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.r4.examples
derivation: specialization
name: DetectedIssue
type: DetectedIssue
elements:
  patient:
    short: Associated patient
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    isSummary: true
    index: 4
  evidence:
    type: BackboneElement
    short: Supporting evidence
    array: true
    index: 11
    elements:
      code:
        short: Manifestation
        type: CodeableConcept
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/manifestation-or-symptom'}
        index: 12
      detail:
        short: Supporting information
        refers: ['http://hl7.org/fhir/StructureDefinition/Resource']
        type: Reference
        array: true
        index: 13
  mitigation:
    type: BackboneElement
    short: Step taken to address
    array: true
    index: 16
    elements:
      action:
        short: What mitigation?
        type: CodeableConcept
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action'}
        index: 17
      date: {short: Date committed, type: dateTime, index: 18}
      author:
        short: Who is committing?
        refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole']
        type: Reference
        index: 19
    required: [action]
  author:
    short: The provider or device that identified the issue
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole']
    type: Reference
    isSummary: true
    index: 9
  identifiedDateTime: {short: When identified, type: dateTime, choiceOf: identified, isSummary: true, index: 7}
  reference: {type: uri, short: Authority for issue, index: 15}
  status:
    isModifier: true
    short: registered | preliminary | final | amended +
    type: code
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/observation-status|4.0.1'}
    isModifierReason: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    isSummary: true
    index: 1
  severity:
    short: high | moderate | low
    type: code
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1'}
    isSummary: true
    index: 3
  code:
    short: Issue Category, e.g. drug-drug, duplicate therapy, etc.
    type: CodeableConcept
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/detectedissue-category'}
    isSummary: true
    index: 2
  identifier: {short: Unique id for the detected issue, type: Identifier, array: true, isSummary: true, index: 0}
  identified:
    short: When identified
    choices: [identifiedDateTime, identifiedPeriod]
    isSummary: true
    index: 6
  implicated:
    short: Problem resource
    refers: ['http://hl7.org/fhir/StructureDefinition/Resource']
    type: Reference
    array: true
    isSummary: true
    index: 10
  identifiedPeriod: {short: When identified, type: Period, choiceOf: identified, isSummary: true, index: 8}
  detail: {short: Description and context, type: string, index: 14}
package_version: 4.0.1
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/DetectedIssue
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 4.0.1
required: [status]