Clinical Practice Guidelines
2.0.0 - trial-use
Clinical Practice Guidelines
2.0.0 - trial-use
Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-detectedissue | Version: 2.0.0 | |||
| Active as of 2024-11-21 | Computable Name: CPGDetectedIssue | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.42.48 | ||||
Documents a detected issue within the context of a computable clinical practice guideline
This is a domain case/instance profile
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 | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred |
 caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 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: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. |
 patient |
SΣ | 0..1 | Reference(CPG Patient) | Associated patient |
 evidence |
S | 0..* | BackboneElement | Supporting evidence |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..* | CodeableConcept | Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue. |
 detail |
S | 0..* | Reference(Resource) | Supporting information |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DetectedIssue.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| DetectedIssue.code | preferred | DetectedIssueCategoryhttp://hl7.org/fhir/ValueSet/detectedissue-categoryfrom the FHIR Standard | |
| DetectedIssue.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard |
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | ||||
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | ||||
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Unique id for the detected issue | ||||
| status |
?!SΣ | 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: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. | ||||
| 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 | 0..1 | Reference(CPG 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 |
S | 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 |
S | 0..* | CodeableConcept | Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue. | ||||
| detail |
S | 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? 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 | URI | |||
| DetectedIssue.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DetectedIssue.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| DetectedIssue.code | preferred | DetectedIssueCategoryhttp://hl7.org/fhir/ValueSet/detectedissue-categoryfrom the FHIR Standard | ||||
| DetectedIssue.severity | required | DetectedIssueSeverityhttp://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1from the FHIR Standard | ||||
| DetectedIssue.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard | ||||
| DetectedIssue.mitigation.action | preferred | DetectedIssueMitigationActionhttp://hl7.org/fhir/ValueSet/detectedissue-mitigation-actionfrom the FHIR Standard |
| 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
Differential View
This structure is derived from DetectedIssue
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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred |
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 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: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. |
| patient |
SΣ | 0..1 | Reference(CPG Patient) | Associated patient |
| evidence |
S | 0..* | BackboneElement | Supporting evidence |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..* | CodeableConcept | Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue. |
| detail |
S | 0..* | Reference(Resource) | Supporting information |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DetectedIssue.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| DetectedIssue.code | preferred | DetectedIssueCategoryhttp://hl7.org/fhir/ValueSet/detectedissue-categoryfrom the FHIR Standard | |
| DetectedIssue.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard |
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| instantiatesCaseFeature |
S | 0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | ||||
| caseFeatureType |
S | 0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | ||||
| caseFeaturePertinence |
S | 0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Unique id for the detected issue | ||||
| status |
?!SΣ | 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: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. | ||||
| 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 | 0..1 | Reference(CPG 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 |
S | 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 |
S | 0..* | CodeableConcept | Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue. | ||||
| detail |
S | 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? 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 | URI | |||
| DetectedIssue.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DetectedIssue.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| DetectedIssue.code | preferred | DetectedIssueCategoryhttp://hl7.org/fhir/ValueSet/detectedissue-categoryfrom the FHIR Standard | ||||
| DetectedIssue.severity | required | DetectedIssueSeverityhttp://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1from the FHIR Standard | ||||
| DetectedIssue.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard | ||||
| DetectedIssue.mitigation.action | preferred | DetectedIssueMitigationActionhttp://hl7.org/fhir/ValueSet/detectedissue-mitigation-actionfrom the FHIR Standard |
| 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
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.cpg#2.0.0 based on FHIR 4.0.1. Generated 2024-11-21
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