Union of http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm and http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm

This is the set of resources that conform to either of the profiles DEQM Gaps In Care Detected Issue Profile (http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm) and DEQM Gaps In Care Detected Issue Profile (http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. DetectedIssue 0..*Clinical issue with action
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... meta Σ0..1MetaMetadata about the resource
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.


ele-1: All FHIR elements must have a @value or children
... text 0..1NarrativeText summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?!1..*ExtensionExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier Σ0..*IdentifierUnique id for the detected issue
ele-1: All FHIR elements must have a @value or children
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ?? (required): Indicates the status of the identified issue.


ele-1: All FHIR elements must have a @value or children
... code SΣ1..1CodeableConceptIssue Category, e.g. drug-drug, duplicate therapy, etc.
Binding: ?? (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.


ele-1: All FHIR elements must have a @value or children
... severity Σ0..1codehigh | moderate | low
Binding: ?? (required): Indicates the potential degree of impact of the identified issue on the patient.


ele-1: All FHIR elements must have a @value or children
... patient SΣ1..1Reference(QICore Patient | #sd-qicore-patient-qicore-patient)Associated patient
ele-1: All FHIR elements must have a @value or children
... identified[x] Σ0..1When identified
ele-1: All FHIR elements must have a @value or children
.... identifiedDateTimedateTime
.... identifiedPeriodPeriod
... author Σ0..1Reference(Practitioner | PractitionerRole | Device)The provider or device that identified the issue
ele-1: All FHIR elements must have a @value or children
... implicated Σ0..*Reference(Resource)Problem resource
ele-1: All FHIR elements must have a @value or children
... evidence S1..*BackboneElementSupporting evidence
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... code 0..*CodeableConceptManifestation
Binding: ?? (example): Codes that describes the types of evidence for a detected issue.


ele-1: All FHIR elements must have a @value or children
.... detail S1..1Reference(DEQM Individual MeasureReport Profile | Detailed Care Gap Guidance Response | #sd-indv-measurereport-deqm-indv-measurereport-deqm)This references either a DEQM Individual MeasureReport or a GuidanceResponse resource. Note that referencing the GuidanceResponse resource allows potential profiling on GuidanceResponse in the future without breaking backward compatibility.
ele-1: All FHIR elements must have a @value or children
... detail 0..1stringDescription and context
ele-1: All FHIR elements must have a @value or children
... reference 0..1uriAuthority for issue
ele-1: All FHIR elements must have a @value or children
... mitigation 0..*BackboneElementStep taken to address
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... action 1..1CodeableConceptWhat mitigation?
Binding: ?? (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.


ele-1: All FHIR elements must have a @value or children
.... date 0..1dateTimeDate committed
ele-1: All FHIR elements must have a @value or children
.... author 0..1Reference(Practitioner | PractitionerRole)Who is committing?
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format