ResMed Core Implementation Guide
0.37.0 - ci-build
ResMed Core Implementation Guide
0.37.0 - ci-build
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
| Official URL: http://resmed.com/fhir/core/StructureDefinition/patient-therapy-detectedissue | Version: 0.37.0 | |||
| Draft as of 2024-01-11 | Computable Name: ResMedPatientTherapyDetectedIssue | |||
Profile of DetectedIssue for recording a therapy alert identified by clinical rule outcome Observations being recorded while monitoring a patient’s therapy.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DetectedIssue
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DetectedIssue | 0..* | DetectedIssue | Clinical issue with action | |
  Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
 patientOrganization | 1..1 | Reference(Organization) | Extension URL: http://resmed.com/fhir/core/StructureDefinition/PatientOrganization | |
 status | 1..1 | code | registered | preliminary | final | amended + Binding: ResMed DetectedIssue status ValueSet (required) | |
 code | S | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Required Pattern: At least the following |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OBSA | |
| patient | S | 1..1 | Reference(Patient) | Associated patient |
 Slices for identified[x] | 1..1 | dateTime | When identified Slice: Unordered, Open by type:$this | |
 identified[x]:identifiedDateTime | S | 1..1 | dateTime | When identified |
 author | S | 1..1 | Reference(ResMed Rules Engine Software Profile) | The ResMed rules monitor that detected the rule outcome and raised the issue |
| Slices for evidence | S | 1..* | BackboneElement | Supporting evidence Slice: Unordered, Open by pattern:code |
 evidence:ruleoutcomes | 1..* | BackboneElement | The rule outcome Observations that identified the issue. | |
 code | 1..* | CodeableConcept | Manifestation Binding: ResMed Clinical Rule Outcome Types Value Set (required) | |
 detail | 1..* | Reference(ResMed Rule Outcome Observation) | Supporting information | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| DetectedIssue.status | required | ResMedDetectedIssueStatusValueSet |
| DetectedIssue.evidence:ruleoutcomes.code | required | ValueSetResMedClincalRuleOutcomeTypeCodes |
| 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 |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| patientOrganization | 1..1 | Reference(Organization) | Extension URL: http://resmed.com/fhir/core/StructureDefinition/PatientOrganization | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ResMed DetectedIssue status ValueSet (required) |
 code | SΣ | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OBSA | |
| patient | SΣ | 1..1 | Reference(Patient) | Associated patient |
| Slices for identified[x] | Σ | 1..1 | dateTime | When identified Slice: Unordered, Closed by type:$this |
| identified[x]:identifiedDateTime | SΣ | 1..1 | dateTime | When identified |
| author | SΣ | 1..1 | Reference(ResMed Rules Engine Software Profile) | The ResMed rules monitor that detected the rule outcome and raised the issue |
| Slices for evidence | S | 1..* | BackboneElement | Supporting evidence Slice: Unordered, Open by pattern:code |
 evidence:All Slices | Content/Rules for all slices | |||
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| evidence:ruleoutcomes | 1..* | BackboneElement | The rule outcome Observations that identified the issue. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..* | CodeableConcept | Manifestation Binding: ResMed Clinical Rule Outcome Types Value Set (required) | |
| detail | 1..* | Reference(ResMed Rule Outcome Observation) | Supporting information | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| DetectedIssue.status | required | ResMedDetectedIssueStatusValueSet |
| DetectedIssue.code | preferred | Pattern: OBSA |
| DetectedIssue.evidence:ruleoutcomes.code | required | ValueSetResMedClincalRuleOutcomeTypeCodes |
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| patientOrganization | 1..1 | Reference(Organization) | Extension URL: http://resmed.com/fhir/core/StructureDefinition/PatientOrganization | |||||
| 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: ResMed DetectedIssue status ValueSet (required) | ||||
| code | SΣ | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OBSA | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | SΣ | 1..1 | Reference(Patient) | Associated patient | ||||
| Slices for identified[x] | Σ | 1..1 | dateTime | When identified Slice: Unordered, Closed by type:$this | ||||
| identified[x]:identifiedDateTime | SΣ | 1..1 | dateTime | When identified | ||||
| author | SΣ | 1..1 | Reference(ResMed Rules Engine Software Profile) | The ResMed rules monitor that detected the rule outcome and raised the issue | ||||
| implicated | Σ | 0..* | Reference(Resource) | Problem resource | ||||
| Slices for evidence | S | 1..* | BackboneElement | Supporting evidence Slice: Unordered, Open by pattern:code | ||||
| evidence:All Slices | Content/Rules for all slices | |||||||
 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 | |||||
| evidence:ruleoutcomes | 1..* | BackboneElement | The rule outcome Observations that identified the issue. | |||||
| 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 | 1..* | CodeableConcept | Manifestation Binding: ResMed Clinical Rule Outcome Types Value Set (required) | |||||
| detail | 1..* | Reference(ResMed Rule Outcome Observation) | Supporting information | |||||
| detail | 0..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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| DetectedIssue.language | preferred | CommonLanguages
| ||||
| DetectedIssue.status | required | ResMedDetectedIssueStatusValueSet | ||||
| DetectedIssue.code | preferred | Pattern: OBSA | ||||
| DetectedIssue.severity | required | DetectedIssueSeverity | ||||
| DetectedIssue.evidence.code | example | ManifestationAndSymptomCodes | ||||
| DetectedIssue.evidence:ruleoutcomes.code | required | ValueSetResMedClincalRuleOutcomeTypeCodes | ||||
| DetectedIssue.mitigation.action | preferred | DetectedIssueMitigationAction |
| 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: 11 elements
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from DetectedIssue
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DetectedIssue | 0..* | DetectedIssue | Clinical issue with action | |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| patientOrganization | 1..1 | Reference(Organization) | Extension URL: http://resmed.com/fhir/core/StructureDefinition/PatientOrganization | |
| status | 1..1 | code | registered | preliminary | final | amended + Binding: ResMed DetectedIssue status ValueSet (required) | |
| code | S | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OBSA | |
| patient | S | 1..1 | Reference(Patient) | Associated patient |
| Slices for identified[x] | 1..1 | dateTime | When identified Slice: Unordered, Open by type:$this | |
| identified[x]:identifiedDateTime | S | 1..1 | dateTime | When identified |
| author | S | 1..1 | Reference(ResMed Rules Engine Software Profile) | The ResMed rules monitor that detected the rule outcome and raised the issue |
| Slices for evidence | S | 1..* | BackboneElement | Supporting evidence Slice: Unordered, Open by pattern:code |
| evidence:ruleoutcomes | 1..* | BackboneElement | The rule outcome Observations that identified the issue. | |
| code | 1..* | CodeableConcept | Manifestation Binding: ResMed Clinical Rule Outcome Types Value Set (required) | |
| detail | 1..* | Reference(ResMed Rule Outcome Observation) | Supporting information | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| DetectedIssue.status | required | ResMedDetectedIssueStatusValueSet |
| DetectedIssue.evidence:ruleoutcomes.code | required | ValueSetResMedClincalRuleOutcomeTypeCodes |
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 |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| patientOrganization | 1..1 | Reference(Organization) | Extension URL: http://resmed.com/fhir/core/StructureDefinition/PatientOrganization | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ResMed DetectedIssue status ValueSet (required) |
| code | SΣ | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OBSA | |
| patient | SΣ | 1..1 | Reference(Patient) | Associated patient |
| Slices for identified[x] | Σ | 1..1 | dateTime | When identified Slice: Unordered, Closed by type:$this |
| identified[x]:identifiedDateTime | SΣ | 1..1 | dateTime | When identified |
| author | SΣ | 1..1 | Reference(ResMed Rules Engine Software Profile) | The ResMed rules monitor that detected the rule outcome and raised the issue |
| Slices for evidence | S | 1..* | BackboneElement | Supporting evidence Slice: Unordered, Open by pattern:code |
| evidence:All Slices | Content/Rules for all slices | |||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| evidence:ruleoutcomes | 1..* | BackboneElement | The rule outcome Observations that identified the issue. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..* | CodeableConcept | Manifestation Binding: ResMed Clinical Rule Outcome Types Value Set (required) | |
| detail | 1..* | Reference(ResMed Rule Outcome Observation) | Supporting information | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| DetectedIssue.status | required | ResMedDetectedIssueStatusValueSet |
| DetectedIssue.code | preferred | Pattern: OBSA |
| DetectedIssue.evidence:ruleoutcomes.code | required | ValueSetResMedClincalRuleOutcomeTypeCodes |
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| patientOrganization | 1..1 | Reference(Organization) | Extension URL: http://resmed.com/fhir/core/StructureDefinition/PatientOrganization | |||||
| 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: ResMed DetectedIssue status ValueSet (required) | ||||
| code | SΣ | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OBSA | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | SΣ | 1..1 | Reference(Patient) | Associated patient | ||||
| Slices for identified[x] | Σ | 1..1 | dateTime | When identified Slice: Unordered, Closed by type:$this | ||||
| identified[x]:identifiedDateTime | SΣ | 1..1 | dateTime | When identified | ||||
| author | SΣ | 1..1 | Reference(ResMed Rules Engine Software Profile) | The ResMed rules monitor that detected the rule outcome and raised the issue | ||||
| implicated | Σ | 0..* | Reference(Resource) | Problem resource | ||||
| Slices for evidence | S | 1..* | BackboneElement | Supporting evidence Slice: Unordered, Open by pattern:code | ||||
| evidence:All Slices | Content/Rules for all slices | |||||||
| 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 | |||||
| evidence:ruleoutcomes | 1..* | BackboneElement | The rule outcome Observations that identified the issue. | |||||
| 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 | 1..* | CodeableConcept | Manifestation Binding: ResMed Clinical Rule Outcome Types Value Set (required) | |||||
| detail | 1..* | Reference(ResMed Rule Outcome Observation) | Supporting information | |||||
| detail | 0..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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| DetectedIssue.language | preferred | CommonLanguages
| ||||
| DetectedIssue.status | required | ResMedDetectedIssueStatusValueSet | ||||
| DetectedIssue.code | preferred | Pattern: OBSA | ||||
| DetectedIssue.severity | required | DetectedIssueSeverity | ||||
| DetectedIssue.evidence.code | example | ManifestationAndSymptomCodes | ||||
| DetectedIssue.evidence:ruleoutcomes.code | required | ValueSetResMedClincalRuleOutcomeTypeCodes | ||||
| DetectedIssue.mitigation.action | preferred | DetectedIssueMitigationAction |
| 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: 11 elements
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron