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.
Invariants
Every rule in force on a conforming instance. This profile rows are stated here; inherited rows come from the base resource and are listed so that a constraint named on an element is findable. Invariant keys elsewhere on this page link into this table.
Key
Source
Severity
On
Rule
detectedissue-mitigation-has-rationale
this profile
warning
DetectedIssue
A mitigation SHOULD carry rationale text in mitigation.action.text -- an override with no recorded reason leaves no medico-legal trail mitigation.empty() or mitigation.all(action.text.exists() or action.coding.exists())
dom-2
inherited
error
DetectedIssue
If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3
inherited
error
DetectedIssue
If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference
dom-4
inherited
error
DetectedIssue
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5
inherited
error
DetectedIssue
If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6
inherited
warning
DetectedIssue
A resource should have narrative for robust management text.div.exists()
ele-1
inherited
error
DetectedIssue.meta
All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1
inherited
error
DetectedIssue.meta.extension
Must have either extensions or value[x], not both extension.exists() != value.exists()