Current Build

Detectedissue-example-dup.xml

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

Jump past Narrative

Diagnostic order is placed when a recent image of the same body site already exists (id = "duplicate")

<?xml version="1.0" encoding="UTF-8"?>

<DetectedIssue xmlns="http://hl7.org/fhir">
  <id value="duplicate"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Similar test was performed within the past 14 days</p> 
      <ul> 
        <li> 
          <a href="ServiceRequest/id">Chest CT - ordered May 8, 2013 by Dr. Adam Careful</a> 
        </li> 
        <li> 
          <a href="ImagingStudy/example">Image 1 from Series 3: CT Images on Patient MINT (MINT1234) taken at 1-Jan 2011 01:20
             AM</a> 
        </li> 
      </ul> 
    </div> 
  </text> 
  <identifier> 
    <use value="official"/> 
    <system value="http://example.org"/> 
    <value value="12345"/> 
  </identifier> 
  <status value="final"/> 
  <code> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="DUPTHPY"/> 
      <display value="Duplicate Therapy Alert"/> 
    </coding> 
  </code> 
  <patient> 
    <reference value="Patient/dicom"/> 
  </patient> 
  <identifiedDateTime value="2013-05-08"/> 
  <author> 
    <reference value="Device/software"/> 
  </author> 
  <!--   test 1   -->
  <implicated> 
    <reference value="ServiceRequest/di"/> 
    <display value="Chest CT - ordered May 8, 2013 by Dr. Adam Careful"/> 
  </implicated> 
  <!--   test 2   -->
  <implicated> 
    <reference value="ImagingStudy/example"/> 
    <display value="Image 1 from Series 3: CT Images on Patient MINT (MINT1234) taken at 1-Jan 2011 01:20
     AM"/> 
  </implicated> 
  <detail value="Similar test was performed within the past 14 days"/> 
  <reference value="http://www.tmhp.com/RadiologyClinicalDecisionSupport/2011/CHEST%20IMAGING%20GUIDELINES%202011.pdf"/> 
</DetectedIssue> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.