> ## 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\\[] | 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).