DetectedIssue - FHIR Resource (r4)


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

Validate an DetectedIssue FHIR Resource (r4)



Resource Attributes

AttributeField is listTypeDescription
authorfalseReference# The provider or device that identified the issue
codefalseCodeableConcept# Issue Category, e.g. drug-drug, duplicate therapy, etc.
detailfalsestring# Supporting information
evidencetrueData Type# Supporting evidence
identified[x]falsedateTime|Period#undefined
identifiertrueIdentifier# 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

{
  "resourceType": "DetectedIssue",
  "id": "ddi",
  "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>"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "DRG",
        "display": "Drug Interaction Alert"
      }
    ]
  },
  "severity": "high",
  "identifiedDateTime": "2014-01-05",
  "author": {
    "reference": "Device/software"
  },
  "implicated": [
    {
      "reference": "MedicationStatement/example001",
      "display": "500 mg Acetaminophen tablet 1/day, PRN since 2010"
    },
    {
      "reference": "MedicationRequest/medrx0331",
      "display": "Warfarin 1 MG TAB prescribed Jan. 15, 2015"
    }
  ],
  "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.",
  "mitigation": [
    {
      "action": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "13",
            "display": "Stopped Concurrent Therapy"
          }
        ],
        "text": "Asked patient to discontinue regular use of Tylenol and to consult with clinician if they need to resume to allow appropriate INR monitoring"
      },
      "date": "2014-01-05",
      "author": {
        "reference": "Practitioner/example",
        "display": "Dr. Adam Careful"
      }
    }
  ]
}

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 +
  "code" : { CodeableConcept }, // Issue Category, e.g. drug-drug, duplicate therapy, etc.
  "severity" : "<code>", // high | moderate | low
  "patient" : { Reference(Patient) }, // Associated patient
  // identified[x]: When identified. One of these 2:
  "identifiedDateTime" : "<dateTime>",
  "identifiedPeriod" : { Period },
  "author" : { Reference(Practitioner|PractitionerRole|Device) }, // The provider or device that identified the issue
  "implicated" : [{ Reference(Any) }], // Problem resource
  "evidence" : [{ // Supporting evidence
    "code" : [{ CodeableConcept }], // Manifestation
    "detail" : [{ Reference(Any) }] // Supporting information
  }],
  "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|PractitionerRole) } // Who is committing?
  }]
}

DetectedIssue Search Parameters

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

https://api.1up.health/fhir/r4/DetectedIssue?query-param=queryvalue
Search ParameterField TypeResource Fields Searched
authorreferenceauthor
codetextcode
identifieddateidentified
identifiertextidentifier
implicatedreferenceimplicated
patientreferencepatient