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 / Snapshot
The full effective definition: base DetectedIssue with this profile's constraints applied.
| 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 |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| versionId | 0..1 | id | Version specific identifier i Invariants: ele-1 |
|
| lastUpdated | 0..1 | instant | When the resource version last changed i Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| profile | 0..* | canonical | Profiles this resource claims to conform to i Invariants: ele-1 |
|
| security | 0..* | Coding | Security Labels applied to this resource i Binding: security-labels ( extensible)Invariants: ele-1 |
|
| tag | 0..* | Coding | Tags applied to this resource i Binding: common-tags ( example)Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | 0..* | Identifier | Business identifier(s) for the detected issue i Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| type | 0..1 | CodeableConcept | Description of identifier i Binding: identifier-type ( extensible)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 |
|
| period | 0..1 | Period | Time period when id is/was valid for use Invariants: ele-1 |
|
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) 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 |
| identified[x] | 0..1 | dateTime, Period | When identified Invariants: ele-1 |
|
| author | 0..1 | Reference(Practitioner | PractitionerRole | Device) | The provider or device that identified the issue Invariants: ele-1 |
|
| implicated | S | 0..* | Reference(Resource) | The medication/allergy resources whose combination raised this issue i Invariants: ele-1 |
| evidence | 0..* | BackboneElement | Supporting evidence Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| code | 0..* | CodeableConcept | Manifestation Binding: manifestation-or-symptom ( example)Invariants: ele-1 |
|
| detail | 0..* | Reference(Resource) | Supporting information Invariants: ele-1 |
|
| detail | 0..1 | string | Description and context i Invariants: ele-1 |
|
| reference | 0..1 | uri | Authority for issue Invariants: ele-1 |
|
| mitigation | S | 0..* | BackboneElement | The prescriber's recorded decision to proceed despite the issue i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-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 |