DetectedIssue

Property	Value
Publisher
Name	DetectedIssue
URL	http://hl7.org/fhir/StructureDefinition/DetectedIssue
Status	draft
Description
Abstract	false

Structure

Path	Cardinality	Type	Description
DetectedIssue	0..*	DetectedIssue	Indicates 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.id	0..1	http://hl7.org/fhirpath/System.String	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
DetectedIssue.meta	0..1	Meta	The 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.implicitRules	0..1	uri	A 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.language	0..1	code	The base language in which the resource is written.
DetectedIssue.text	0..1	Narrative	A 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.contained	0..*	Resource	These 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.extension	0..*	Extension	May 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.modifierExtension	0..*	Extension	May 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.identifier	0..*	Identifier	Business identifier associated with the detected issue record.
DetectedIssue.status	1..1	code	Indicates the status of the detected issue.
DetectedIssue.code	0..1	CodeableConcept	Identifies the general type of issue identified.
DetectedIssue.severity	0..1	code	Indicates the degree of importance associated with the identified issue based on the potential impact on the patient.
DetectedIssue.patient	0..1	Reference	Indicates the patient whose record the detected issue is associated with.
DetectedIssue.identified[x]	0..1	dateTime	The date or period when the detected issue was initially identified.
DetectedIssue.author	0..1	Reference	Individual or device responsible for the issue being raised. For example, a decision support application or a pharmacist conducting a medication review.
DetectedIssue.implicated	0..*	Reference	Indicates the resource representing the current activity or proposed activity that is potentially problematic.
DetectedIssue.evidence	0..*	BackboneElement	Supporting evidence or manifestations that provide the basis for identifying the detected issue such as a GuidanceResponse or MeasureReport.
DetectedIssue.evidence.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
DetectedIssue.evidence.extension	0..*	Extension	May 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.modifierExtension	0..*	Extension	May 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.code	0..*	CodeableConcept	A manifestation that led to the recording of this detected issue.
DetectedIssue.evidence.detail	0..*	Reference	Links to resources that constitute evidence for the detected issue such as a GuidanceResponse or MeasureReport.
DetectedIssue.detail	0..1	string	A textual explanation of the detected issue.
DetectedIssue.reference	0..1	uri	The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified.
DetectedIssue.mitigation	0..*	BackboneElement	Indicates 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.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
DetectedIssue.mitigation.extension	0..*	Extension	May 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.modifierExtension	0..*	Extension	May 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.action	1..1	CodeableConcept	Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue.
DetectedIssue.mitigation.date	0..1	dateTime	Indicates when the mitigating action was documented.
DetectedIssue.mitigation.author	0..1	Reference	Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring.

Search Parameters

Name	Type	Description	Expression
_text	string	Search on the narrative of the resource
_content	string	Search on the entire content of the resource
_filter	token	Filter search parameter which supports a more sophisticated grammar for searching. See documentation for further details
_has	string	Provides limited support for reverse chaining - that is, selecting resources based on the properties of resources that refer to them (instead of chaining where resources can be selected based on the properties of resources that they refer to). See the FHIR search page for further documentation
_id	token	Logical id of this artifact	Resource.id
_lastUpdated	date	When the resource version last changed	Resource.meta.lastUpdated
_list	string	All resources in nominated list (by id, Type/id, url or one of the magic List types)
_profile	uri	Profiles this resource claims to conform to	Resource.meta.profile
_query	token	A custom search profile that describes a specific defined query operation
_security	token	Security Labels applied to this resource	Resource.meta.security
_source	uri	Identifies where the resource comes from	Resource.meta.source
_tag	token	Tags applied to this resource	Resource.meta.tag
_text	string	Search on the narrative text (html) of the resource
_type	token	Used when a search is performed in a context which doesn't limit the search to indicate which types are being searched. See the FHIR search page for further discussion
identifier	token	Multiple 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 identifier	AllergyIntolerance.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
patient	reference	Multiple 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 for	AllergyIntolerance.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.where(resolve() is Patient) / 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
author	reference	The provider or device that identified the issue	DetectedIssue.author
code	token	Issue Category, e.g. drug-drug, duplicate therapy, etc.	DetectedIssue.code
identified	date	When identified	DetectedIssue.identified
implicated	reference	Problem resource	DetectedIssue.implicated