Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R2_DetectedIssue_R4B

Official URL: http://hl7.org/fhir/1.0/StructureDefinition/profile-DetectedIssue Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: Profile_R2_DetectedIssue_R4B

This cross-version profile allows DSTU2 DetectedIssue content to be represented via FHIR R4B DetectedIssue resources.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue(4.3.0) Clinical issue with action
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Indicates the status of the identified issue.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.status Base required ObservationStatus 📍4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DetectedIssue If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DetectedIssue 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 contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DetectedIssue If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DetectedIssue If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DetectedIssue A resource should have narrative for robust management text.`div`.exists()
ele-1 error DetectedIssue.implicitRules, DetectedIssue.modifierExtension, DetectedIssue.status All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DetectedIssue.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DetectedIssue

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue(4.3.0) Clinical issue with action
... meta
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:meta 0..1 (Complex) DSTU2: meta additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.meta
... text
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:text 0..1 (Complex) DSTU2: text additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.text
... identifier
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:identifier 0..1 Identifier DSTU2: identifier additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.identifier
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:patient 0..1 Reference(Resource) DSTU2: patient additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... author
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:author 0..1 Reference(Resource) DSTU2: author additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... implicated
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:implicated 0..* Reference(Resource) DSTU2: implicated additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... mitigation
.... author
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:author 0..1 Reference(Resource) DSTU2: author additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue(4.3.0) Clinical issue with action
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:meta 0..1 (Complex) DSTU2: meta additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.meta
Constraints: ext-1
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:text 0..1 (Complex) DSTU2: text additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.text
Constraints: ext-1
.... status 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required)
.... div C 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
... contained 0..* Resource Contained, inline Resources
Constraints: dom-r4b
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Unique id for the detected issue
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:identifier 0..1 Identifier DSTU2: identifier additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.identifier
Constraints: ext-1
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... 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
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:patient 0..1 Reference(Resource) DSTU2: patient additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:author 0..1 Reference(Resource) DSTU2: author additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... implicated Σ 0..* Reference(Resource) Problem resource
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:implicated 0..1 Reference(Resource) DSTU2: implicated additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... evidence 0..* BackboneElement Supporting evidence
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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?
..... id 0..1 id Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:author 0..1 Reference(Resource) DSTU2: author additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.meta.security Base extensible SecurityLabels 📍4.3.0 FHIR Std.
DetectedIssue.meta.tag Base example Common Tags 📍4.3.0 FHIR Std.
DetectedIssue.language Base preferred Common Languages 📍4.3.0 FHIR Std.
DetectedIssue.text.status Base required NarrativeStatus 📍4.3.0 FHIR Std.
DetectedIssue.identifier.​use Base required IdentifierUse 📍4.3.0 FHIR Std.
DetectedIssue.identifier.​type Base extensible IdentifierType 📍4.3.0 FHIR Std.
DetectedIssue.status Base required ObservationStatus 📍4.3.0 FHIR Std.
DetectedIssue.code Base preferred Detected Issue Category 📍4.3.0 FHIR Std.
DetectedIssue.severity Base required DetectedIssueSeverity 📍4.3.0 FHIR Std.
DetectedIssue.patient.​type Base extensible ResourceType 📍4.3.0 FHIR Std.
DetectedIssue.author.​type Base extensible ResourceType 📍4.3.0 FHIR Std.
DetectedIssue.implicated.​type Base extensible ResourceType 📍4.3.0 FHIR Std.
DetectedIssue.evidence.​code Base example Manifestation and Symptom Codes 📍4.3.0 FHIR Std.
DetectedIssue.mitigation.​action Base preferred Detected Issue Mitigation Action 📍4.3.0 FHIR Std.
DetectedIssue.mitigation.​author.type Base extensible ResourceType 📍4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DetectedIssue If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DetectedIssue 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 contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DetectedIssue If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DetectedIssue If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DetectedIssue A resource should have narrative for robust management text.`div`.exists()
dom-r4b warning DetectedIssue.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1 error DetectedIssue.meta, DetectedIssue.meta.extension, DetectedIssue.meta.extension:meta, DetectedIssue.meta.versionId, DetectedIssue.meta.lastUpdated, DetectedIssue.meta.source, DetectedIssue.meta.profile, DetectedIssue.meta.security, DetectedIssue.meta.tag, DetectedIssue.implicitRules, DetectedIssue.language, DetectedIssue.text, DetectedIssue.text.extension, DetectedIssue.text.extension:text, DetectedIssue.text.status, DetectedIssue.text.div, DetectedIssue.extension, DetectedIssue.modifierExtension, DetectedIssue.identifier, DetectedIssue.identifier.extension, DetectedIssue.identifier.extension:identifier, DetectedIssue.identifier.use, DetectedIssue.identifier.type, DetectedIssue.identifier.system, DetectedIssue.identifier.value, DetectedIssue.identifier.period, DetectedIssue.identifier.assigner, DetectedIssue.status, DetectedIssue.code, DetectedIssue.severity, DetectedIssue.patient, DetectedIssue.patient.extension, DetectedIssue.patient.extension:patient, DetectedIssue.patient.reference, DetectedIssue.patient.type, DetectedIssue.patient.identifier, DetectedIssue.patient.display, DetectedIssue.identified[x], DetectedIssue.author, DetectedIssue.author.extension, DetectedIssue.author.extension:author, DetectedIssue.author.reference, DetectedIssue.author.type, DetectedIssue.author.identifier, DetectedIssue.author.display, DetectedIssue.implicated, DetectedIssue.implicated.extension, DetectedIssue.implicated.extension:implicated, DetectedIssue.implicated.reference, DetectedIssue.implicated.type, DetectedIssue.implicated.identifier, DetectedIssue.implicated.display, DetectedIssue.evidence, DetectedIssue.evidence.extension, DetectedIssue.evidence.modifierExtension, DetectedIssue.evidence.code, DetectedIssue.evidence.detail, DetectedIssue.detail, DetectedIssue.reference, DetectedIssue.mitigation, DetectedIssue.mitigation.extension, DetectedIssue.mitigation.modifierExtension, DetectedIssue.mitigation.action, DetectedIssue.mitigation.date, DetectedIssue.mitigation.author, DetectedIssue.mitigation.author.extension, DetectedIssue.mitigation.author.extension:author, DetectedIssue.mitigation.author.reference, DetectedIssue.mitigation.author.type, DetectedIssue.mitigation.author.identifier, DetectedIssue.mitigation.author.display All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DetectedIssue.meta.extension, DetectedIssue.meta.extension:meta, DetectedIssue.text.extension, DetectedIssue.text.extension:text, DetectedIssue.extension, DetectedIssue.modifierExtension, DetectedIssue.identifier.extension, DetectedIssue.identifier.extension:identifier, DetectedIssue.patient.extension, DetectedIssue.patient.extension:patient, DetectedIssue.author.extension, DetectedIssue.author.extension:author, DetectedIssue.implicated.extension, DetectedIssue.implicated.extension:implicated, DetectedIssue.evidence.extension, DetectedIssue.evidence.modifierExtension, DetectedIssue.mitigation.extension, DetectedIssue.mitigation.modifierExtension, DetectedIssue.mitigation.author.extension, DetectedIssue.mitigation.author.extension:author Must have either extensions or value[x], not both extension.exists() != value.exists()
txt-1 error DetectedIssue.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error DetectedIssue.text.div The narrative SHALL have some non-whitespace content htmlChecks()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue(4.3.0) Clinical issue with action
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Indicates the status of the identified issue.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.status Base required ObservationStatus 📍4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DetectedIssue If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DetectedIssue 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 contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DetectedIssue If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DetectedIssue If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DetectedIssue A resource should have narrative for robust management text.`div`.exists()
ele-1 error DetectedIssue.implicitRules, DetectedIssue.modifierExtension, DetectedIssue.status All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DetectedIssue.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DetectedIssue

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue(4.3.0) Clinical issue with action
... meta
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:meta 0..1 (Complex) DSTU2: meta additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.meta
... text
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:text 0..1 (Complex) DSTU2: text additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.text
... identifier
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:identifier 0..1 Identifier DSTU2: identifier additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.identifier
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:patient 0..1 Reference(Resource) DSTU2: patient additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... author
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:author 0..1 Reference(Resource) DSTU2: author additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... implicated
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:implicated 0..* Reference(Resource) DSTU2: implicated additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... mitigation
.... author
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:author 0..1 Reference(Resource) DSTU2: author additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue(4.3.0) Clinical issue with action
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:meta 0..1 (Complex) DSTU2: meta additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.meta
Constraints: ext-1
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:text 0..1 (Complex) DSTU2: text additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.text
Constraints: ext-1
.... status 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required)
.... div C 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
... contained 0..* Resource Contained, inline Resources
Constraints: dom-r4b
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Unique id for the detected issue
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:identifier 0..1 Identifier DSTU2: identifier additional types
URL: http://hl7.org/fhir/1.0/StructureDefinition/extension-DetectedIssue.identifier
Constraints: ext-1
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... 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
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:patient 0..1 Reference(Resource) DSTU2: patient additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:author 0..1 Reference(Resource) DSTU2: author additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... implicated Σ 0..* Reference(Resource) Problem resource
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:implicated 0..1 Reference(Resource) DSTU2: implicated additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... evidence 0..* BackboneElement Supporting evidence
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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?
..... id 0..1 id Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:author 0..1 Reference(Resource) DSTU2: author additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.meta.security Base extensible SecurityLabels 📍4.3.0 FHIR Std.
DetectedIssue.meta.tag Base example Common Tags 📍4.3.0 FHIR Std.
DetectedIssue.language Base preferred Common Languages 📍4.3.0 FHIR Std.
DetectedIssue.text.status Base required NarrativeStatus 📍4.3.0 FHIR Std.
DetectedIssue.identifier.​use Base required IdentifierUse 📍4.3.0 FHIR Std.
DetectedIssue.identifier.​type Base extensible IdentifierType 📍4.3.0 FHIR Std.
DetectedIssue.status Base required ObservationStatus 📍4.3.0 FHIR Std.
DetectedIssue.code Base preferred Detected Issue Category 📍4.3.0 FHIR Std.
DetectedIssue.severity Base required DetectedIssueSeverity 📍4.3.0 FHIR Std.
DetectedIssue.patient.​type Base extensible ResourceType 📍4.3.0 FHIR Std.
DetectedIssue.author.​type Base extensible ResourceType 📍4.3.0 FHIR Std.
DetectedIssue.implicated.​type Base extensible ResourceType 📍4.3.0 FHIR Std.
DetectedIssue.evidence.​code Base example Manifestation and Symptom Codes 📍4.3.0 FHIR Std.
DetectedIssue.mitigation.​action Base preferred Detected Issue Mitigation Action 📍4.3.0 FHIR Std.
DetectedIssue.mitigation.​author.type Base extensible ResourceType 📍4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DetectedIssue If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DetectedIssue 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 contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DetectedIssue If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DetectedIssue If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DetectedIssue A resource should have narrative for robust management text.`div`.exists()
dom-r4b warning DetectedIssue.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1 error DetectedIssue.meta, DetectedIssue.meta.extension, DetectedIssue.meta.extension:meta, DetectedIssue.meta.versionId, DetectedIssue.meta.lastUpdated, DetectedIssue.meta.source, DetectedIssue.meta.profile, DetectedIssue.meta.security, DetectedIssue.meta.tag, DetectedIssue.implicitRules, DetectedIssue.language, DetectedIssue.text, DetectedIssue.text.extension, DetectedIssue.text.extension:text, DetectedIssue.text.status, DetectedIssue.text.div, DetectedIssue.extension, DetectedIssue.modifierExtension, DetectedIssue.identifier, DetectedIssue.identifier.extension, DetectedIssue.identifier.extension:identifier, DetectedIssue.identifier.use, DetectedIssue.identifier.type, DetectedIssue.identifier.system, DetectedIssue.identifier.value, DetectedIssue.identifier.period, DetectedIssue.identifier.assigner, DetectedIssue.status, DetectedIssue.code, DetectedIssue.severity, DetectedIssue.patient, DetectedIssue.patient.extension, DetectedIssue.patient.extension:patient, DetectedIssue.patient.reference, DetectedIssue.patient.type, DetectedIssue.patient.identifier, DetectedIssue.patient.display, DetectedIssue.identified[x], DetectedIssue.author, DetectedIssue.author.extension, DetectedIssue.author.extension:author, DetectedIssue.author.reference, DetectedIssue.author.type, DetectedIssue.author.identifier, DetectedIssue.author.display, DetectedIssue.implicated, DetectedIssue.implicated.extension, DetectedIssue.implicated.extension:implicated, DetectedIssue.implicated.reference, DetectedIssue.implicated.type, DetectedIssue.implicated.identifier, DetectedIssue.implicated.display, DetectedIssue.evidence, DetectedIssue.evidence.extension, DetectedIssue.evidence.modifierExtension, DetectedIssue.evidence.code, DetectedIssue.evidence.detail, DetectedIssue.detail, DetectedIssue.reference, DetectedIssue.mitigation, DetectedIssue.mitigation.extension, DetectedIssue.mitigation.modifierExtension, DetectedIssue.mitigation.action, DetectedIssue.mitigation.date, DetectedIssue.mitigation.author, DetectedIssue.mitigation.author.extension, DetectedIssue.mitigation.author.extension:author, DetectedIssue.mitigation.author.reference, DetectedIssue.mitigation.author.type, DetectedIssue.mitigation.author.identifier, DetectedIssue.mitigation.author.display All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DetectedIssue.meta.extension, DetectedIssue.meta.extension:meta, DetectedIssue.text.extension, DetectedIssue.text.extension:text, DetectedIssue.extension, DetectedIssue.modifierExtension, DetectedIssue.identifier.extension, DetectedIssue.identifier.extension:identifier, DetectedIssue.patient.extension, DetectedIssue.patient.extension:patient, DetectedIssue.author.extension, DetectedIssue.author.extension:author, DetectedIssue.implicated.extension, DetectedIssue.implicated.extension:implicated, DetectedIssue.evidence.extension, DetectedIssue.evidence.modifierExtension, DetectedIssue.mitigation.extension, DetectedIssue.mitigation.modifierExtension, DetectedIssue.mitigation.author.extension, DetectedIssue.mitigation.author.extension:author Must have either extensions or value[x], not both extension.exists() != value.exists()
txt-1 error DetectedIssue.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error DetectedIssue.text.div The narrative SHALL have some non-whitespace content htmlChecks()

 

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