Orders
Class DetectedIssueEvent

"An observation identifying a potential adverse outcome as a result of an Act or combination of Acts. Examples: Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria. Discussion: This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation. Constraints: the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id)." - HL7 Version 3
"Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc." - HL7 FHIR, DetectedIssue

Attributes
Participation author author

"Individual or device responsible for the issue being raised. For example, a decision support application or a pharmacist conducting a medication review." - HL7 FHIR, DetectedIssue.author

«CS» Code category category

"Identifies the general type of issue identified." - HL7 FHIR, DetectedIssue.category

«TS» PointInTime date date

"The date or date-time when the detected issue was initially identified." - HL7 FHIR, DetectedIssue.date

«CS» Code detectedIssue detectedIssue

Indicates the issue that was detected (also called an "order check").

DetectedIssueMitigation detectedIssueMitigation detectedIssueMitigation

"Indicates an action that has been taken or is committed to to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action." - HL7 FHIR, DetectedIssue.mitigation

DetectedIssueOrderRevision detectedIssueOrderRevision detectedIssueOrderRevision

Provides a record of a revision to the originally proposed Order Action - the resulting revision reflecting a decision to change the Order Action based on information presented by the Detected Issue (aka Order Check).

DetectedIssueOverride detectedIssueOverride detectedIssueOverride

Provides a record that the Detected Issue (or "Order Check") was acknowledged and was disregarded. For example, perhaps a warning was displayed indicating that the patient has a mild allergy to an antibiotic that the clinician wishes to order. If the antibiotic is the only one that could possibly save the patient's life, the clinician would likely choose to order the antibiotic anyway.

«II» Id identifier identifier

"Business identifier associated with the detected issue record." - HL7 FHIR, DetectedIssue.identifier

String reference reference

"The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified." - HL7 FHIR, DetectedIssue.reference

«CS» Code severity severity

The clinical danger level associated with this detected issue. Those having a High danger level will require a justification for override and release. Valid values are High, Moderate, or Low.
"Indicates the degree of importance associated with the identified issue based on the potential impact on the patient." - HL7 FHIR, DetectedIssue.severity

«CS» Code status status

"Indicates the status of the detected issue." - HL7 FHIR, DetectedIssue.status

String text text

Contains the actual text of the detected issue.
"A textual explanation of the detected issue." - HL7 FHIR, DetectedIssue.detail


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameDetectedIssueEvent
Name Expression
NamespaceOrders
Owned Template Signature
OwnerOrders
Owning Template Parameter
PackageOrders
Qualified NameFHIM::Orders::DetectedIssueEvent
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 author
Public Participation author

"Individual or device responsible for the issue being raised. For example, a decision support application or a pharmacist conducting a medication review." - HL7 FHIR, DetectedIssue.author

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameauthor
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::author
Stereotype
Template Parameter
TypeParticipation
Upper1
Upper Value(1)
VisibilityPublic


 category
Public «CS» Code category

"Identifies the general type of issue identified." - HL7 FHIR, DetectedIssue.category

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namecategory
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::category
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 date
Public «TS» PointInTime date

"The date or date-time when the detected issue was initially identified." - HL7 FHIR, DetectedIssue.date

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namedate
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::date
Stereotype
Template Parameter
Type«TS» PointInTime
Upper1
Upper Value(1)
VisibilityPublic


 detectedIssue
Public «CS» Code detectedIssue

Indicates the issue that was detected (also called an "order check").

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamedetectedIssue
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::detectedIssue
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 detectedIssueMitigation
Public DetectedIssueMitigation detectedIssueMitigation

"Indicates an action that has been taken or is committed to to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action." - HL7 FHIR, DetectedIssue.mitigation

Constraints:
Properties:

AggregationNone
Alias
AssociationdetectedIssueEvent_detectedIssueMitigation
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamedetectedIssueMitigation
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::detectedIssueMitigation
Stereotype
Template Parameter
TypeDetectedIssueMitigation
Upper*
Upper Value(*)
VisibilityPublic


 detectedIssueOrderRevision
Public DetectedIssueOrderRevision detectedIssueOrderRevision

Provides a record of a revision to the originally proposed Order Action - the resulting revision reflecting a decision to change the Order Action based on information presented by the Detected Issue (aka Order Check).

Constraints:
Properties:

AggregationNone
Alias
AssociationdetectedIssueEvent_detectedIssueOrderRevision
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamedetectedIssueOrderRevision
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::detectedIssueOrderRevision
Stereotype
Template Parameter
TypeDetectedIssueOrderRevision
Upper1
Upper Value(1)
VisibilityPublic


 detectedIssueOverride
Public DetectedIssueOverride detectedIssueOverride

Provides a record that the Detected Issue (or "Order Check") was acknowledged and was disregarded. For example, perhaps a warning was displayed indicating that the patient has a mild allergy to an antibiotic that the clinician wishes to order. If the antibiotic is the only one that could possibly save the patient's life, the clinician would likely choose to order the antibiotic anyway.

Constraints:
Properties:

AggregationNone
Alias
AssociationdetectedIssueEvent_dectectedIssueOverride
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamedetectedIssueOverride
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::detectedIssueOverride
Stereotype
Template Parameter
TypeDetectedIssueOverride
Upper1
Upper Value(1)
VisibilityPublic


 identifier
Public «II» Id identifier

"Business identifier associated with the detected issue record." - HL7 FHIR, DetectedIssue.identifier

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameidentifier
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::identifier
Stereotype
Template Parameter
Type«II» Id
Upper1
Upper Value(1)
VisibilityPublic


 reference
Public String reference

"The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified." - HL7 FHIR, DetectedIssue.reference

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namereference
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::reference
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 severity
Public «CS» Code severity

The clinical danger level associated with this detected issue. Those having a High danger level will require a justification for override and release. Valid values are High, Moderate, or Low.
"Indicates the degree of importance associated with the identified issue based on the potential impact on the patient." - HL7 FHIR, DetectedIssue.severity

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameseverity
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::severity
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 status
Public «CS» Code status

"Indicates the status of the detected issue." - HL7 FHIR, DetectedIssue.status

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
Namestatus
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::status
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 text
Public String text

Contains the actual text of the detected issue.
"A textual explanation of the detected issue." - HL7 FHIR, DetectedIssue.detail

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDetectedIssueEvent
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
Nametext
Name Expression
NamespaceDetectedIssueEvent
Opposite
OwnerDetectedIssueEvent
Owning Association
Owning Template Parameter
Qualified NameFHIM::Orders::DetectedIssueEvent::text
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic