DetectedIssue - FHIR Resource (r4)
This DetectedIssue Resource uses the FHIR API standard for access and structure.
Validate an DetectedIssue FHIR Resource (r4)
DetectedIssue Attributes
AttributeField is listTypeDescription
Description: Unique id for the detected issue
FHIR Version: r4
Attribute Type : Identifier
Required: N/A
Countability: Array
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"identifier": Learn more about the (DetectedIssue) identifier FHIR attribute
Description: registered | preliminary | final | amended +
FHIR Version: r4
Attribute Type : code
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"status": "final"Learn more about the (DetectedIssue) status FHIR attribute
Description: Issue Category, e.g. drug-drug, duplicate therapy, etc.
FHIR Version: r4
Attribute Type : CodeableConcept
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "DRG",
"display": "Drug Interaction Alert"
}
]
}Learn more about the (DetectedIssue) code FHIR attribute
Description: high | moderate | low
FHIR Version: r4
Attribute Type : code
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"severity": "high"Learn more about the (DetectedIssue) severity FHIR attribute
Description: Associated patient
FHIR Version: r4
Attribute Type : Reference
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"patient": Learn more about the (DetectedIssue) patient FHIR attribute
Description:
FHIR Version: r4
Attribute Type : dateTime|Period
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"identified[x]": Learn more about the (DetectedIssue) identified[x] FHIR attribute
Description: The provider or device that identified the issue
FHIR Version: r4
Attribute Type : Reference
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"author": {
"reference": "Device/software"
}Learn more about the (DetectedIssue) author FHIR attribute
Description: Problem resource
FHIR Version: r4
Attribute Type : Reference
Required: N/A
Countability: Array
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"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"
}
]Learn more about the (DetectedIssue) implicated FHIR attribute
Description: Supporting evidence
FHIR Version: r4
Attribute Type : Data Type
Required: N/A
Countability: Array
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"evidence": Learn more about the (DetectedIssue) evidence FHIR attribute
Description: Supporting information
FHIR Version: r4
Attribute Type : string
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"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."Learn more about the (DetectedIssue) detail FHIR attribute
Description: Authority for issue
FHIR Version: r4
Attribute Type : uri
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"reference": Learn more about the (DetectedIssue) reference FHIR attribute
Description: Step taken to address
FHIR Version: r4
Attribute Type : Data Type
Required: N/A
Countability: Array
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Example:
"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"
}
}
]Learn more about the (DetectedIssue) mitigation FHIR attribute
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 Parameter | Field Type | Resource Fields Searched |
|---|---|---|
author | reference | author |
code | text | code |
identified | date | identified |
identifier | text | identifier |
implicated | reference | implicated |
patient | reference | patient |
