DetectedIssue Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-detectedissue |
|---|---|
| Status | draft (experimental) · 1.26.0 |
| Base | DetectedIssue (constraint) |
| Source | FSH · JSON |
Nexus EMR profile for DetectedIssue -- drug-drug and drug-allergy interaction findings raised during prescribing, and the prescriber's recorded override of them. First pass: models the override audit trail; the severity mapping is not yet settled.
Elements / Differential
What this profile constrains beyond DetectedIssue. Anything not listed is unchanged from the base; muted type/cardinality values are the base's, shown for context.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DetectedIssue | Nexus EMR DetectedIssue Core Invariants: detectedissue-mitigation-has-rationale |
|||
| meta | 0..1 | Meta | ||
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i |
| text | S | 0..1 | Narrative | Narrative i |
| identifier | 0..* | Identifier | Business identifier(s) for the detected issue i | |
| system | 1..1 | uri | i | |
| value | 1..1 | string | i | |
| status | S | 1..1 | code | registered | preliminary | final | amended | ... (observation-status) i |
| code | S | 0..1 | CodeableConcept | The kind of issue detected (drug-drug interaction, drug-allergy, etc.) i |
| severity | S | 0..1 | code | i |
| patient | S | 0..1 | Reference(Patient Profile) | The patient the issue was detected for i |
| implicated | S | 0..* | Reference(Resource) | The medication/allergy resources whose combination raised this issue i |
| mitigation | S | 0..* | BackboneElement | The prescriber's recorded decision to proceed despite the issue i |
| action | S | 1..1 | CodeableConcept | What was done -- carries the override rationale in .text i |
| date | S | 0..1 | dateTime | When the override was recorded i |
| author | S | 0..1 | Reference(Practitioner Profile | PractitionerRole Profile) | The practitioner who overrode i |