//    Copyright 2019 Google Inc.
//
//    Licensed under the Apache License, Version 2.0 (the "License");
//    you may not use this file except in compliance with the License.
//    You may obtain a copy of the License at
//
//        https://www.apache.org/licenses/LICENSE-2.0
//
//    Unless required by applicable law or agreed to in writing, software
//    distributed under the License is distributed on an "AS IS" BASIS,
//    WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
//    See the License for the specific language governing permissions and
//    limitations under the License.

syntax = "proto3";

package google.fhir.r4.core;

import "google/protobuf/any.proto";
import "google/fhir/core/proto/annotations.proto";
import "google/fhir/r4/proto/core/datatypes.proto";
import "google/fhir/r4/proto/core/valuesets.proto";

option java_multiple_files = true;
option java_package = "com.google.fhir.r4.core";
option (.google.fhir.proto.fhir_version) = R4;
option go_package = "github.com/google/fhir/go/google/fhir/r4/proto/core/resources/clinical_impression_go_proto";

// Auto-generated from StructureDefinition for ClinicalImpression.
// A clinical assessment performed when planning treatments and management
// strategies for a patient. See
// http://hl7.org/fhir/StructureDefinition/ClinicalImpression
message ClinicalImpression {
  option (.google.fhir.proto.structure_definition_kind) = KIND_RESOURCE;
  option (.google.fhir.proto.fhir_structure_definition_url) =
      "http://hl7.org/fhir/StructureDefinition/ClinicalImpression";

  // Logical id of this artifact
  Id id = 1;

  // Metadata about the resource
  Meta meta = 2;

  // A set of rules under which this content was created
  Uri implicit_rules = 3;

  // Language of the resource content
  Code language = 4;

  // Text summary of the resource, for human interpretation
  Narrative text = 5;

  // Contained, inline Resources
  repeated protobuf.Any contained = 6;

  // Field 7 reserved for strongly-typed ContainedResource for id:
  // ClinicalImpression.contained
  reserved 7;

  // Additional content defined by implementations
  repeated Extension extension = 8;

  // Extensions that cannot be ignored
  repeated Extension modifier_extension = 9;

  // Business identifier
  repeated Identifier identifier = 10;

  // in-progress | completed | entered-in-error
  message StatusCode {
    option (.google.fhir.proto.structure_definition_kind) = KIND_PRIMITIVE_TYPE;
    option (.google.fhir.proto.fhir_valueset_url) =
        "http://hl7.org/fhir/ValueSet/clinicalimpression-status";
    option (.google.fhir.proto.fhir_profile_base) =
        "http://hl7.org/fhir/StructureDefinition/code";

    ClinicalImpressionStatusValueSet.Value value = 1;

    String id = 2;

    repeated Extension extension = 3;
  }
  StatusCode status = 11
      [(.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR];

  // Reason for current status
  CodeableConcept status_reason = 12;

  // Kind of assessment performed
  CodeableConcept code = 13;

  // Why/how the assessment was performed
  String description = 14;

  // Patient or group assessed
  Reference subject = 15 [
    (.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR,
    (.google.fhir.proto.valid_reference_type) = "Patient",
    (.google.fhir.proto.valid_reference_type) = "Group"
  ];

  // Encounter created as part of
  Reference encounter = 16
      [(.google.fhir.proto.valid_reference_type) = "Encounter"];

  // Time of assessment
  message EffectiveX {
    option (.google.fhir.proto.is_choice_type) = true;

    oneof choice {
      DateTime date_time = 1;
      Period period = 2;
    }
  }
  EffectiveX effective = 17;

  // When the assessment was documented
  DateTime date = 18;

  // The clinician performing the assessment
  Reference assessor = 19 [
    (.google.fhir.proto.valid_reference_type) = "Practitioner",
    (.google.fhir.proto.valid_reference_type) = "PractitionerRole"
  ];

  // Reference to last assessment
  Reference previous = 20
      [(.google.fhir.proto.valid_reference_type) = "ClinicalImpression"];

  // Relevant impressions of patient state
  repeated Reference problem = 21 [
    (.google.fhir.proto.valid_reference_type) = "Condition",
    (.google.fhir.proto.valid_reference_type) = "AllergyIntolerance"
  ];

  // One or more sets of investigations (signs, symptoms, etc.)
  message Investigation {
    // Unique id for inter-element referencing
    String id = 1;

    // Additional content defined by implementations
    repeated Extension extension = 2;

    // Extensions that cannot be ignored even if unrecognized
    repeated Extension modifier_extension = 3;

    // A name/code for the set
    CodeableConcept code = 4
        [(.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR];

    // Record of a specific investigation
    repeated Reference item = 5 [
      (.google.fhir.proto.valid_reference_type) = "Observation",
      (.google.fhir.proto.valid_reference_type) = "QuestionnaireResponse",
      (.google.fhir.proto.valid_reference_type) = "FamilyMemberHistory",
      (.google.fhir.proto.valid_reference_type) = "DiagnosticReport",
      (.google.fhir.proto.valid_reference_type) = "RiskAssessment",
      (.google.fhir.proto.valid_reference_type) = "ImagingStudy",
      (.google.fhir.proto.valid_reference_type) = "Media"
    ];
  }
  repeated Investigation investigation = 22;

  // Clinical Protocol followed
  repeated Uri protocol = 23;

  // Summary of the assessment
  String summary = 24;

  // Possible or likely findings and diagnoses
  message Finding {
    // Unique id for inter-element referencing
    String id = 1;

    // Additional content defined by implementations
    repeated Extension extension = 2;

    // Extensions that cannot be ignored even if unrecognized
    repeated Extension modifier_extension = 3;

    // What was found
    CodeableConcept item_codeable_concept = 4;

    // What was found
    Reference item_reference = 5 [
      (.google.fhir.proto.valid_reference_type) = "Condition",
      (.google.fhir.proto.valid_reference_type) = "Observation",
      (.google.fhir.proto.valid_reference_type) = "Media"
    ];

    // Which investigations support finding
    String basis = 6;
  }
  repeated Finding finding = 25;

  // Estimate of likely outcome
  repeated CodeableConcept prognosis_codeable_concept = 26;

  // RiskAssessment expressing likely outcome
  repeated Reference prognosis_reference = 27
      [(.google.fhir.proto.valid_reference_type) = "RiskAssessment"];

  // Information supporting the clinical impression
  repeated Reference supporting_info = 28
      [(.google.fhir.proto.valid_reference_type) = "Resource"];

  // Comments made about the ClinicalImpression
  repeated Annotation note = 29;
}
