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The sections below contain further cases for manual assessment.

Preparing an Assessment of a measurement (Observation, QuestionnaireResponse or Media)

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Preparing an Assessment of a Clinical Impression

This is the scenario where a ClinicalImpression already exists. Either created by the infrastructure as a result of automated triaging or created earlier by a clinician. Further information can be added to the existing ClinicalImpression by creating a new ClinicalImpression that references the existing ClinicalImpression as previous

It is recommended to create a new ClinicalImpression rather than updating the existing ClinicalImpression to preserve the history. E.g. assessor and effectiveDateTime.

Add the following to the ClinicalImpression resource being prepared as described above:

• previous which shall be set as a reference to the ClinicalImpression being assessed

• investigation.item which shall be set to the same value as in the previous ClinincalImpression

Approving measurements for sharing

A ClinicalImpression can be used to approve one or more measurements for sharing. This is done by using the decision code: approved-for-sharing

If measurements reference each other, it is recommended to approve them using a single ClinicalImpression. That ensures that they will be shared together.