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 / Key elements
The working view: must-support, required, modifier and sliced elements from the effective (snapshot) definition.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DetectedIssue | 0..* | Nexus EMR DetectedIssue Core Invariants: dom-2, dom-3, dom-4, dom-5, dom-6, detectedissue-mitigation-has-rationale |
||
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| identifier | 0..* | Identifier | Business identifier(s) for the detected issue i Invariants: ele-1 |
|
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| system | 1..1 | uri | The namespace for the identifier value i Invariants: ele-1 |
|
| value | 1..1 | string | The value that is unique i Invariants: ele-1 |
|
| status | S ?! | 1..1 | code | registered | preliminary | final | amended | ... (observation-status) i Binding: observation-status ( required)Invariants: ele-1 |
| code | S | 0..1 | CodeableConcept | The kind of issue detected (drug-drug interaction, drug-allergy, etc.) i Binding: detectedissue-category ( preferred)Invariants: ele-1 |
| severity | S | 0..1 | code | high | moderate | low i Binding: detectedissue-severity ( required)Invariants: ele-1 |
| patient | S | 0..1 | Reference(Patient Profile) | The patient the issue was detected for i Invariants: ele-1 |
| implicated | S | 0..* | Reference(Resource) | The medication/allergy resources whose combination raised this issue i Invariants: ele-1 |
| mitigation | S | 0..* | BackboneElement | The prescriber's recorded decision to proceed despite the issue i Invariants: ele-1 |
| action | S | 1..1 | CodeableConcept | What was done -- carries the override rationale in .text i Binding: detectedissue-mitigation-action ( preferred)Invariants: ele-1 |
| date | S | 0..1 | dateTime | When the override was recorded i Invariants: ele-1 |
| author | S | 0..1 | Reference(Practitioner Profile | PractitionerRole Profile) | The practitioner who overrode i Invariants: ele-1 |