DetectedIssue - FHIR Resource (stu3)


This DetectedIssue Resource uses the FHIR API standard for access and structure.

Validate an DetectedIssue FHIR Resource (stu3)



Resource Attributes

AttributeField is listTypeDescription
authorfalseReference The provider or device that identified the issue
categoryfalseCodeableConcept Issue Category, e.g. drug-drug, duplicate therapy, etc.
datefalsedateTime When identified
detailfalsestring Description and context
identifierfalseIdentifier Unique id for the detected issue
implicatedtrueReference Problem resource
mitigationtrueData Type Step taken to address
patientfalseReference Associated patient
referencefalseuri Authority for issue
severityfalsecode high | moderate | low
statusfalsecode registered | preliminary | final | amended +

DetectedIssue Example

{
  "category": {
    "coding": [
      {
        "code": "DRG",
        "system": "http://hl7.org/fhir/v3/ActCode",
        "display": "Drug Interaction Alert"
      }
    ]
  },
  "status": "final",
  "severity": "high",
  "author": {
    "reference": "Device/software"
  },
  "resourceType": "DetectedIssue",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p><b>Severity: High</b> - Risk of internal bleeding</p>\n      <p>Those who take acetaminophen along with the widely used blood-thinning drug warfarin may face the risk of serious internal bleeding. People on warfarin who take acetaminophen for at least seven days in a row should be closely watched for bleeding.</p>\n      <ul>\n        <li><a href=\"MedicationStatement/tylenol\">500 mg Acetaminophen tablet 1/day, PRN since 2010</a></li>\n        <li><a href=\"MedicationRequest/warfarin\">Warfarin 1 MG TAB prescribed Jan. 5, 2014</a></li>\n      </ul>\n      <p>Mitigation: Jan 5, 2014 by Dr. Adam Careful: </p>\n      <p>Asked patient to discontinue regular use of Tylenol and to consult with clinician if they need to resume to allow appropriate INR monitoring</p>\n    </div>"
  },
  "detail": "Risk of internal bleeding.  Those who take acetaminophen along with the widely used blood-thinning drug warfarin may face the risk of serious internal bleeding. People on warfarin who take acetaminophen for at least seven days in a row should be closely watched for bleeding.",
  "implicated": [
    {
      "display": "500 mg Acetaminophen tablet 1/day, PRN since 2010",
      "reference": "MedicationStatement/example001"
    },
    {
      "display": "Warfarin 1 MG TAB prescribed Jan. 15, 2015",
      "reference": "MedicationRequest/medrx0331"
    }
  ],
  "mitigation": [
    {
      "action": {
        "text": "Asked patient to discontinue regular use of Tylenol and to consult with clinician if they need to resume to allow appropriate INR monitoring",
        "coding": [
          {
            "code": "13",
            "system": "http://hl7.org/fhir/v3/ActCode",
            "display": "Stopped Concurrent Therapy"
          }
        ]
      },
      "date": "2014-01-05",
      "author": {
        "display": "Dr. Adam Careful",
        "reference": "Practitioner/example"
      }
    }
  ],
  "date": "2014-01-05",
  "id": "ddi"
}

DetectedIssue Structure


  
{
  "resourceType" : "DetectedIssue",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : { Identifier }, // Unique id for the detected issue
  "status" : "<code>", // R!  registered | preliminary | final | amended +
  "category" : { CodeableConcept }, // Issue Category, e.g. drug-drug, duplicate therapy, etc.
  "severity" : "<code>", // high | moderate | low
  "patient" : { Reference(Patient) }, // Associated patient
  "date" : "<dateTime>", // When identified
  "author" : { Reference(Practitioner|Device) }, // The provider or device that identified the issue
  "implicated" : [{ Reference(Any) }], // Problem resource
  "detail" : "<string>", // Description and context
  "reference" : "<uri>", // Authority for issue
  "mitigation" : [{ // Step taken to address
    "action" : { CodeableConcept }, // R!  What mitigation?
    "date" : "<dateTime>", // Date committed
    "author" : { Reference(Practitioner) } // Who is committing?
  }]
}


 

DetectedIssue Search Parameters

The following search parameters can be used to query DetectedIssue resources. Just submit the like so:

https://api.1up.health/fhir/stu3/DetectedIssue?query-param=queryvalue
Search ParameterField TypeResource Fields Searched
authorreferenceauthor
categorytextcategory
datedatedate
identifiertextidentifier
implicatedreferenceimplicated
patientreferencepatient