DetectedIssue

Clinical

Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc.

DetectedIssue is a FHIR R4 Clinical resource — clinical issue with action. It defines 32 elements and supports 15 search parameters, and is referenced from 4 elements across other resources.

Official spec

Path	Card.	Type	Description & Constraints
DetectedIssue	0..*	—	Clinical issue with action
.idΣ	0..1	String	Logical id of this artifact
.metaΣ	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 Bindinglanguages(preferred)
.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
.identifierΣ	0..*	Identifier	Unique id for the detected issue
.status?!Σ	1..1	code	registered \| preliminary \| final \| amended + Bindingobservation-status(required)
.codeΣ	0..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Bindingdetectedissue-category(preferred)
.severityΣ	0..1	code	high \| moderate \| low Bindingdetectedissue-severity(required)
.patientΣ	0..1	Reference(Patient)	Associated patient
.identified[x]Σ	0..1	dateTime \| Period	When identified
.authorΣ	0..1	Reference(Practitioner \| PractitionerRole \| Device)	The provider or device that identified the issue
.implicatedΣ	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 Bindingmanifestation-or-symptom(example)
.detail	0..*	Reference(Resource)	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? Bindingdetectedissue-mitigation-action(preferred)
.date	0..1	dateTime	Date committed
.author	0..1	Reference(Practitioner \| PractitionerRole)	Who is committing?

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