Assessments
Assessments (FHIR ClinicalImpression) capture a clinician’s overall evaluation of a patient — findings, diagnoses, investigations, prognosis, and clinical summary. They’re typically created during or after an encounter.Create an Assessment
Assessment Code
Classify the type of assessment:Status Reason
Explain why an assessment is still in progress:Findings with Basis
Document which investigations support each finding:Investigations
Group related clinical investigations:Previous Assessment
Link to a prior assessment for longitudinal tracking:Problem List
Reference the conditions being assessed:Prognosis
Document the expected outcome:Status Values
Update an Assessment
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Assessments vs Notes
Use assessments for structured clinical reasoning. Use notes for narrative documentation. They often complement each other — an encounter might have both a progress note and a clinical assessment.