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, gaps in care, etc. 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, gaps in care, etc. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this detected issue by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. The current state of the detected issue. Partitions the detected issue into one or more categories that can be used to filter searching, to govern access control and/or to guide system behavior. A code that identifies the specific type of issue detected. Indicates the degree of importance associated with the identified issue based on the potential impact on the patient. Indicates the subject whose record the detected issue is associated with. The Encounter during which this detected issue was created or to which the creation of this record is tightly associated. The date, period or timing when the detected issue did occur or is occurring. Individual or device responsible for the issue being raised. For example, a decision support application or a pharmacist conducting a medication review. Indicates the resource representing the current activity or proposed activity that is potentially problematic. Supporting evidence or manifestations that provide the basis for identifying the detected issue such as a GuidanceResponse or MeasureReport. A textual explanation of the detected issue. The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified. The quality of the evidence supporting identification of the detected issue. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence. The time frame in which the clinical effects of the detected issue may be expected to occur. Rapid refers to an expected onset within 24 hours. Delayed refers to an expected onset in more than 24 hours. Represents the medication class that is responsible for the detected issue. An indication of the importance or type of step that should or may be taken in order to address the detected issue. This is different than mitigation in that it is not specifically providing actions to be taken, rather general suggestions about approach. Indicates an action that has been taken or is committed to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action. 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, gaps in care, etc. A manifestation that led to the recording of this detected issue. Links to resources that constitute evidence for the detected issue such as a GuidanceResponse or MeasureReport. 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, gaps in care, etc. Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue. Indicates when the mitigating action was documented. Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring. Clinicians may add additional notes or justifications about the mitigation action. For example, patient can have this drug because they have had it before without any issues. Multiple justifications may be provided. Preliminary Final Entered in Error Unknwon Mitigated If the element is present, it must have either a @value, an @id, or extensions