Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
meta		0..1	ProcessMeta	Metadata about a resource
contained		0..0
Slices for identifier		1..*	Identifier	Unique id for the detected issue Slice: Unordered, Open by value:type
identifier:All Slices				Content/Rules for all slices
type		0..1	CodeableConcept	Description of identifier Binding: Identifier Type Value Set (extensible)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
identifier:Source		0..1	Identifier	Unique id for the detected issue
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SSRI
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
DetectedIssue.identifier.type	extensible	IdentifierTypeValueSet

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
meta		0..1	ProcessMeta	Metadata about a resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Unique id for the detected issue Slice: Unordered, Open by value:type
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Value Set (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:Source	Σ	0..1	Identifier	Unique id for the detected issue
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SSRI
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
DetectedIssue.identifier.use	required	IdentifierUse
DetectedIssue.identifier.type	extensible	IdentifierTypeValueSet
DetectedIssue.identifier:Source.use	required	Pattern: official
DetectedIssue.identifier:Source.type	extensible	Pattern: SSRI
DetectedIssue.status	required	ObservationStatus

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
id	Σ	0..1	id	Logical id of this artifact
meta		0..1	ProcessMeta	Metadata about a resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Unique id for the detected issue Slice: Unordered, Open by value:type
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Value Set (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:Source	Σ	0..1	Identifier	Unique id for the detected issue
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SSRI
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue.
code	Σ	0..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.
severity	Σ	0..1	code	high | moderate | low Binding: DetectedIssueSeverity (required): Indicates the potential degree of impact of the identified issue on the patient.
patient	Σ	0..1	Reference(Patient)	Associated patient
identified[x]	Σ	0..1		When identified
identifiedDateTime			dateTime
identifiedPeriod			Period
author	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	The provider or device that identified the issue
implicated	Σ	0..*	Reference(Resource)	Problem resource
evidence		0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue.
detail		0..*	Reference(Resource)	Supporting information
detail		0..1	string	Description and context
reference		0..1	uri	Authority for issue
mitigation		0..*	BackboneElement	Step taken to address
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		1..1	CodeableConcept	What mitigation? Binding: DetectedIssueMitigationAction (preferred): Codes describing steps taken to resolve the issue or other circumstances that mitigate the risk associated with the issue; e.g. 'added concurrent therapy', 'prior therapy documented', etc.
date		0..1	dateTime	Date committed
author		0..1	Reference(Practitioner | PractitionerRole)	Who is committing?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
DetectedIssue.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
DetectedIssue.identifier.use	required	IdentifierUse
DetectedIssue.identifier.type	extensible	IdentifierTypeValueSet
DetectedIssue.identifier:Source.use	required	Pattern: official
DetectedIssue.identifier:Source.type	extensible	Pattern: SSRI
DetectedIssue.status	required	ObservationStatus
DetectedIssue.code	preferred	DetectedIssueCategory
DetectedIssue.severity	required	DetectedIssueSeverity
DetectedIssue.evidence.code	example	ManifestationAndSymptomCodes
DetectedIssue.mitigation.action	preferred	DetectedIssueMitigationAction

Summary

Mandatory: 3 elements (1 nested mandatory element)
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Process Meta (http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-meta)

Slices

This structure defines the following Slices:

• The element DetectedIssue.identifier is sliced based on the value of value:type

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
meta		0..1	ProcessMeta	Metadata about a resource
contained		0..0
Slices for identifier		1..*	Identifier	Unique id for the detected issue Slice: Unordered, Open by value:type
identifier:All Slices				Content/Rules for all slices
type		0..1	CodeableConcept	Description of identifier Binding: Identifier Type Value Set (extensible)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
identifier:Source		0..1	Identifier	Unique id for the detected issue
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SSRI
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
DetectedIssue.identifier.type	extensible	IdentifierTypeValueSet

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
meta		0..1	ProcessMeta	Metadata about a resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Unique id for the detected issue Slice: Unordered, Open by value:type
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Value Set (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:Source	Σ	0..1	Identifier	Unique id for the detected issue
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SSRI
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
DetectedIssue.identifier.use	required	IdentifierUse
DetectedIssue.identifier.type	extensible	IdentifierTypeValueSet
DetectedIssue.identifier:Source.use	required	Pattern: official
DetectedIssue.identifier:Source.type	extensible	Pattern: SSRI
DetectedIssue.status	required	ObservationStatus

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
id	Σ	0..1	id	Logical id of this artifact
meta		0..1	ProcessMeta	Metadata about a resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Unique id for the detected issue Slice: Unordered, Open by value:type
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Value Set (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:Source	Σ	0..1	Identifier	Unique id for the detected issue
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SSRI
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue.
code	Σ	0..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.
severity	Σ	0..1	code	high | moderate | low Binding: DetectedIssueSeverity (required): Indicates the potential degree of impact of the identified issue on the patient.
patient	Σ	0..1	Reference(Patient)	Associated patient
identified[x]	Σ	0..1		When identified
identifiedDateTime			dateTime
identifiedPeriod			Period
author	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	The provider or device that identified the issue
implicated	Σ	0..*	Reference(Resource)	Problem resource
evidence		0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue.
detail		0..*	Reference(Resource)	Supporting information
detail		0..1	string	Description and context
reference		0..1	uri	Authority for issue
mitigation		0..*	BackboneElement	Step taken to address
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		1..1	CodeableConcept	What mitigation? Binding: DetectedIssueMitigationAction (preferred): Codes describing steps taken to resolve the issue or other circumstances that mitigate the risk associated with the issue; e.g. 'added concurrent therapy', 'prior therapy documented', etc.
date		0..1	dateTime	Date committed
author		0..1	Reference(Practitioner | PractitionerRole)	Who is committing?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
DetectedIssue.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
DetectedIssue.identifier.use	required	IdentifierUse
DetectedIssue.identifier.type	extensible	IdentifierTypeValueSet
DetectedIssue.identifier:Source.use	required	Pattern: official
DetectedIssue.identifier:Source.type	extensible	Pattern: SSRI
DetectedIssue.status	required	ObservationStatus
DetectedIssue.code	preferred	DetectedIssueCategory
DetectedIssue.severity	required	DetectedIssueSeverity
DetectedIssue.evidence.code	example	ManifestationAndSymptomCodes
DetectedIssue.mitigation.action	preferred	DetectedIssueMitigationAction

Summary

Mandatory: 3 elements (1 nested mandatory element)
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Process Meta (http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-meta)

Slices

This structure defines the following Slices:

• The element DetectedIssue.identifier is sliced based on the value of value:type