LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
| Official URL: http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-detected-issue | Version: 8.0.0 | |||
| Active as of 2022-11-10 | Computable Name: CDMDetectedIssue | |||
LinuxForHealth Common Data Model definition of what fields we currently define for a detected issue
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DetectedIssue
| 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 | ||||
| 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 | ||||
| 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.
| |||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| DetectedIssue.language | preferred | CommonLanguages
| ||||
| 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 |
This structure is derived from DetectedIssue
Summary
Mandatory: 3 elements (1 nested mandatory element)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from DetectedIssue
| 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 | ||||
| Path | Conformance | ValueSet |
| DetectedIssue.identifier.type | extensible | IdentifierTypeValueSet |
Key Elements View
| 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 | ||||
| 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 |
Snapshot View
| 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.
| |||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| DetectedIssue.language | preferred | CommonLanguages
| ||||
| 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 |
This structure is derived from DetectedIssue
Summary
Mandatory: 3 elements (1 nested mandatory element)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron