Kenya Core Implementation Guide
1.0.0 - release Kenya flag

Kenya Core Implementation Guide, published by Digital Health Agency (DHA), Kenya. 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/IntelliSOFT-Consulting/Kenya-core-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: Kenya Core DetectedIssue Profile

Official URL: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-detectedissue Version: 1.0.0
Active as of 2026-08-11 Computable Name: KenyaCoreDetectedIssue

Kenya Core profile for recording a clinical issue detected during care provision, e.g. drug interaction, duplicate therapy, allergy conflict identified by clinical decision support.

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
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-detectedissue|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣ 0..* Identifier Unique id for the detected issue
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code registered | preliminary | final | amended | ...
Binding: ObservationStatus (required): Indicates the status of the identified issue.
... code SΣ 0..1 CodeableConcept Type of issue, e.g. drug interaction, duplicate therapy
Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... severity SΣ 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(KenyaCore Patient Profile) Associated patient
... Slices for identified[x] Σ 0..1 When identified
Slice: Unordered, Open by type:$this
.... identifiedDateTime dateTime
.... identifiedPeriod Period
.... identified[x]:identifiedDateTime SΣ 0..1 dateTime When identified
... author SΣ 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core Device Profile) The provider or device that identified the issue
... implicated Σ 0..* Reference(Kenya Core ServiceRequest Profile | Condition | Observation | MedicationStatement | MedicationRequest) Problem resource
... evidence S 0..* BackboneElement Supporting evidence
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail S 0..* Reference(Resource) Supporting information
... detail S 0..1 string Description and context
... reference S 0..1 uri Authority for issue
... mitigation S 0..* BackboneElement Step taken to address
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action S 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 S 0..1 dateTime Date committed
.... author S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile) Who is committing?

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DetectedIssue.identifier.​type Base extensible IdentifierType 📍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.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()

This structure is derived from DetectedIssue

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue Clinical issue with action
... id S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-detectedissue|1.0.0
... identifier S 0..* Identifier Unique id for the detected issue
.... use S 0..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... code S 0..1 CodeableConcept Type of issue, e.g. drug interaction, duplicate therapy
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... severity S 0..1 code high | moderate | low
... patient S 0..1 Reference(KenyaCore Patient Profile) Associated patient
... Slices for identified[x] 0..1 dateTime, Period When identified
Slice: Unordered, Open by type:$this
.... identified[x]:identifiedDateTime S 0..1 dateTime When identified
... author S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core Device Profile) The provider or device that identified the issue
... implicated 0..* Reference(Kenya Core ServiceRequest Profile | Condition | Observation | MedicationStatement | MedicationRequest) Problem resource
... evidence S 0..* BackboneElement Supporting evidence
.... detail S 0..* Reference(Resource) Supporting information
... detail S 0..1 string Description and context
... reference S 0..1 uri Authority for issue
... mitigation S 0..* BackboneElement Step taken to address
.... action S 1..1 CodeableConcept What mitigation?
.... date S 0..1 dateTime Date committed
.... author S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile) Who is committing?

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue Clinical issue with action
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-detectedissue|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 SΣ 0..* Identifier Unique id for the detected issue
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code registered | preliminary | final | amended | ...
Binding: ObservationStatus (required): Indicates the status of the identified issue.
... code SΣ 0..1 CodeableConcept Type of issue, e.g. drug interaction, duplicate therapy
Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... severity SΣ 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(KenyaCore Patient Profile) Associated patient
... Slices for identified[x] Σ 0..1 When identified
Slice: Unordered, Open by type:$this
.... identifiedDateTime dateTime
.... identifiedPeriod Period
.... identified[x]:identifiedDateTime SΣ 0..1 dateTime When identified
... author SΣ 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core Device Profile) The provider or device that identified the issue
... implicated Σ 0..* Reference(Kenya Core ServiceRequest Profile | Condition | Observation | MedicationStatement | MedicationRequest) 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 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 S 0..1 string Description and context
... reference S 0..1 uri Authority for issue
... mitigation S 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 S 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 S 0..1 dateTime Date committed
.... author S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile) Who is committing?

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DetectedIssue.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
DetectedIssue.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DetectedIssue.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DetectedIssue.identifier.​type Base extensible IdentifierType 📍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
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-detectedissue|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣ 0..* Identifier Unique id for the detected issue
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code registered | preliminary | final | amended | ...
Binding: ObservationStatus (required): Indicates the status of the identified issue.
... code SΣ 0..1 CodeableConcept Type of issue, e.g. drug interaction, duplicate therapy
Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... severity SΣ 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(KenyaCore Patient Profile) Associated patient
... Slices for identified[x] Σ 0..1 When identified
Slice: Unordered, Open by type:$this
.... identifiedDateTime dateTime
.... identifiedPeriod Period
.... identified[x]:identifiedDateTime SΣ 0..1 dateTime When identified
... author SΣ 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core Device Profile) The provider or device that identified the issue
... implicated Σ 0..* Reference(Kenya Core ServiceRequest Profile | Condition | Observation | MedicationStatement | MedicationRequest) Problem resource
... evidence S 0..* BackboneElement Supporting evidence
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail S 0..* Reference(Resource) Supporting information
... detail S 0..1 string Description and context
... reference S 0..1 uri Authority for issue
... mitigation S 0..* BackboneElement Step taken to address
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action S 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 S 0..1 dateTime Date committed
.... author S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile) Who is committing?

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DetectedIssue.identifier.​type Base extensible IdentifierType 📍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.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()

Differential View

This structure is derived from DetectedIssue

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue Clinical issue with action
... id S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-detectedissue|1.0.0
... identifier S 0..* Identifier Unique id for the detected issue
.... use S 0..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... code S 0..1 CodeableConcept Type of issue, e.g. drug interaction, duplicate therapy
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... severity S 0..1 code high | moderate | low
... patient S 0..1 Reference(KenyaCore Patient Profile) Associated patient
... Slices for identified[x] 0..1 dateTime, Period When identified
Slice: Unordered, Open by type:$this
.... identified[x]:identifiedDateTime S 0..1 dateTime When identified
... author S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core Device Profile) The provider or device that identified the issue
... implicated 0..* Reference(Kenya Core ServiceRequest Profile | Condition | Observation | MedicationStatement | MedicationRequest) Problem resource
... evidence S 0..* BackboneElement Supporting evidence
.... detail S 0..* Reference(Resource) Supporting information
... detail S 0..1 string Description and context
... reference S 0..1 uri Authority for issue
... mitigation S 0..* BackboneElement Step taken to address
.... action S 1..1 CodeableConcept What mitigation?
.... date S 0..1 dateTime Date committed
.... author S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile) Who is committing?

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DetectedIssue 0..* DetectedIssue Clinical issue with action
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-detectedissue|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 SΣ 0..* Identifier Unique id for the detected issue
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code registered | preliminary | final | amended | ...
Binding: ObservationStatus (required): Indicates the status of the identified issue.
... code SΣ 0..1 CodeableConcept Type of issue, e.g. drug interaction, duplicate therapy
Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... severity SΣ 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(KenyaCore Patient Profile) Associated patient
... Slices for identified[x] Σ 0..1 When identified
Slice: Unordered, Open by type:$this
.... identifiedDateTime dateTime
.... identifiedPeriod Period
.... identified[x]:identifiedDateTime SΣ 0..1 dateTime When identified
... author SΣ 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core Device Profile) The provider or device that identified the issue
... implicated Σ 0..* Reference(Kenya Core ServiceRequest Profile | Condition | Observation | MedicationStatement | MedicationRequest) 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 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 S 0..1 string Description and context
... reference S 0..1 uri Authority for issue
... mitigation S 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 S 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 S 0..1 dateTime Date committed
.... author S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile) Who is committing?

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DetectedIssue.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DetectedIssue.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
DetectedIssue.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DetectedIssue.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DetectedIssue.identifier.​type Base extensible IdentifierType 📍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()

 

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