> ## Documentation Index
> Fetch the complete documentation index at: https://docs.metriport.com/llms.txt
> Use this file to discover all available pages before exploring further.

# 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 "ClinicalImpression" rather than "ClinicalAssessment" to avoid confusion with the recording of assessment tools such as Apgar score.

## Properties

| Name | Required | Type | Description |
| - | - | - | - |
| identifier | No | [Identifier](/medical-api/fhir/data-types/identifier)\[] | Business identifier |
| status | Yes | code | in-progress / completed / entered-in-error |
| statusReason | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Reason for current status |
| code | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Kind of assessment performed |
| description | No | string | Why/how the assessment was performed |
| subject | Yes | Reference\<[Patient](/medical-api/fhir/resources/patient) / [Group](/medical-api/fhir/resources/group)> | Patient or group assessed |
| encounter | No | Reference\<[Encounter](/medical-api/fhir/resources/encounter)> | Encounter created as part of |
| effective\[x] | No | dateTime, [Period](/medical-api/fhir/data-types/period) | Time of assessment |
| date | No | dateTime | When the assessment was documented |
| assessor | No | Reference\<[Practitioner](/medical-api/fhir/resources/practitioner) / [PractitionerRole](/medical-api/fhir/resources/practitionerrole)> | The clinician performing the assessment |
| previous | No | Reference\<[ClinicalImpression](/medical-api/fhir/resources/clinicalimpression)> | Reference to last assessment |
| problem | No | Reference\<[Condition](/medical-api/fhir/resources/condition) / [AllergyIntolerance](/medical-api/fhir/resources/allergyintolerance)>\[] | Relevant impressions of patient state |
| investigation | No | ClinicalImpressionInvestigation | One or more sets of investigations (signs, symptoms, etc.) |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations |
| - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized |
| - code | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | A name/code for the set |
| - item | No | Reference\<[Observation](/medical-api/fhir/resources/observation) / [QuestionnaireResponse](/medical-api/fhir/resources/questionnaireresponse) / [FamilyMemberHistory](/medical-api/fhir/resources/familymemberhistory) / [DiagnosticReport](/medical-api/fhir/resources/diagnosticreport) / [RiskAssessment](/medical-api/fhir/resources/riskassessment) / [ImagingStudy](/medical-api/fhir/resources/imagingstudy) / [Media](/medical-api/fhir/resources/media)>\[] | Record of a specific investigation |
| protocol | No | uri\[] | Clinical Protocol followed |
| summary | No | string | Summary of the assessment |
| finding | No | ClinicalImpressionFinding | Possible or likely findings and diagnoses |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations |
| - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized |
| - itemCodeableConcept | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | What was found |
| - itemReference | No | Reference\<[Condition](/medical-api/fhir/resources/condition) / [Observation](/medical-api/fhir/resources/observation) / [Media](/medical-api/fhir/resources/media)> | What was found |
| - basis | No | string | Which investigations support finding |
| prognosisCodeableConcept | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Estimate of likely outcome |
| prognosisReference | No | Reference\<[RiskAssessment](/medical-api/fhir/resources/riskassessment)>\[] | RiskAssessment expressing likely outcome |
| supportingInfo | No | Reference\<Resource>\[] | Information supporting the clinical impression |
| note | No | [Annotation](/medical-api/fhir/data-types/annotation)\[] | Comments made about the ClinicalImpression |

## Search Parameters

| Name | Type | Description | Expression |
| - | - | - | - |
| date | date | When the assessment was documented | ClinicalImpression.date |
| patient | reference | Patient or group assessed | ClinicalImpression.subject |
| assessor | reference | The clinician performing the assessment | ClinicalImpression.assessor |
| encounter | reference | Encounter created as part of | ClinicalImpression.encounter |
| finding-code | token | What was found | ClinicalImpression.finding.itemCodeableConcept |
| finding-ref | reference | What was found | ClinicalImpression.finding.itemReference |
| identifier | token | Business identifier | ClinicalImpression.identifier |
| investigation | reference | Record of a specific investigation | ClinicalImpression.investigation.item |
| previous | reference | Reference to last assessment | ClinicalImpression.previous |
| problem | reference | Relevant impressions of patient state | ClinicalImpression.problem |
| status | token | in-progress / completed / entered-in-error | ClinicalImpression.status |
| subject | reference | Patient or group assessed | ClinicalImpression.subject |
| supporting-info | reference | Information supporting the clinical impression | ClinicalImpression.supportingInfo |

## Inherited Properties

| Name | Required | Type | Description |
| - | - | - | - |
| id | No | string | Logical id of this artifact |
| meta | No | [Meta](/medical-api/fhir/data-types/meta) | Metadata about the resource |
| implicitRules | No | uri | A set of rules under which this content was created |
| language | No | code | Language of the resource content |
| text | No | [Narrative](/medical-api/fhir/data-types/narrative) | Text summary of the resource, for human interpretation |
| contained | No | Resource\[] | Contained, inline Resources |
| extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations |
| modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored |

To view the FHIR specification for this resource, see [ClinicalImpression](https://www.hl7.org/fhir/StructureDefinition/ClinicalImpression).


This documentation is built and hosted on [Mintlify](https://mintlify.com), a developer documentation platform.