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DetectedIssue

PropertyValue
Publisher
NameDetectedIssue
URLhttp://hl7.org/fhir/StructureDefinition/DetectedIssue
Statusdraft
Description
Abstractfalse

Structure

PathCardinalityTypeDescription
DetectedIssue0..*DetectedIssueIndicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc.
DetectedIssue.id0..1http://hl7.org/fhirpath/System.StringThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
DetectedIssue.meta0..1MetaThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
DetectedIssue.implicitRules0..1uriA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
DetectedIssue.language0..1codeThe base language in which the resource is written.
DetectedIssue.text0..1NarrativeA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
DetectedIssue.contained0..*ResourceThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
DetectedIssue.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
DetectedIssue.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
DetectedIssue.identifier0..*IdentifierBusiness identifier associated with the detected issue record.
DetectedIssue.status1..1codeIndicates the status of the detected issue.
DetectedIssue.code0..1CodeableConceptIdentifies the general type of issue identified.
DetectedIssue.severity0..1codeIndicates the degree of importance associated with the identified issue based on the potential impact on the patient.
DetectedIssue.patient0..1ReferenceIndicates the patient whose record the detected issue is associated with.
DetectedIssue.identified[x]0..1dateTimeThe date or period when the detected issue was initially identified.
DetectedIssue.author0..1ReferenceIndividual or device responsible for the issue being raised. For example, a decision support application or a pharmacist conducting a medication review.
DetectedIssue.implicated0..*ReferenceIndicates the resource representing the current activity or proposed activity that is potentially problematic.
DetectedIssue.evidence0..*BackboneElementSupporting evidence or manifestations that provide the basis for identifying the detected issue such as a GuidanceResponse or MeasureReport.
DetectedIssue.evidence.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
DetectedIssue.evidence.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
DetectedIssue.evidence.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
DetectedIssue.evidence.code0..*CodeableConceptA manifestation that led to the recording of this detected issue.
DetectedIssue.evidence.detail0..*ReferenceLinks to resources that constitute evidence for the detected issue such as a GuidanceResponse or MeasureReport.
DetectedIssue.detail0..1stringA textual explanation of the detected issue.
DetectedIssue.reference0..1uriThe literature, knowledge-base or similar reference that describes the propensity for the detected issue identified.
DetectedIssue.mitigation0..*BackboneElementIndicates an action that has been taken or is committed to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action.
DetectedIssue.mitigation.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
DetectedIssue.mitigation.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
DetectedIssue.mitigation.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
DetectedIssue.mitigation.action1..1CodeableConceptDescribes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue.
DetectedIssue.mitigation.date0..1dateTimeIndicates when the mitigating action was documented.
DetectedIssue.mitigation.author0..1ReferenceIdentifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring.

Search Parameters

NameTypeDescriptionExpression
_textstringSearch on the narrative of the resource
_contentstringSearch on the entire content of the resource
_idtokenLogical id of this artifactResource.id
_lastUpdateddateWhen the resource version last changedResource.meta.lastUpdated
_profileuriProfiles this resource claims to conform toResource.meta.profile
_querytokenA custom search profile that describes a specific defined query operation
_securitytokenSecurity Labels applied to this resourceResource.meta.security
_sourceuriIdentifies where the resource comes fromResource.meta.source
_tagtokenTags applied to this resourceResource.meta.tag
identifiertokenMultiple Resources: * AllergyIntolerance: External ids for this item* CarePlan: External Ids for this plan* CareTeam: External Ids for this team* Composition: Version-independent identifier for the Composition* Condition: A unique identifier of the condition record* Consent: Identifier for this record (external references)* DetectedIssue: Unique id for the detected issue* DeviceRequest: Business identifier for request/order* DiagnosticReport: An identifier for the report* DocumentManifest: Unique Identifier for the set of documents* DocumentReference: Master Version Specific Identifier* Encounter: Identifier(s) by which this encounter is known* EpisodeOfCare: Business Identifier(s) relevant for this EpisodeOfCare* FamilyMemberHistory: A search by a record identifier* Goal: External Ids for this goal* ImagingStudy: Identifiers for the Study, such as DICOM Study Instance UID and Accession number* Immunization: Business identifier* List: Business identifier* MedicationAdministration: Return administrations with this external identifier* MedicationDispense: Returns dispenses with this external identifier* MedicationRequest: Return prescriptions with this external identifier* MedicationStatement: Return statements with this external identifier* NutritionOrder: Return nutrition orders with this external identifier* Observation: The unique id for a particular observation* Procedure: A unique identifier for a procedure* RiskAssessment: Unique identifier for the assessment* ServiceRequest: Identifiers assigned to this order* SupplyDelivery: External identifier* SupplyRequest: Business Identifier for SupplyRequest* VisionPrescription: Return prescriptions with this external identifierAllergyIntolerance.identifier / CarePlan.identifier / CareTeam.identifier / Composition.identifier / Condition.identifier / Consent.identifier / DetectedIssue.identifier / DeviceRequest.identifier / DiagnosticReport.identifier / DocumentManifest.masterIdentifier / DocumentManifest.identifier / DocumentReference.masterIdentifier / DocumentReference.identifier / Encounter.identifier / EpisodeOfCare.identifier / FamilyMemberHistory.identifier / Goal.identifier / ImagingStudy.identifier / Immunization.identifier / List.identifier / MedicationAdministration.identifier / MedicationDispense.identifier / MedicationRequest.identifier / MedicationStatement.identifier / NutritionOrder.identifier / Observation.identifier / Procedure.identifier / RiskAssessment.identifier / ServiceRequest.identifier / SupplyDelivery.identifier / SupplyRequest.identifier / VisionPrescription.identifier
patientreferenceMultiple Resources: * AllergyIntolerance: Who the sensitivity is for* CarePlan: Who the care plan is for* CareTeam: Who care team is for* ClinicalImpression: Patient or group assessed* Composition: Who and/or what the composition is about* Condition: Who has the condition?* Consent: Who the consent applies to* DetectedIssue: Associated patient* DeviceRequest: Individual the service is ordered for* DeviceUseStatement: Search by subject - a patient* DiagnosticReport: The subject of the report if a patient* DocumentManifest: The subject of the set of documents* DocumentReference: Who/what is the subject of the document* Encounter: The patient or group present at the encounter* EpisodeOfCare: The patient who is the focus of this episode of care* FamilyMemberHistory: The identity of a subject to list family member history items for* Flag: The identity of a subject to list flags for* Goal: Who this goal is intended for* ImagingStudy: Who the study is about* Immunization: The patient for the vaccination record* List: If all resources have the same subject* MedicationAdministration: The identity of a patient to list administrations for* MedicationDispense: The identity of a patient to list dispenses for* MedicationRequest: Returns prescriptions for a specific patient* MedicationStatement: Returns statements for a specific patient.* NutritionOrder: The identity of the person who requires the diet, formula or nutritional supplement* Observation: The subject that the observation is about (if patient)* Procedure: Search by subject - a patient* RiskAssessment: Who/what does assessment apply to?* ServiceRequest: Search by subject - a patient* SupplyDelivery: Patient for whom the item is supplied* VisionPrescription: The identity of a patient to list dispenses forAllergyIntolerance.patient / CarePlan.subject.where(resolve() is Patient) / CareTeam.subject.where(resolve() is Patient) / ClinicalImpression.subject.where(resolve() is Patient) / Composition.subject.where(resolve() is Patient) / Condition.subject.where(resolve() is Patient) / Consent.patient / DetectedIssue.patient / DeviceRequest.subject.where(resolve() is Patient) / DeviceUseStatement.subject / DiagnosticReport.subject.where(resolve() is Patient) / DocumentManifest.subject.where(resolve() is Patient) / DocumentReference.subject.where(resolve() is Patient) / Encounter.subject.where(resolve() is Patient) / EpisodeOfCare.patient / FamilyMemberHistory.patient / Flag.subject.where(resolve() is Patient) / Goal.subject.where(resolve() is Patient) / ImagingStudy.subject.where(resolve() is Patient) / Immunization.patient / List.subject.where(resolve() is Patient) / MedicationAdministration.subject.where(resolve() is Patient) / MedicationDispense.subject.where(resolve() is Patient) / MedicationRequest.subject.where(resolve() is Patient) / MedicationStatement.subject.where(resolve() is Patient) / NutritionOrder.patient / Observation.subject.where(resolve() is Patient) / Procedure.subject.where(resolve() is Patient) / RiskAssessment.subject.where(resolve() is Patient) / ServiceRequest.subject.where(resolve() is Patient) / SupplyDelivery.patient / VisionPrescription.patient
authorreferenceThe provider or device that identified the issueDetectedIssue.author
codetokenIssue Category, e.g. drug-drug, duplicate therapy, etc.DetectedIssue.code
identifieddateWhen identifiedDetectedIssue.identified
implicatedreferenceProblem resourceDetectedIssue.implicated
_iguhealth-version-seqnumberThe version sequence of the resourceResource.meta.extension.where(url='https://iguhealth.app/version-sequence').value
_iguhealth-authorreferenceThe author of the resourceResource.meta.extension.where(url='https://iguhealth.app/author').value