Standardized Medication Profile (SMP) FHIR IG
1.0.0 - STU 1 United States of America flag

Standardized Medication Profile (SMP) FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/smp-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Standardized Medication Profile - Medication Action Plan Detected Issue

Official URL: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan-detected-issue Version: 1.0.0
Standards status: Trial-use Maturity Level: 1 Computable Name: SMPMedicationActionPlanDetectedIssue

An issues or risk related to a given medication, therapy, or regimen. May include interventions and actions that mitigate the issue.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Indicates the status of the identified issue.
... author Σ 0..1 Reference(US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1)) The provider or device that identified the issue
... implicated Σ 0..* Reference(Standardized Medication Profile - MedicationStatement | Condition | Observation | AllergyIntolerance) Problem resource
... detail S 0..1 string Detected Issue Detail

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.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DetectedIssue

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue Clinical issue with action
... code S 0..1 CodeableConcept Detected Issue Code
... author 0..1 Reference(US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1)) The provider or device that identified the issue
... implicated 0..* Reference(Standardized Medication Profile - MedicationStatement | Condition | Observation | AllergyIntolerance) Problem resource

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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique id for the detected issue
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Indicates the status of the identified issue.
... code SΣ 0..1 CodeableConcept Detected Issue Code
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 Σ 0..1 Reference(Patient) Associated patient
... identified[x] Σ 0..1 When identified
.... identifiedDateTime dateTime
.... identifiedPeriod Period
... author Σ 0..1 Reference(US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1)) The provider or device that identified the issue
... implicated Σ 0..* Reference(Standardized Medication Profile - MedicationStatement | Condition | Observation | AllergyIntolerance) Problem resource
... evidence 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 0..* CodeableConcept Manifestation
Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue.
.... detail 0..* Reference(Resource) Supporting information
... detail S 0..1 string Detected Issue Detail
... 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

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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Indicates the status of the identified issue.
... author Σ 0..1 Reference(US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1)) The provider or device that identified the issue
... implicated Σ 0..* Reference(Standardized Medication Profile - MedicationStatement | Condition | Observation | AllergyIntolerance) Problem resource
... detail S 0..1 string Detected Issue Detail

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.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from DetectedIssue

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue Clinical issue with action
... code S 0..1 CodeableConcept Detected Issue Code
... author 0..1 Reference(US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1)) The provider or device that identified the issue
... implicated 0..* Reference(Standardized Medication Profile - MedicationStatement | Condition | Observation | AllergyIntolerance) Problem resource

doco Documentation for this format

Snapshot View

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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique id for the detected issue
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Indicates the status of the identified issue.
... code SΣ 0..1 CodeableConcept Detected Issue Code
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 Σ 0..1 Reference(Patient) Associated patient
... identified[x] Σ 0..1 When identified
.... identifiedDateTime dateTime
.... identifiedPeriod Period
... author Σ 0..1 Reference(US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1)) The provider or device that identified the issue
... implicated Σ 0..* Reference(Standardized Medication Profile - MedicationStatement | Condition | Observation | AllergyIntolerance) Problem resource
... evidence 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 0..* CodeableConcept Manifestation
Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue.
.... detail 0..* Reference(Resource) Supporting information
... detail S 0..1 string Detected Issue Detail
... 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

 

Other representations of profile: CSV, Excel, Schematron