodeableConcept 0..*CodeableConceptEstimate of likely outcome
Clinical Impression Prognosis (Example)
... prognosisReference 0..*Reference(RiskAssessment)RiskAssessment expressing likely outcome
... action 0..*Reference(ReferralRequest | ProcedureRequest | Procedure | MedicationRequest | Appointment)Action taken as part of assessment procedure
... note 0..*AnnotationComments made about the ClinicalImpression

doco Documentation for this format

<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ClinicalImpression"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:28:10Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table style="border: 0px #F0F0F0 solid font-size: 11px font-family: verdana vertical-align: top" border="0" cellpadding="0" cellspacing="0">
        <tr style="border: 1px #F0F0F0 solid font-size: 11px font-family: verdana vertical-align: top">
          <th style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a title="The logical name of the element" href="formats.html#table">Name</a>
          </th>
          <th style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Information about the use of the element" href="formats.html#table">Flags</a>
          </th>
          <th style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Minimum and Maximum # of times the the element can appear in the instance" href="formats.html#table">Card.</a>
          </th>
          <th style="width: 100px" class="hierarchy">
            <a title="Reference to the type of the element" href="formats.html#table">Type</a>
          </th>
          <th style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Additional information about the element" href="formats.html#table">Description &amp; Constraints</a>
            <span style="float: right">
              <a title="Legend for this format" href="formats.html#table">
                <img alt="doco" style="background-color: inherit"/>
              </a>
            </span>
          </th>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Resource"/>
            <span title="ClinicalImpression : 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.">ClinicalImpression</span>
            <a name="ClinicalImpression"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="domainresource.html">DomainResource</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">A clinical assessment performed when planning treatments and management strategies for a patient
            <br/>Elements defined in Ancestors:
            <a title="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." href="resource.html#Resource">id</a>,
            <a title="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." href="resource.html#Resource">meta</a>,
            <a title="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." href="resource.html#Resource">implicitRules</a>,
            <a title="The base language in which the resource is written." href="resource.html#Resource">language</a>,
            <a title="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." href="domainresource.html#DomainResource">text</a>,
            <a title="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." href="domainresource.html#DomainResource">contained</a>,
            <a title="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." href="domainresource.html#DomainResource">extension</a>,
            <a title="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." href="domainresource.html#DomainResource">modifierExtension</a>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="ClinicalImpression.identifier : A unique identifier assigned to the clinical impression that remains consistent regardless of what server the impression is stored on.">identifier</span>
            <a name="ClinicalImpression.identifier"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Business identifier
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="ClinicalImpression.status : Identifies the workflow status of the assessment.">status</span>
            <a name="ClinicalImpression.status"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is a modifier element">?!</span>
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#code">code</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">draft | completed | entered-in-error
            <br/>
            <a title="The workflow state of a clinical impression." href="valueset-clinical-impression-status.html">ClinicalImpressionStatus</a>(
            <a title="To be conformant, the concept in this element SHALL be from the specified value set" href="terminologies.html#required">Required</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="ClinicalImpression.code : Categorizes the type of clinical assessment performed.">code</span>
            <a name="ClinicalImpression.code"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Kind of assessment performed</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="ClinicalImpression.description : A summary of the context and/or cause of the assessment - why / where was it performed, and what patient events/status prompted it.">description</span>
            <a name="ClinicalImpression.description"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Why/how the assessment was performed</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="ClinicalImpression.subject : The patient or group of individuals assessed as part of this record.">subject</span>
            <a name="ClinicalImpression.subject"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="patient.html">Patient</a>|
            <a href="group.html">Group</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Patient or group assessed</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="ClinicalImpression.context : The encounter or episode of care this impression was created as part of.">context</span>
            <a name="ClinicalImpression.context"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="encounter.html">Encounter</a>|
            <a href="episodeofcare.html">EpisodeOfCare</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Encounter or Episode created from</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,R0lGODlhEAAQAMQfAGm6/idTd4yTmF+v8Xa37KvW+lyh3KHJ62aq41ee2bXZ98nm/2mt5W2Ck5XN/C1chEZieho8WXXA/2Gn4P39/W+y6V+l3qjP8Njt/lx2izxPYGyv51Oa1EJWZ////////yH5BAEAAB8ALAAAAAAQABAAAAWH4Cd+Xml6Y0pCQts0EKp6GbYshaM/skhjhCChUmFIeL4OsHIxXRAISQTl6SgIG8+FgfBMoh2qtbLZQr0TQJhk3TC4pYPBApiyFVDEwSOf18UFXxMWBoUJBn9sDgmDewcJCRyJJBoEkRyYmAABPZQEAAOhA5seFDMaDw8BAQ9TpiokJyWwtLUhADs=" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Choice of Types"/>
            <span title="ClinicalImpression.effective[x] : The point in time or period over which the subject was assessed.">effective[x]</span>
            <a name="ClinicalImpression.effective_x_"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Time of assessment</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="A date, date-time or partial date (e.g. just year or year + month). If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored. Dates SHALL be valid dates.">effectiveDateTime</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#dateTime">dateTime</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="A time period defined by a start and end date and optionally time.">effectivePeriod</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#Period">Period</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="ClinicalImpression.date : Indicates when the documentation of the assessment was complete.">date</span>
            <a name="ClinicalImpression.date"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#dateTime">dateTime</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">When the assessment was documented</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="ClinicalImpression.assessor : The clinician performing the assessment.">assessor</span>
            <a name="ClinicalImpression.assessor"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="practitioner.html">Practitioner</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">The clinician performing the assessment</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="ClinicalImpression.previous : A reference to the last assesment that was conducted bon this patient. Assessments are often/usually ongoing in nature a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.">previous</span>
            <a name="ClinicalImpression.previous"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="clinicalimpression.html">ClinicalImpression</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Reference to last assessment</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="ClinicalImpression.problem : This a list of the relevant problems/conditions for a patient.">problem</span>
            <a name="ClinicalImpression.problem"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="condition.html">Condition</a>|
            <a href="allergyintolerance.html">AllergyIntolerance</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Relevant impressions of patient state
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw/npofbjquvNefHVduuyN+uuMu3Oafbgjfnqvf/3zv/3xevPi+vRjP/20/bmsP///////yH5BAEAAB8ALAAAAAAQABAAAAV24CeOZGmepqeqqOgxjBZFa+19r4ftWQUAgqDgltthMshMIJAZ4jYDHsBARSAmFOJvq+g6HIdEFgcYmBWNxoNAsDjGHgBnmV5bCoUDHLBIq9sFEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Element"/>
            <span title="ClinicalImpression.investigation : One or more sets of investigations (signs, symptions, etc.). The actual grouping of investigations vary greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes.">investigation</span>
            <a name="ClinicalImpression.investigation"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">One or more sets of investigations (signs, symptions, etc.)
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQkad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRPz58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPvszv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866OUPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///////yH5BAEAAH8ALAAAAAAQABAAAAfNgH+Cg36FfoOIhH4JBxBghYl/hQkNAV0IVT5GkJKLCwtQaSsSdx9aR26Gcwt2IkQaNRI6dBERIzCFDSgWSW8WCDkbBnoOQ3uFARc/JQJfCAZlT0x4ZFyFBxdNQT9ZCBNWKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETIFgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="ClinicalImpression.investigation.code : A name/code for the group (&quot;set&quot;) of investigations. Typically, this will be something like &quot;signs&quot;, &quot;symptoms&quot;, &quot;clinical&quot;, &quot;diagnostic&quot;, but the list is not constrained, and others such groups such as (exposure|family|travel|nutitirional) history may be used.">code</span>
            <a name="ClinicalImpression.investigation.code"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">A name/code for the set
            <br/>
            <a title="A name/code for a set of investigations." href="valueset-investigation-sets.html">Investigation Type</a>(
            <a title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." href="terminologies.html#example">Example</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="ClinicalImpression.investigation.item : A record of a specific investigation that was undertaken.">item</span>
            <a name="ClinicalImpression.investigation.item"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="observation.html">Observation</a>|
            <a href="questionnaireresponse.html">QuestionnaireResponse</a>|
            <a href="familymemberhistory.html">FamilyMemberHistory</a>|
            <a href="diagnosticreport.html">DiagnosticReport</a>|
            <a href="riskassessment.html">RiskAssessment</a>|
            <a href="imagingstudy.html">ImagingStudy</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Record of a specific investigation
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="ClinicalImpression.protocol : Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.">protocol</span>
            <a name="ClinicalImpression.protocol"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#uri">uri</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Clinical Protocol followed
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="ClinicalImpression.summary : A text summary of the investigations and the diagnosis.">summary</span>
            <a name="ClinicalImpression.summary"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Summary of the assessment</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw/npofbjquvNefHVduuyN+uuMu3Oafbgjfnqvf/3zv/3xevPi+vRjP/20/bmsP///////yH5BAEAAB8ALAAAAAAQABAAAAV24CeOZGmepqeqqOgxjBZFa+19r4ftWQUAgqDgltthMshMIJAZ4jYDHsBARSAmFOJvq+g6HIdEFgcYmBWNxoNAsDjGHgBnmV5bCoUDHLBIq9sFEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Element"/>
            <span title="ClinicalImpression.finding : Specific findings or diagnoses that was considered likely or relevant to ongoing treatment.">finding</span>
            <a name="ClinicalImpression.finding"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Possible or likely findings and diagnoses
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,R0lGODlhEAAQAMQfAGm6/idTd4yTmF+v8Xa37KvW+lyh3KHJ62aq41ee2bXZ98nm/2mt5W2Ck5XN/C1chEZieho8WXXA/2Gn4P39/W+y6V+l3qjP8Njt/lx2izxPYGyv51Oa1EJWZ////////yH5BAEAAB8ALAAAAAAQABAAAAWH4Cd+Xml6Y0pCQts0EKp6GbYshaM/skhjhCChUmFIeL4OsHIxXRAISQTl6SgIG8+FgfBMoh2qtbLZQr0TQJhk3TC4pYPBApiyFVDEwSOf18UFXxMWBoUJBn9sDgmDewcJCRyJJBoEkRyYmAABPZQEAAOhA5seFDMaDw8BAQ9TpiokJyWwtLUhADs=" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Choice of Types"/>
            <span title="ClinicalImpression.finding.item[x] : Specific text, code or reference for finding or diagnosis, which may include ruled-out or resolved conditions.">item[x]</span>
            <a name="ClinicalImpression.finding.item_x_"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">What was found
            <br/>
            <a title="Identification of the Condition or diagnosis." href="valueset-condition-code.html">Condition/Problem/Diagnosis Codes</a>(
            <a title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." href="terminologies.html#example">Example</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3QoREAMAwDsezq/WdoskJIWyDfCT5xJamN2dk2P/UAAMA7TgAAAK5pTFFALJuuCkgAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.">itemCodeableConcept</span>
          </td>
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
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            <a href="references.html">Reference</a>(
            <a href="condition.html">Condition</a>|
            <a href="observation.html">Observation</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
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            <span title="ClinicalImpression.finding.basis : Which investigations support finding or diagnosis.">basis</span>
            <a name="ClinicalImpression.finding.basis"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Which investigations support finding</td>
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            <span title="ClinicalImpression.prognosisCodeableConcept : Estimate of likely outcome.">prognosisCodeableConcept</span>
            <a name="ClinicalImpression.prognosisCodeableConcept"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Estimate of likely outcome
            <br/>
            <a title="Prognosis or outlook findings" href="valueset-clinicalimpression-prognosis.html">Clinical Impression Prognosis</a>(
            <a title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." href="terminologies.html#example">Example</a>)
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
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            <span title="ClinicalImpression.prognosisReference : RiskAssessment expressing likely outcome.">prognosisReference</span>
            <a name="ClinicalImpression.prognosisReference"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="riskassessment.html">RiskAssessment</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">RiskAssessment expressing likely outcome
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
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            <span title="ClinicalImpression.action : Action taken as part of assessment procedure.">action</span>
            <a name="ClinicalImpression.action"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="referralrequest.html">ReferralRequest</a>|
            <a href="procedurerequest.html">ProcedureRequest</a>|
            <a href="procedure.html">Procedure</a>|
            <a href="medicationrequest.html">MedicationRequest</a>|
            <a href="appointment.html">Appointment</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Action taken as part of assessment procedure
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
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            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
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            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="ClinicalImpression.note : Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.">note</span>
            <a name="ClinicalImpression.note"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#Annotation">Annotation</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Comments made about the ClinicalImpression
            <br/>
          </td>
        </tr>
        <tr>
          <td colspan="5" class="hierarchy">
            <br/>
            <a title="Legend for this format" href="formats.html#table">
              <img alt="doco" style="background-color: inherit"/>Documentation for this format</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://localhost/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/>
  </extension>
  <extension url="http://localhost/StructureDefinition/structuredefinition-wg">
    <valueCode value="pc"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/>
  <name value="ClinicalImpression"/>
  <status value="draft"/>
  <date value="2017-04-27T17:09:41+10:00"/>
  <publisher value="Health Level Seven International (Patient Care)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientcare/index.cfm"/>
    </telecom>
  </contact>
  <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."/>
  <fhirVersion value="3.0.1"/>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="ClinicalImpression"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="ClinicalImpression">
      <path value="ClinicalImpression"/>
      <short value="A clinical assessment performed when planning treatments and management strategies for a patient"/>
      <definition 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."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="Partial mapping for problem evaluation"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.general"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.id">
      <path value="ClinicalImpression.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="ClinicalImpression.meta">
      <path value="ClinicalImpression.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="ClinicalImpression.implicitRules">
      <path value="ClinicalImpression.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. &#xA;&#xA;This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="ClinicalImpression.language">
      <path value="ClinicalImpression.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClinicalImpression.text">
      <path value="ClinicalImpression.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.contained">
      <path value="ClinicalImpression.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.extension">
      <path value="ClinicalImpression.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.modifierExtension">
      <path value="ClinicalImpression.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.identifier">
      <path value="ClinicalImpression.identifier"/>
      <short value="Business identifier"/>
      <definition value="A unique identifier assigned to the clinical impression that remains consistent regardless of what server the impression is stored on."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.status">
      <path value="ClinicalImpression.status"/>
      <short value="draft | completed | entered-in-error"/>
      <definition value="Identifies the workflow status of the assessment."/>
      <comment value="This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionStatus"/>
        </extension>
        <strength value="required"/>
        <description value="The workflow state of a clinical impression."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/clinical-impression-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-14"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.code">
      <path value="ClinicalImpression.code"/>
      <short value="Kind of assessment performed"/>
      <definition value="Categorizes the type of clinical assessment performed."/>
      <comment value="This is present as a place-holder only and may be removed based on feedback/work group opinion."/>
      <alias value="type"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionCode"/>
        </extension>
        <strength value="example"/>
        <description value="Identifies categories of clinical impressions. This is a place-holder only. It may be removed"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.description">
      <path value="ClinicalImpression.description"/>
      <short value="Why/how the assessment was performed"/>
      <definition value="A summary of the context and/or cause of the assessment - why / where was it performed, and what patient events/status prompted it."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="ClinicalImpression.subject">
      <path value="ClinicalImpression.subject"/>
      <short value="Patient or group assessed"/>
      <definition value="The patient or group of individuals assessed as part of this record."/>
      <requirements value="Group is typically for veterinary and/or public health purposes."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.context">
      <path value="ClinicalImpression.context"/>
      <short value="Encounter or Episode created from"/>
      <definition value="The encounter or episode of care this impression was created as part of."/>
      <alias value="encounter"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.effective[x]">
      <path value="ClinicalImpression.effective[x]"/>
      <short value="Time of assessment"/>
      <definition value="The point in time or period over which the subject was assessed."/>
      <comment value="This SHOULD be accurate to at least the minute, though some assessments only have a known date."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-2"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.date">
      <path value="ClinicalImpression.date"/>
      <short value="When the assessment was documented"/>
      <definition value="Indicates when the documentation of the assessment was complete."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.assessor">
      <path value="ClinicalImpression.assessor"/>
      <short value="The clinician performing the assessment"/>
      <definition value="The clinician performing the assessment."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ROL-4"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.author"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.previous">
      <path value="ClinicalImpression.previous"/>
      <short value="Reference to last assessment"/>
      <definition value="A reference to the last assesment that was conducted bon this patient. Assessments are often/usually ongoing in nature a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes."/>
      <comment value="It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/>
      </type>
    </element>
    <element id="ClinicalImpression.problem">
      <path value="ClinicalImpression.problem"/>
      <short value="Relevant impressions of patient state"/>
      <definition value="This a list of the relevant problems/conditions for a patient."/>
      <comment value="e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-3 / IAM-7"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.investigation">
      <path value="ClinicalImpression.investigation"/>
      <short value="One or more sets of investigations (signs, symptions, etc.)"/>
      <definition value="One or more sets of investigations (signs, symptions, etc.). The actual grouping of investigations vary greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() > id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClinicalImpression.investigation.id">
      <path value="ClinicalImpression.investigation.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.investigation.extension">
      <path value="ClinicalImpression.investigation.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.investigation.modifierExtension">
      <path value="ClinicalImpression.investigation.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.investigation.code">
      <path value="ClinicalImpression.investigation.code"/>
      <short value="A name/code for the set"/>
      <definition value="A name/code for the group (&quot;set&quot;) of investigations. Typically, this will be something like &quot;signs&quot;, &quot;symptoms&quot;, &quot;clinical&quot;, &quot;diagnostic&quot;, but the list is not constrained, and others such groups such as (exposure|family|travel|nutitirional) history may be used."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="InvestigationGroupType"/>
        </extension>
        <strength value="example"/>
        <description value="A name/code for a set of investigations."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/investigation-sets"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClinicalImpression.investigation.item">
      <path value="ClinicalImpression.investigation.item"/>
      <short value="Record of a specific investigation"/>
      <definition value="A record of a specific investigation that was undertaken."/>
      <comment value="Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <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/DiagnosticReport"/>
      </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>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-21"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.protocol">
      <path value="ClinicalImpression.protocol"/>
      <short value="Clinical Protocol followed"/>
      <definition value="Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="uri"/>
      </type>
    </element>
    <element id="ClinicalImpression.summary">
      <path value="ClinicalImpression.summary"/>
      <short value="Summary of the assessment"/>
      <definition value="A text summary of the investigations and the diagnosis."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.finding">
      <path value="ClinicalImpression.finding"/>
      <short value="Possible or likely findings and diagnoses"/>
      <definition value="Specific findings or diagnoses that was considered likely or relevant to ongoing treatment."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() > id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClinicalImpression.finding.id">
      <path value="ClinicalImpression.finding.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.finding.extension">
      <path value="ClinicalImpression.finding.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.finding.modifierExtension">
      <path value="ClinicalImpression.finding.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.finding.item[x]">
      <path value="ClinicalImpression.finding.item[x]"/>
      <short value="What was found"/>
      <definition value="Specific text, code or reference for finding or diagnosis, which may include ruled-out or resolved conditions."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionKind"/>
        </extension>
        <strength value="example"/>
        <description value="Identification of the Condition or diagnosis."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-code"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.finding.basis">
      <path value="ClinicalImpression.finding.basis"/>
      <short value="Which investigations support finding"/>
      <definition value="Which investigations support finding or diagnosis."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="ClinicalImpression.prognosisCodeableConcept">
      <path value="ClinicalImpression.prognosisCodeableConcept"/>
      <short value="Estimate of likely outcome"/>
      <definition value="Estimate of likely outcome."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionPrognosis"/>
        </extension>
        <strength value="example"/>
        <description value="Prognosis or outlook findings"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-22"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.prognosisReference">
      <path value="ClinicalImpression.prognosisReference"/>
      <short value="RiskAssessment expressing likely outcome"/>
      <definition value="RiskAssessment expressing likely outcome."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/>
      </type>
    </element>
    <element id="ClinicalImpression.action">
      <path value="ClinicalImpression.action"/>
      <short value="Action taken as part of assessment procedure"/>
      <definition value="Action taken as part of assessment procedure."/>
      <comment value="Actions recommended as a result of the impression should not be captured using the 'action' element."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Appointment"/>
      </type>
    </element>
    <element id="ClinicalImpression.note">
      <path value="ClinicalImpression.note"/>
      <short value="Comments made about the ClinicalImpression"/>
      <definition value="Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear."/>
      <comment value="Don't use this element for content that should more properly appear as one of the specific elements of the impression."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Annotation"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="ClinicalImpression">
      <path value="ClinicalImpression"/>
      <short value="A clinical assessment performed when planning treatments and management strategies for a patient"/>
      <definition 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."/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="v2"/>
        <map value="Partial mapping for problem evaluation"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.general"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.identifier">
      <path value="ClinicalImpression.identifier"/>
      <short value="Business identifier"/>
      <definition value="A unique identifier assigned to the clinical impression that remains consistent regardless of what server the impression is stored on."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.status">
      <path value="ClinicalImpression.status"/>
      <short value="draft | completed | entered-in-error"/>
      <definition value="Identifies the workflow status of the assessment."/>
      <comment value="This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionStatus"/>
        </extension>
        <strength value="required"/>
        <description value="The workflow state of a clinical impression."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/clinical-impression-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-14"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.code">
      <path value="ClinicalImpression.code"/>
      <short value="Kind of assessment performed"/>
      <definition value="Categorizes the type of clinical assessment performed."/>
      <comment value="This is present as a place-holder only and may be removed based on feedback/work group opinion."/>
      <alias value="type"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionCode"/>
        </extension>
        <strength value="example"/>
        <description value="Identifies categories of clinical impressions. This is a place-holder only. It may be removed"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.description">
      <path value="ClinicalImpression.description"/>
      <short value="Why/how the assessment was performed"/>
      <definition value="A summary of the context and/or cause of the assessment - why / where was it performed, and what patient events/status prompted it."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="ClinicalImpression.subject">
      <path value="ClinicalImpression.subject"/>
      <short value="Patient or group assessed"/>
      <definition value="The patient or group of individuals assessed as part of this record."/>
      <requirements value="Group is typically for veterinary and/or public health purposes."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.context">
      <path value="ClinicalImpression.context"/>
      <short value="Encounter or Episode created from"/>
      <definition value="The encounter or episode of care this impression was created as part of."/>
      <alias value="encounter"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.effective[x]">
      <path value="ClinicalImpression.effective[x]"/>
      <short value="Time of assessment"/>
      <definition value="The point in time or period over which the subject was assessed."/>
      <comment value="This SHOULD be accurate to at least the minute, though some assessments only have a known date."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-2"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.date">
      <path value="ClinicalImpression.date"/>
      <short value="When the assessment was documented"/>
      <definition value="Indicates when the documentation of the assessment was complete."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.assessor">
      <path value="ClinicalImpression.assessor"/>
      <short value="The clinician performing the assessment"/>
      <definition value="The clinician performing the assessment."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ROL-4"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.author"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.previous">
      <path value="ClinicalImpression.previous"/>
      <short value="Reference to last assessment"/>
      <definition value="A reference to the last assesment that was conducted bon this patient. Assessments are often/usually ongoing in nature a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes."/>
      <comment value="It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/>
      </type>
    </element>
    <element id="ClinicalImpression.problem">
      <path value="ClinicalImpression.problem"/>
      <short value="Relevant impressions of patient state"/>
      <definition value="This a list of the relevant problems/conditions for a patient."/>
      <comment value="e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-3 / IAM-7"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.investigation">
      <path value="ClinicalImpression.investigation"/>
      <short value="One or more sets of investigations (signs, symptions, etc.)"/>
      <definition value="One or more sets of investigations (signs, symptions, etc.). The actual grouping of investigations vary greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClinicalImpression.investigation.code">
      <path value="ClinicalImpression.investigation.code"/>
      <short value="A name/code for the set"/>
      <definition value="A name/code for the group (&quot;set&quot;) of investigations. Typically, this will be something like &quot;signs&quot;, &quot;symptoms&quot;, &quot;clinical&quot;, &quot;diagnostic&quot;, but the list is not constrained, and others such groups such as (exposure|family|travel|nutitirional) history may be used."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="InvestigationGroupType"/>
        </extension>
        <strength value="example"/>
        <description value="A name/code for a set of investigations."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/investigation-sets"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClinicalImpression.investigation.item">
      <path value="ClinicalImpression.investigation.item"/>
      <short value="Record of a specific investigation"/>
      <definition value="A record of a specific investigation that was undertaken."/>
      <comment value="Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <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/DiagnosticReport"/>
      </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>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-21"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.protocol">
      <path value="ClinicalImpression.protocol"/>
      <short value="Clinical Protocol followed"/>
      <definition value="Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="uri"/>
      </type>
    </element>
    <element id="ClinicalImpression.summary">
      <path value="ClinicalImpression.summary"/>
      <short value="Summary of the assessment"/>
      <definition value="A text summary of the investigations and the diagnosis."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.finding">
      <path value="ClinicalImpression.finding"/>
      <short value="Possible or likely findings and diagnoses"/>
      <definition value="Specific findings or diagnoses that was considered likely or relevant to ongoing treatment."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClinicalImpression.finding.item[x]">
      <path value="ClinicalImpression.finding.item[x]"/>
      <short value="What was found"/>
      <definition value="Specific text, code or reference for finding or diagnosis, which may include ruled-out or resolved conditions."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionKind"/>
        </extension>
        <strength value="example"/>
        <description value="Identification of the Condition or diagnosis."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-code"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.finding.basis">
      <path value="ClinicalImpression.finding.basis"/>
      <short value="Which investigations support finding"/>
      <definition value="Which investigations support finding or diagnosis."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="ClinicalImpression.prognosisCodeableConcept">
      <path value="ClinicalImpression.prognosisCodeableConcept"/>
      <short value="Estimate of likely outcome"/>
      <definition value="Estimate of likely outcome."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClinicalImpressionPrognosis"/>
        </extension>
        <strength value="example"/>
        <description value="Prognosis or outlook findings"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-22"/>
      </mapping>
    </element>
    <element id="ClinicalImpression.prognosisReference">
      <path value="ClinicalImpression.prognosisReference"/>
      <short value="RiskAssessment expressing likely outcome"/>
      <definition value="RiskAssessment expressing likely outcome."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/>
      </type>
    </element>
    <element id="ClinicalImpression.action">
      <path value="ClinicalImpression.action"/>
      <short value="Action taken as part of assessment procedure"/>
      <definition value="Action taken as part of assessment procedure."/>
      <comment value="Actions recommended as a result of the impression should not be captured using the 'action' element."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Appointment"/>
      </type>
    </element>
    <element id="ClinicalImpression.note">
      <path value="ClinicalImpression.note"/>
      <short value="Comments made about the ClinicalImpression"/>
      <definition value="Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear."/>
      <comment value="Don't use this element for content that should more properly appear as one of the specific elements of the impression."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Annotation"/>
      </type>
    </element>
  </differential>
</StructureDefinition>