Clinical Practice Guidelines
2.0.0 - STU2 International flag

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

Resource Profile: CPG Detected Issue

Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-detectedissue Version: 2.0.0
Active as of 2026-04-29 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

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... extension:instantiatesCaseFeature S 0..1 canonical(CPG Case Feature Definition) CPG Instantiates Case Feature Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
.... extension: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
.... extension: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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.status Base required ObservationStatus 📍4.0.1 FHIR Std.
DetectedIssue.code Base preferred Detected Issue Category 📍4.0.1 FHIR Std.
DetectedIssue.evidence.​code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue Clinical issue with action
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:instantiatesCaseFeature S 0..1 canonical(CPG Case Feature Definition) CPG Instantiates Case Feature Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
.... extension: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
.... extension: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
... status S 1..1 code registered | preliminary | final | amended +
... code 1..1 CodeableConcept Issue Category, e.g. drug-drug, duplicate therapy, etc.
... evidence S 0..* BackboneElement Supporting evidence
.... code S 0..* CodeableConcept Manifestation
.... detail S 0..* Reference(Resource) Supporting information

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:instantiatesCaseFeature S 0..1 canonical(CPG Case Feature Definition) CPG Instantiates Case Feature Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
.... extension: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
.... extension: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?

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DetectedIssue.status Base required ObservationStatus 📍4.0.1 FHIR Std.
DetectedIssue.code Base preferred Detected Issue Category 📍4.0.1 FHIR Std.
DetectedIssue.severity Base required DetectedIssueSeverity 📍4.0.1 FHIR Std.
DetectedIssue.evidence.​code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.
DetectedIssue.mitigation.​action Base preferred Detected Issue Mitigation Action 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... extension:instantiatesCaseFeature S 0..1 canonical(CPG Case Feature Definition) CPG Instantiates Case Feature Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
.... extension: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
.... extension: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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.status Base required ObservationStatus 📍4.0.1 FHIR Std.
DetectedIssue.code Base preferred Detected Issue Category 📍4.0.1 FHIR Std.
DetectedIssue.evidence.​code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue Clinical issue with action
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:instantiatesCaseFeature S 0..1 canonical(CPG Case Feature Definition) CPG Instantiates Case Feature Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
.... extension: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
.... extension: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
... status S 1..1 code registered | preliminary | final | amended +
... code 1..1 CodeableConcept Issue Category, e.g. drug-drug, duplicate therapy, etc.
... evidence S 0..* BackboneElement Supporting evidence
.... code S 0..* CodeableConcept Manifestation
.... detail S 0..* Reference(Resource) Supporting information

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:instantiatesCaseFeature S 0..1 canonical(CPG Case Feature Definition) CPG Instantiates Case Feature Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
.... extension: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
.... extension: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?

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DetectedIssue.status Base required ObservationStatus 📍4.0.1 FHIR Std.
DetectedIssue.code Base preferred Detected Issue Category 📍4.0.1 FHIR Std.
DetectedIssue.severity Base required DetectedIssueSeverity 📍4.0.1 FHIR Std.
DetectedIssue.evidence.​code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.
DetectedIssue.mitigation.​action Base preferred Detected Issue Mitigation Action 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

 

Other representations of profile: CSV, Excel, Schematron