Nigeria Immunization FHIR IG, published by intellisoftkenya.com. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Nigeria-Immunization-FHIR-IG/ and changes regularly. See the Directory of published versions

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Resource Profile: DetectedIssue Profile - NEIR

This profile constrains the DetectedIssue resource to represent immunization-related issues within the National Electronic Immunization Registry (NEIR), such as contraindications, missed doses, duplicate records, or adverse events, supporting safe and effective vaccination delivery.

Usages:

• Use this Profile: Bundle - Administer Vaccine
• Examples for this Profile: DetectedIssue/NEIRDetectedIssueExample

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
identifier	SΣ	0..1	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	SΣ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: IMMZ.D.DE11 ValueSet for Contraindications (required)
patient	SΣ	1..1	Reference(Patient Profile - NEIR)	Associated patient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DetectedIssue.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
DetectedIssue.code	required	IMMZDContraindications http://nhin.example.ng/ValueSet/IMMZDContraindications From this IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DetectedIssue			DetectedIssue
identifier	S	0..1	Identifier	Unique id for the detected issue
status	S	1..1	code	registered | preliminary | final | amended +
code	S	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: IMMZ.D.DE11 ValueSet for Contraindications (required)
patient	S	1..1	Reference(Patient Profile - NEIR)	Associated patient
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DetectedIssue.code	required	IMMZDContraindications http://nhin.example.ng/ValueSet/IMMZDContraindications From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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. Additional Bindings Purpose AllLanguages Max Binding
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..1	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	SΣ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: IMMZ.D.DE11 ValueSet for Contraindications (required)
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	1..1	Reference(Patient Profile - NEIR)	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		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		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

Terminology Bindings

Path	Conformance	ValueSet	URI
DetectedIssue.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DetectedIssue.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
DetectedIssue.code	required	IMMZDContraindications http://nhin.example.ng/ValueSet/IMMZDContraindications From this IG
DetectedIssue.severity	required	DetectedIssueSeverity http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1 From the FHIR Standard
DetectedIssue.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
DetectedIssue.mitigation.action	preferred	DetectedIssueMitigationAction http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action From the FHIR Standard

Constraints

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

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• Patient Profile - NEIR (http://nhin.example.ng/StructureDefinition/neir-patient)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
identifier	SΣ	0..1	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	SΣ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: IMMZ.D.DE11 ValueSet for Contraindications (required)
patient	SΣ	1..1	Reference(Patient Profile - NEIR)	Associated patient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DetectedIssue.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
DetectedIssue.code	required	IMMZDContraindications http://nhin.example.ng/ValueSet/IMMZDContraindications From this IG

Constraints

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()

Differential View

This structure is derived from DetectedIssue

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DetectedIssue			DetectedIssue
identifier	S	0..1	Identifier	Unique id for the detected issue
status	S	1..1	code	registered | preliminary | final | amended +
code	S	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: IMMZ.D.DE11 ValueSet for Contraindications (required)
patient	S	1..1	Reference(Patient Profile - NEIR)	Associated patient
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DetectedIssue.code	required	IMMZDContraindications http://nhin.example.ng/ValueSet/IMMZDContraindications From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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. Additional Bindings Purpose AllLanguages Max Binding
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..1	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	SΣ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: IMMZ.D.DE11 ValueSet for Contraindications (required)
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	1..1	Reference(Patient Profile - NEIR)	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		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		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

Terminology Bindings

Path	Conformance	ValueSet	URI
DetectedIssue.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DetectedIssue.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
DetectedIssue.code	required	IMMZDContraindications http://nhin.example.ng/ValueSet/IMMZDContraindications From this IG
DetectedIssue.severity	required	DetectedIssueSeverity http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1 From the FHIR Standard
DetectedIssue.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
DetectedIssue.mitigation.action	preferred	DetectedIssueMitigationAction http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action From the FHIR Standard

Constraints

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

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• Patient Profile - NEIR (http://nhin.example.ng/StructureDefinition/neir-patient)

Other representations of profile: CSV, Excel, Schematron