Generated Narrative: StructureDefinition PhdDeviceAlert Name Flags Card. Type Description & Constraints DeviceAlert 0..* DeviceAlert Documentation of an alert (a.k.a. alarm) generated by a device indicating a noteworthy condition #xD; code 1..1 CodeableConcept Code for the alert condition Binding: DeviceAlertConditionCodes (2.0.0) (required) #xD; derivedFrom 1..* BackboneElement Reference to the observation(s) this alert is associated with #xD; observation 1..1 Reference(PhdNumericObservation | PhdCompoundNumericObservation | PhdCompoundObservation) The Observation having a value causing the alert condition #xD; label 0..1 string Threshold notification text #xD; signal 0..* BackboneElement Annunciation or notification of the alert condition Slice: Unordered, Open by value:type #xD; Documentation for this format
Profile for device alert that capture alert conditions from personal health devices.
ISO/IEEE 11073-10207: Domain Information and Service Model for Service-Oriented Point-of-Care Medical Device Communication
ISO/IEEE 11073-10201: Domain Information Model
Documentation of an alert (a.k.a. alarm) generated by a device indicating a noteworthy condition
Describes a noteworthy condition or occurrence determined to exist by a device.
The DeviceAlert resource is derived from the ISO/IEEE 11073-10201 Domain Information Model standard, but is more widely applicable.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
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()
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
Generated by gateway from an ACOM Observation with a Threshold Error status code
AlertConditionDescriptor, AlertSignalState, AlertConditionState
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resource id depends on the given use case.
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
The base language in which the resource is written.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Text summary of the resource, for human interpretation
A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](http://build.fhir.org/resource.html#additional).
Extensions are always sliced by (at least) url
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Business identifier for this device alert
Business identifiers assigned to this alert, by the source device, gateway software, manufacturers, or other systems or organizations. These identifiers remain constant as the resource is updated and propagates from server to server.
Note: This is a business identifier, not a resource identifier (see [discussion](http://build.fhir.org/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For identifiers assigned to an alert by the device or gateway software, the `system` element of the identifier might be set to an identifier of the device.
Allows identification of the device alert as it is known by various participating systems and in a way that remains consistent across servers.
Procedure during which the alert occurred
The procedure (or procedures) during which the alert condition was raised.
in-progress | completed | entered-in-error | unknown
Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.
This element is labeled as a modifier because it has a potential code that indicates the Alert was entered in error.
High level categorization of device alert
Partitions the device alert into one or more categories that can be used to filter searching, to govern access control and/or to guide system behavior.
Categorization might be done automatically (inferred by code) or manually by user assertion. The absence of a category may limit the ability to determine when the element should be handled, so strong consideration should be given to how systems will be able to determine category values for legacy data and how data that cannot be categorized will be handled. As well, some categories might not be mutually exclusive, so systems should prepare for multiple declared categories - even within a single category 'axis'.
The particular kind of alert, such as whether it is related to the patient condition; to irregular device state; or to workflow or regular device state, such as timers.
The urgency by which the condition ought to be addressed
The urgency by which the condition ought to be addressed. The alert priority is usually reported by the source device. The element MAY be omitted if the priority is unknown.
If present, AlertConditionState/ActualPriority; otherwise AlertConditionDescriptor/Priority
MDC nomenclature code from partition 3 indicating the alert condition being reported
The code identifies the specific alert condition from the IEEE 11073 medical device communication nomenclature.
MDC code from partition 3 indicating the alert condition being reported as selected by the gateway
Links the device alert to the appropriate subject context. May also affect access control.
Encounter during which the alert condition occurred
The Encounter during which the alert condition was raised.
Links the device alert to the Encounter context. May also affect access control.
When the alert condition occurred/is occurring
This element is used to record the time period when the alert condition did occur or is occurring.
This element is used to record the time period during which the alert condition is or was active. The absence of `occurrence.end` usually indicates that the alert condition was ongoing at the last update. Coincident `occurrence.start` and `occurrence.end` values allow the expression of instantaneous alert conditions. Implementers should remain aware that partially specified `dateTime` values for `occurrence.start` or `occurrence.end` are ambiguous about what point in time they represent. Corner cases, such representing an alert condition known to be ongoing without knowledge of the start time, may require special handling such as use of [extensions](http://build.fhir.org/extensibility.html)—consult relevant implementation guides.
The Device (or DeviceMetric) that detected the alert condition
Indicates the device that detected the alert condition. The device could be a top-level Device or component Device (such as an MDS, VMD, or Channel); or might identify the specific DeviceMetric of a Device (e.g., a heart rate reading) that was in an alert condition.
Whether the alert condition has been acknowledged
An indication of whether (true) or not (false) the alert condition has been acknowledged.
If absent, no inference SHOULD be made about whether the alert condition has been acknowledged.
An indication of who or what acknowledged the alert condition.
Location of the subject when the alert was raised
The principal physical location of the subject at the time the alert condition occurred. This could be different from the location of the alerting device at that time, and from the current location of either the subject or the alert condition detecting device.
Provides context around the alert occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).
Reference to the observation(s) this alert is associated with
References to the PhdNumericObservation, PhdCompoundNumericObservation, PhdCompoundObservation, or other observations that this alert condition is derived from or associated with.
The alert is now represented as a separate resource that references the source measurement observation(s) via derivedFrom. The component element can be used to identify a specific component in case of an alert on a compound observation, e.g. on systolic blood pressure in a blood pressure observation.
All FHIR elements must have a @value or children or both
the Observation(s) with the Threshold error status code that triggered generation of the alert
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
The Observation having a value causing the alert condition
Indicates the Observation whose value is causing the alert condition; or, if `component` is present, the Observation with a component causing the alert condition.
The Observation.component having a value causing the alert condition
If applicable, the code of the component (of the Observation identified in `derivedFrom.observation`) having a value causing the alert condition. This might be used when the alert is associated with a specific component of an Observation, rather than the overall Observation; for example, a low diastolic blood pressure. Since the component is identified by matching `Observation.component.code`, if more than one component have the same code, the specific component is ambiguous. Repetitions of this element indicate additional components contributing to the alert condition.
Codes identifying names of simple observations.
The boundaries beyond which a value was detected to cause the alert condition
The limits beyond which a value was detected to cause the alert condition. The actual value is the `Observation.value[x]` referenced by `derivedFrom.observation` or, if specified, the `Observation.component.value[x]` of the component (with `Observation.component.code` matching `derivedFrom.component`) of the reference Observation.
Notification message displayed when the threshold is crossed.
Text message displayed by the gateway when the threshold is crossed
Annunciation or notification of the alert condition
Annunciation or notification of the alert condition.
actual signal(s) from the gateway, if any, that triggered the alert
AlertCondition/AlertFlags; AlertCondition/AlertControls