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.

Indicates the patient whose record the contraindication is associated with.

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.

Identifies the general type of issue identified.

Indicates the degree of importance associated with the identified issue based on the potential impact on the patient.

Indicates the resource representing the current activity or proposed activity that.

There's an implicit constraint on the number of implicated resources based on Contraindication.type. E.g. For drug-drug, there would be more than one. For timing, there would typically only be one.

A textual explanation of the contraindication.

Should focus on information not covered elsewhere as discrete data - no need to duplicate the narrative.

The date or date-time when the contraindication was initially identified.

No-one can be responsible for mitigation prior to the issue being identified.

Identifies the provider or software that identified the.

Business identifier associated with the contraindication record.

Allows linking instances of the same contraindication found on different servers.

The literature, knowledge-base or similar reference that describes the propensity for the contraindication identified.

Indicates an action that has been taken or is committed to to reduce or eliminate the likelihood of the risk identified by the contraindicaiton from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action.

Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified contraindication.

The "text" component can be used for detail or when no appropriate code exists.

Indicates when the mitigating action was documented.

This may not be the same as when the mitigating step was actually taken.

Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring.