description: 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.
package_name: hl7.fhir.r5.examples
derivation: specialization
name: DetectedIssue
type: DetectedIssue
elements:
  category:
    isModifier: false
    short: Type of detected issue, e.g. drug-drug, duplicate therapy, etc.
    type: CodeableConcept
    mustSupport: false
    array: true
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/detectedissue-category'}
    isSummary: false
    index: 2
  evidence:
    isModifier: false
    short: Supporting evidence
    type: BackboneElement
    mustSupport: false
    array: true
    isSummary: false
    index: 12
    elements:
      code:
        isModifier: false
        short: Manifestation
        type: CodeableConcept
        mustSupport: false
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/manifestation-or-symptom'}
        isSummary: false
        index: 13
      detail:
        isModifier: false
        short: Supporting information
        refers: ['http://hl7.org/fhir/StructureDefinition/Resource']
        type: Reference
        mustSupport: false
        array: true
        isSummary: false
        index: 14
  mitigation:
    isModifier: false
    short: Step taken to address
    index: 17
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      action:
        isModifier: false
        short: What mitigation?
        type: CodeableConcept
        mustSupport: false
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action'}
        isSummary: false
        index: 18
      date: {isModifier: false, short: Date committed, type: dateTime, mustSupport: false, isSummary: false, index: 19}
      author:
        isModifier: false
        short: Who is committing?
        refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole']
        type: Reference
        mustSupport: false
        isSummary: false
        index: 20
    required: [action]
    isSummary: false
  author:
    isModifier: false
    short: The provider or device that identified the issue
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
    type: Reference
    mustSupport: false
    isSummary: true
    index: 10
  identifiedDateTime: {isModifier: false, short: When identified, type: dateTime, mustSupport: false, choiceOf: identified, isSummary: true, index: 8}
  reference: {isModifier: false, short: Authority for issue, type: uri, mustSupport: false, isSummary: false, index: 16}
  status:
    isModifier: true
    short: preliminary | final | entered-in-error | mitigated
    index: 1
    type: code
    mustSupport: false
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/detectedissue-status|5.0.0-ballot'}
    isModifierReason: This element is labeled as a modifier because it is a status element that contains the code entered-in-error which means that the resource should not be treated as valid
    isSummary: true
  severity:
    isModifier: false
    short: high | moderate | low
    type: code
    mustSupport: false
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/detectedissue-severity|5.0.0-ballot'}
    isSummary: true
    index: 4
  code:
    isModifier: false
    short: Specific type of detected issue, e.g. drug-drug, duplicate therapy, etc.
    type: CodeableConcept
    mustSupport: false
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/detectedissue-category'}
    isSummary: true
    index: 3
  identifier: {isModifier: false, short: Unique id for the detected issue, type: Identifier, mustSupport: false, array: true, isSummary: true, index: 0}
  identified:
    isModifier: false
    short: When identified
    mustSupport: false
    choices: [identifiedDateTime, identifiedPeriod]
    isSummary: true
    index: 7
  implicated:
    isModifier: false
    short: Problem resource
    refers: ['http://hl7.org/fhir/StructureDefinition/Resource']
    type: Reference
    mustSupport: false
    array: true
    isSummary: true
    index: 11
  subject:
    isModifier: false
    short: Associated subject
    refers: ['http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct', 'http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Location', 'http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/NutritionProduct', 'http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/Procedure', 'http://hl7.org/fhir/StructureDefinition/Substance']
    type: Reference
    mustSupport: false
    isSummary: true
    index: 5
  identifiedPeriod: {isModifier: false, short: When identified, type: Period, mustSupport: false, choiceOf: identified, isSummary: true, index: 9}
  detail: {isModifier: false, short: Description and context, type: string, mustSupport: false, isSummary: false, index: 15}
package_version: 5.0.0-ballot
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/DetectedIssue
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 5.0.0-ballot
required: [status]