ResMed Core Implementation Guide - Local Development build (v0.37.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: ResMed Detected Issue

Detected issue profile for alerts contained in a Provenance resource

Usage:

• Use this Resource Profile: Patient Alert Raised Provenance and Patient Alerts Reviewed Provenance

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from DetectedIssue

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
code		1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
detail		1..1	string	Description and context
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
DetectedIssue.code	extensible	ResMedDetectedIssueCodeValueSet

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue.
code	Σ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
detail		1..1	string	Description and context
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DetectedIssue.status	required	ObservationStatus
DetectedIssue.code	extensible	ResMedDetectedIssueCodeValueSet

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DetectedIssue	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DetectedIssue	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DetectedIssue	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DetectedIssue	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DetectedIssue	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique id for the detected issue
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue.
code	Σ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
severity	Σ	0..1	code	high | moderate | low Binding: DetectedIssueSeverity (required): Indicates the potential degree of impact of the identified issue on the patient.
patient	Σ	0..1	Reference(Patient)	Associated patient
identified[x]	Σ	0..1		When identified
identifiedDateTime			dateTime
identifiedPeriod			Period
author	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	The provider or device that identified the issue
implicated	Σ	0..*	Reference(Resource)	Problem resource
evidence		0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue.
detail		0..*	Reference(Resource)	Supporting information
detail		1..1	string	Description and context
reference		0..1	uri	Authority for issue
mitigation		0..*	BackboneElement	Step taken to address
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		1..1	CodeableConcept	What mitigation? Binding: DetectedIssueMitigationAction (preferred): 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.
date		0..1	dateTime	Date committed
author		0..1	Reference(Practitioner | PractitionerRole)	Who is committing?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DetectedIssue.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
DetectedIssue.status	required	ObservationStatus
DetectedIssue.code	extensible	ResMedDetectedIssueCodeValueSet
DetectedIssue.severity	required	DetectedIssueSeverity
DetectedIssue.evidence.code	example	ManifestationAndSymptomCodes
DetectedIssue.mitigation.action	preferred	DetectedIssueMitigationAction

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DetectedIssue	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DetectedIssue	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DetectedIssue	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DetectedIssue	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DetectedIssue	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DetectedIssue

Summary

Mandatory: 2 elements

Differential View

This structure is derived from DetectedIssue

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
code		1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
detail		1..1	string	Description and context
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
DetectedIssue.code	extensible	ResMedDetectedIssueCodeValueSet

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue.
code	Σ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
detail		1..1	string	Description and context
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DetectedIssue.status	required	ObservationStatus
DetectedIssue.code	extensible	ResMedDetectedIssueCodeValueSet

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DetectedIssue	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DetectedIssue	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DetectedIssue	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DetectedIssue	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DetectedIssue	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DetectedIssue		0..*	DetectedIssue	Clinical issue with action
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique id for the detected issue
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue.
code	Σ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
severity	Σ	0..1	code	high | moderate | low Binding: DetectedIssueSeverity (required): Indicates the potential degree of impact of the identified issue on the patient.
patient	Σ	0..1	Reference(Patient)	Associated patient
identified[x]	Σ	0..1		When identified
identifiedDateTime			dateTime
identifiedPeriod			Period
author	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	The provider or device that identified the issue
implicated	Σ	0..*	Reference(Resource)	Problem resource
evidence		0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue.
detail		0..*	Reference(Resource)	Supporting information
detail		1..1	string	Description and context
reference		0..1	uri	Authority for issue
mitigation		0..*	BackboneElement	Step taken to address
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		1..1	CodeableConcept	What mitigation? Binding: DetectedIssueMitigationAction (preferred): 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.
date		0..1	dateTime	Date committed
author		0..1	Reference(Practitioner | PractitionerRole)	Who is committing?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DetectedIssue.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
DetectedIssue.status	required	ObservationStatus
DetectedIssue.code	extensible	ResMedDetectedIssueCodeValueSet
DetectedIssue.severity	required	DetectedIssueSeverity
DetectedIssue.evidence.code	example	ManifestationAndSymptomCodes
DetectedIssue.mitigation.action	preferred	DetectedIssueMitigationAction

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DetectedIssue	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DetectedIssue	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DetectedIssue	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DetectedIssue	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DetectedIssue	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DetectedIssue

Summary

Mandatory: 2 elements

Other representations of profile: CSV, Excel, Schematron