profile-DetectedIssue
type: StructureDefinition
node role: treeRoot
id:
  v: profile-DetectedIssue
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition profile-DetectedIssue Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> DetectedIssue 0..* DetectedIssue Clinical issue with action #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:category 0..* CodeableConcept R5: Type of detected issue, e.g. drug-drug, duplicate therapy, etc (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.category Binding: Detected Issue Category (preferred): Codes for high level detected issue categories. #xD; extension:encounter 0..1 Reference(Cross-version Profile for R5.Encounter for use in FHIR STU3(0.1.0) | Encounter) R5: Encounter detected issue is part of (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.encounter #xD; extension:evidence 0..* (Complex) R5: Supporting evidence (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.evidence #xD; status #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:status 0..1 code R5: preliminary | final | entered-in-error | mitigated additional codes URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.status Binding: R5DetectedissueStatusForR3ObservationStatus (0.1.0) (required): Indicates the status of the identified issue. #xD; patient #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:subject 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: Associated subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; author #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:author 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R5: author URL: http://hl7.org/fhir/StructureDefinition/alternate-…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r5.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3
        l: hl7.fhir.uv.xver-r5.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3
        l: hl7.fhir.uv.xver-r5.r3
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/profile-DetectedIssue
  l: profile-DetectedIssue
version:
  v: 0.1.0
name:
  v: Profile_R5_DetectedIssue_R3
title:
  v: Cross-version Profile for R5.DetectedIssue for use in FHIR STU3
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:05:12.934214-05:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version profile allows R5 DetectedIssue content to be represented via FHIR STU3 DetectedIssue resources.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/w5
    l: w5
  name:
    v: W5 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: DetectedIssue
base definition:
  v: http://hl7.org/fhir/StructureDefinition/DetectedIssue
  l: DetectedIssue
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: DetectedIssue
    path:
      v: DetectedIssue
    short:
      v: Clinical issue with action
    definition:
      v: 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.
    alias:
      v: DDI
    alias:
      v: drug-drug interaction
    alias:
      v: Contraindication
    alias:
      v: Alert
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: DetectedIssue
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()

v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))

key:
  v: dom-3
severity:
  v: error
human:
  v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
expression:
  v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
xpath:
  v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: v2
map:
  v: Partial mapping from messages containing the AL1 or IAM segment, such as the ADT^A01, ADT^A08, and ADT^A60.

identity:
  v: rim
map:
  v: Observation[classCode=ALRT, moodCode=EVN)

identity:
  v: w5
map:
  v: clinical.general

id:
  v: DetectedIssue.id
path:
  v: DetectedIssue.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
is summary:
  v: true

id:
  v: DetectedIssue.meta
path:
  v: DetectedIssue.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
is summary:
  v: true

id:
  v: DetectedIssue.implicitRules
path:
  v: DetectedIssue.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: DetectedIssue.language
path:
  v: DetectedIssue.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Reference
      l: 3.0
      l: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: DetectedIssue.text
path:
  v: DetectedIssue.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: DetectedIssue.contained
path:
  v: DetectedIssue.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.extension
path:
  v: DetectedIssue.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: DetectedIssue.extension:category
path:
  v: DetectedIssue.extension
slice name:
  v: category
short:
  v: R5: Type of detected issue, e.g. drug-drug, duplicate therapy, etc (new)
definition:
  v: R5: `DetectedIssue.category` (new:CodeableConcept)
comment:
  v: Element `DetectedIssue.category` has a context of DetectedIssue based on following the parent source element upwards and mapping to `DetectedIssue`. Element `DetectedIssue.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.category|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.category
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: DetectedIssue.extension:encounter
path:
  v: DetectedIssue.extension
slice name:
  v: encounter
short:
  v: R5: Encounter detected issue is part of (new)
definition:
  v: R5: `DetectedIssue.encounter` (new:Reference(Encounter))
comment:
  v: Element `DetectedIssue.encounter` has a context of DetectedIssue based on following the parent source element upwards and mapping to `DetectedIssue`. Element `DetectedIssue.encounter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This will typically be the encounter the DetectedIssue was created during, but some DetectedIssues may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission lab tests).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.encounter|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.encounter
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: DetectedIssue.extension:evidence
path:
  v: DetectedIssue.extension
slice name:
  v: evidence
short:
  v: R5: Supporting evidence (new)
definition:
  v: R5: `DetectedIssue.evidence` (new:BackboneElement)
comment:
  v: Element `DetectedIssue.evidence` has a context of DetectedIssue based on following the parent source element upwards and mapping to `DetectedIssue`. Element `DetectedIssue.evidence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.evidence|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.evidence
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: DetectedIssue.modifierExtension
path:
  v: DetectedIssue.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.identifier
path:
  v: DetectedIssue.identifier
short:
  v: Unique id for the detected issue
definition:
  v: Business identifier associated with the detected issue record.
requirements:
  v: Allows linking instances of the same detected issue found on different servers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: v2
  map:
    v: IAM-7
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: w5
  map:
    v: id

id:
  v: DetectedIssue.status
path:
  v: DetectedIssue.status
short:
  v: registered | preliminary | final | amended +
definition:
  v: Indicates the status of the detected issue.
comment:
  v: This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the issue as not currently valid.
alias:
  v: status
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DetectedIssue.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DetectedIssueStatus
  strength:
    v: required
  description:
    v: Indicates the status of the identified issue
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-status|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: DetectedIssue.status.id
path:
  v: DetectedIssue.status.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: DetectedIssue.status.extension
path:
  v: DetectedIssue.status.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: DetectedIssue.status.extension:status
path:
  v: DetectedIssue.status.extension
slice name:
  v: status
short:
  v: R5: preliminary | final | entered-in-error | mitigated additional codes
definition:
  v: R5: `DetectedIssue.status` additional codes
comment:
  v: Element `DetectedIssue.status` is mapped to FHIR STU3 element `DetectedIssue.status` as `RelatedTo`. The mappings for `DetectedIssue.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `DetectedIssue.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains the code entered-in-error that marks the issue as not currently valid.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.status|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.status
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: DetectedIssue.status.value
path:
  v: DetectedIssue.status.value
representation:
  v: xmlAttr
short:
  v: Primitive value for code
definition:
  v: Primitive value for code
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-regex
      l: structuredefinition-regex
    value: String
      v: [^\s]+([\s]?[^\s]+)*
  code:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type
        l: structuredefinition-json-type
      value: String
        v: string
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type
        l: structuredefinition-xml-type
      value: String
        v: xsd:token
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type
        l: structuredefinition-rdf-type
      value: String
        v: xsd:token

id:
  v: DetectedIssue.category
path:
  v: DetectedIssue.category
short:
  v: Issue Category, e.g. drug-drug, duplicate therapy, etc.
definition:
  v: Identifies the general type of issue identified.
alias:
  v: type
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.category
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DetectedIssueCategory
  strength:
    v: preferred
  description:
    v: Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/detectedissue-category|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: v2
  map:
    v: AL1-2 / IAM-9
mapping:
  identity:
    v: rim
  map:
    v: .code
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: DetectedIssue.severity
path:
  v: DetectedIssue.severity
short:
  v: high | moderate | low
definition:
  v: Indicates the degree of importance associated with the identified issue based on the potential impact on the patient.
alias:
  v: severity
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.severity
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DetectedIssueSeverity
  strength:
    v: required
  description:
    v: Indicates the potential degree of impact of the identified issue on the patient.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/detectedissue-severity|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: AL1-4/ IAR-2
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV].value
mapping:
  identity:
    v: w5
  map:
    v: grade

id:
  v: DetectedIssue.patient
path:
  v: DetectedIssue.patient
short:
  v: Associated patient
definition:
  v: Indicates the patient whose record the detected issue is associated with.
requirements:
  v: While the subject could be inferred by tracing the subject of the implicated resources, it's useful to have a direct link for query purposes.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.patient
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=SBJ].role[classCode=PAT]
mapping:
  identity:
    v: w5
  map:
    v: who.focus

id:
  v: DetectedIssue.patient.id
path:
  v: DetectedIssue.patient.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DetectedIssue.patient.extension
path:
  v: DetectedIssue.patient.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: DetectedIssue.patient.extension:subject
path:
  v: DetectedIssue.patient.extension
slice name:
  v: subject
short:
  v: R5: Associated subject
definition:
  v: R5: `DetectedIssue.subject`
comment:
  v: Element `DetectedIssue.subject` is mapped to FHIR STU3 element `DetectedIssue.patient` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `DetectedIssue.subject` with unmapped reference targets: BiologicallyDerivedProduct, Device, Group, Location, Medication, NutritionProduct, Organization, Patient, Practitioner, Procedure, Substance.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: DetectedIssue.patient.reference
path:
  v: DetectedIssue.patient.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.patient.identifier
path:
  v: DetectedIssue.patient.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: DetectedIssue.patient.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: DetectedIssue.patient.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.date
path:
  v: DetectedIssue.date
short:
  v: When identified
definition:
  v: The date or date-time when the detected issue was initially identified.
requirements:
  v: No-one can be responsible for mitigation prior to the issue being identified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.date
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence
mapping:
  identity:
    v: v2
  map:
    v: ALI-6 / IAM-11
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime
mapping:
  identity:
    v: w5
  map:
    v: when.recorded

id:
  v: DetectedIssue.author
path:
  v: DetectedIssue.author
short:
  v: The provider or device that identified the issue
definition:
  v: Individual or device responsible for the issue being raised. For example, a decision support application or a pharmacist conducting a medication review.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.author
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: v2
  map:
    v: IAM-14 / IAM-16
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=AUT].role[classCode=ASSIGNED]
mapping:
  identity:
    v: w5
  map:
    v: who.author

id:
  v: DetectedIssue.author.id
path:
  v: DetectedIssue.author.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DetectedIssue.author.extension
path:
  v: DetectedIssue.author.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: DetectedIssue.author.extension:author
path:
  v: DetectedIssue.author.extension
slice name:
  v: author
short:
  v: R5: author
definition:
  v: R5: `DetectedIssue.author`
comment:
  v: Element `DetectedIssue.author` is mapped to FHIR STU3 element `DetectedIssue.author` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `DetectedIssue.author` with unmapped reference targets: Device, Patient, Practitioner, PractitionerRole, RelatedPerson.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: DetectedIssue.author.reference
path:
  v: DetectedIssue.author.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.author.identifier
path:
  v: DetectedIssue.author.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: DetectedIssue.author.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: DetectedIssue.author.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.implicated
path:
  v: DetectedIssue.implicated
short:
  v: Problem resource
definition:
  v: Indicates the resource representing the current activity or proposed activity that is potentially problematic.
comment:
  v: There's an implicit constraint on the number of implicated resources based on DetectedIssue.type; e.g. For drug-drug, there would be more than one. For timing, there would typically only be one.
alias:
  v: cause
min:
  v: 0
max:
  v: *
base:
  path:
    v: DetectedIssue.implicated
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonReference
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=SUBJ].target[moodCode=EVN, INT]

id:
  v: DetectedIssue.implicated.id
path:
  v: DetectedIssue.implicated.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DetectedIssue.implicated.extension
path:
  v: DetectedIssue.implicated.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: DetectedIssue.implicated.extension:implicated
path:
  v: DetectedIssue.implicated.extension
slice name:
  v: implicated
short:
  v: R5: implicated additional types
definition:
  v: R5: `DetectedIssue.implicated` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `DetectedIssue.implicated` is mapped to FHIR STU3 element `DetectedIssue.implicated` as `SourceIsBroaderThanTarget`. The mappings for `DetectedIssue.implicated` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `DetectedIssue.implicated` with unmapped reference targets: Resource. There's an implicit constraint on the number of implicated resources based on DetectedIssue.type; e.g. For drug-drug, there would be more than one. For timing, there would typically only be one.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: DetectedIssue.implicated.reference
path:
  v: DetectedIssue.implicated.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.implicated.identifier
path:
  v: DetectedIssue.implicated.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
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base:
  path:
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    v: 0
  max:
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type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: DetectedIssue.implicated.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: DetectedIssue.implicated.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.detail
path:
  v: DetectedIssue.detail
short:
  v: Description and context
definition:
  v: A textual explanation of the detected issue.
comment:
  v: Should focus on information not covered elsewhere as discrete data - no need to duplicate the narrative.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.detail
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: workflow
  map:
    v: Event.note
mapping:
  identity:
    v: v2
  map:
    v: AL1-5 / IAM-8
mapping:
  identity:
    v: rim
  map:
    v: .text

id:
  v: DetectedIssue.reference
path:
  v: DetectedIssue.reference
short:
  v: Authority for issue
definition:
  v: The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=INST].target[classCode=ALRT, moodCode=DEFN].text.uri

id:
  v: DetectedIssue.mitigation
path:
  v: DetectedIssue.mitigation
short:
  v: Step taken to address
definition:
  v: Indicates an action that has been taken or is committed to to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DetectedIssue.mitigation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=MITG].target[classCode=ACT, moodCode=EVN]

id:
  v: DetectedIssue.mitigation.id
path:
  v: DetectedIssue.mitigation.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DetectedIssue.mitigation.extension
path:
  v: DetectedIssue.mitigation.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: DetectedIssue.mitigation.extension:note
path:
  v: DetectedIssue.mitigation.extension
slice name:
  v: note
short:
  v: R5: Additional notes about the mitigation (new)
definition:
  v: R5: `DetectedIssue.mitigation.note` (new:Annotation)
comment:
  v: Element `DetectedIssue.mitigation.note` has a context of DetectedIssue.mitigation based on following the parent source element upwards and mapping to `DetectedIssue`. Element `DetectedIssue.mitigation.note` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.mitigation.note|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.mitigation.note
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: DetectedIssue.mitigation.modifierExtension
path:
  v: DetectedIssue.mitigation.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.mitigation.action
path:
  v: DetectedIssue.mitigation.action
short:
  v: What mitigation?
definition:
  v: Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue.
comment:
  v: The "text" component can be used for detail or when no appropriate code exists.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DetectedIssue.mitigation.action
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DetectedIssueMitigationAction
  strength:
    v: preferred
  description:
    v: 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.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .code

id:
  v: DetectedIssue.mitigation.date
path:
  v: DetectedIssue.mitigation.date
short:
  v: Date committed
definition:
  v: Indicates when the mitigating action was documented.
comment:
  v: This may not be the same as when the mitigating step was actually taken.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.mitigation.date
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime

id:
  v: DetectedIssue.mitigation.author
path:
  v: DetectedIssue.mitigation.author
short:
  v: Who is committing?
definition:
  v: Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DetectedIssue.mitigation.author
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=AUT].role[classCode=ASSIGNED]

id:
  v: DetectedIssue.mitigation.author.id
path:
  v: DetectedIssue.mitigation.author.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DetectedIssue.mitigation.author.extension
path:
  v: DetectedIssue.mitigation.author.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: DetectedIssue.mitigation.author.extension:author
path:
  v: DetectedIssue.mitigation.author.extension
slice name:
  v: author
short:
  v: R5: author additional types
definition:
  v: R5: `DetectedIssue.mitigation.author` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `DetectedIssue.mitigation.author` is mapped to FHIR STU3 element `DetectedIssue.mitigation.author` as `SourceIsBroaderThanTarget`. The mappings for `DetectedIssue.mitigation.author` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `DetectedIssue.mitigation.author` with unmapped reference targets: Practitioner, PractitionerRole.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: DetectedIssue.mitigation.author.reference
path:
  v: DetectedIssue.mitigation.author.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DetectedIssue.mitigation.author.identifier
path:
  v: DetectedIssue.mitigation.author.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: DetectedIssue.mitigation.author.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: DetectedIssue.mitigation.author.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

element:
  id:
    v: DetectedIssue
  path:
    v: DetectedIssue
element:
  id:
    v: DetectedIssue.extension
  path:
    v: DetectedIssue.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
    v: *
element:
  id:
    v: DetectedIssue.extension:category
  path:
    v: DetectedIssue.extension
  slice name:
    v: category
  short:
    v: R5: Type of detected issue, e.g. drug-drug, duplicate therapy, etc (new)
  definition:
    v: R5: `DetectedIssue.category` (new:CodeableConcept)
  comment:
    v: Element `DetectedIssue.category` has a context of DetectedIssue based on following the parent source element upwards and mapping to `DetectedIssue`. Element `DetectedIssue.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.
  min:
    v: 0
  max:
    v: *
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.category|0.1.0
      l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.category
element:
  id:
    v: DetectedIssue.extension:encounter
  path:
    v: DetectedIssue.extension
  slice name:
    v: encounter
  short:
    v: R5: Encounter detected issue is part of (new)
  definition:
    v: R5: `DetectedIssue.encounter` (new:Reference(Encounter))
  comment:
    v: Element `DetectedIssue.encounter` has a context of DetectedIssue based on following the parent source element upwards and mapping to `DetectedIssue`. Element `DetectedIssue.encounter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This will typically be the encounter the DetectedIssue was created during, but some DetectedIssues may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission lab tests).
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.encounter|0.1.0
      l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.encounter
element:
  id:
    v: DetectedIssue.extension:evidence
  path:
    v: DetectedIssue.extension
  slice name:
    v: evidence
  short:
    v: R5: Supporting evidence (new)
  definition:
    v: R5: `DetectedIssue.evidence` (new:BackboneElement)
  comment:
    v: Element `DetectedIssue.evidence` has a context of DetectedIssue based on following the parent source element upwards and mapping to `DetectedIssue`. Element `DetectedIssue.evidence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
  min:
    v: 0
  max:
    v: *
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.evidence|0.1.0
      l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.evidence
element:
  id:
    v: DetectedIssue.status.extension
  path:
    v: DetectedIssue.status.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
    v: *
element:
  id:
    v: DetectedIssue.status.extension:status
  path:
    v: DetectedIssue.status.extension
  slice name:
    v: status
  short:
    v: R5: preliminary | final | entered-in-error | mitigated additional codes
  definition:
    v: R5: `DetectedIssue.status` additional codes
  comment:
    v: Element `DetectedIssue.status` is mapped to FHIR STU3 element `DetectedIssue.status` as `RelatedTo`. The mappings for `DetectedIssue.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `DetectedIssue.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains the code entered-in-error that marks the issue as not currently valid.
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.status|0.1.0
      l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.status
element:
  id:
    v: DetectedIssue.patient.extension
  path:
    v: DetectedIssue.patient.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
    v: *
element:
  id:
    v: DetectedIssue.patient.extension:subject
  path:
    v: DetectedIssue.patient.extension
  slice name:
    v: subject
  short:
    v: R5: Associated subject
  definition:
    v: R5: `DetectedIssue.subject`
  comment:
    v: Element `DetectedIssue.subject` is mapped to FHIR STU3 element `DetectedIssue.patient` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `DetectedIssue.subject` with unmapped reference targets: BiologicallyDerivedProduct, Device, Group, Location, Medication, NutritionProduct, Organization, Patient, Practitioner, Procedure, Substance.
  min:
    v: 0

v: 1

path:
  v: DomainResource.extension
min:
  v: 0
max:
  v: *

code:
  v: Extension
  l: Extension
profile:
  v: http://hl7.org/fhir/StructureDefinition/alternate-reference
  l: alternate-reference

id:
  v: DetectedIssue.author.extension
path:
  v: DetectedIssue.author.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
min:
  v: 0
max:
  v: *

id:
  v: DetectedIssue.author.extension:author
path:
  v: DetectedIssue.author.extension
slice name:
  v: author
short:
  v: R5: author
definition:
  v: R5: `DetectedIssue.author`
comment:
  v: Element `DetectedIssue.author` is mapped to FHIR STU3 element `DetectedIssue.author` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `DetectedIssue.author` with unmapped reference targets: Device, Patient, Practitioner, PractitionerRole, RelatedPerson.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: DetectedIssue.implicated.extension
path:
  v: DetectedIssue.implicated.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
min:
  v: 0
max:
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id:
  v: DetectedIssue.implicated.extension:implicated
path:
  v: DetectedIssue.implicated.extension
slice name:
  v: implicated
short:
  v: R5: implicated additional types
definition:
  v: R5: `DetectedIssue.implicated` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `DetectedIssue.implicated` is mapped to FHIR STU3 element `DetectedIssue.implicated` as `SourceIsBroaderThanTarget`. The mappings for `DetectedIssue.implicated` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `DetectedIssue.implicated` with unmapped reference targets: Resource. There's an implicit constraint on the number of implicated resources based on DetectedIssue.type; e.g. For drug-drug, there would be more than one. For timing, there would typically only be one.
min:
  v: 0
max:
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base:
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type:
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    l: Extension
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    l: alternate-reference

id:
  v: DetectedIssue.mitigation.extension
path:
  v: DetectedIssue.mitigation.extension
slicing:
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    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
min:
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max:
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id:
  v: DetectedIssue.mitigation.extension:note
path:
  v: DetectedIssue.mitigation.extension
slice name:
  v: note
short:
  v: R5: Additional notes about the mitigation (new)
definition:
  v: R5: `DetectedIssue.mitigation.note` (new:Annotation)
comment:
  v: Element `DetectedIssue.mitigation.note` has a context of DetectedIssue.mitigation based on following the parent source element upwards and mapping to `DetectedIssue`. Element `DetectedIssue.mitigation.note` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: *
base:
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    l: Extension
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    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-DetectedIssue.mitigation.note

id:
  v: DetectedIssue.mitigation.author.extension
path:
  v: DetectedIssue.mitigation.author.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
min:
  v: 0
max:
  v: *

id:
  v: DetectedIssue.mitigation.author.extension:author
path:
  v: DetectedIssue.mitigation.author.extension
slice name:
  v: author
short:
  v: R5: author additional types
definition:
  v: R5: `DetectedIssue.mitigation.author` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `DetectedIssue.mitigation.author` is mapped to FHIR STU3 element `DetectedIssue.mitigation.author` as `SourceIsBroaderThanTarget`. The mappings for `DetectedIssue.mitigation.author` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `DetectedIssue.mitigation.author` with unmapped reference targets: Practitioner, PractitionerRole.
min:
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