1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
//! DetectedIssue
//!
//! URL: http://hl7.org/fhir/StructureDefinition/DetectedIssue
//!
//! Version: 5.0.0
//!
//! DetectedIssue Resource: 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, gaps in care, etc.
//!
//! FHIR: <https://build.fhir.org/>
//!
//! UML: <https://build.fhir.org/uml.html>
// Allow unused crate::r5::types as types;
#![allow(unused_imports)]
use crate::r5::types;
use ::serde::{Deserialize, Serialize};
use fhir_derive_macros::Validate;
/// Indicates an actual or potential clinical issue with or between one or more
/// active or proposed clinical actions for a patient.
///
/// A DetectedIssue records a problem discovered during clinical decision
/// support or review, such as a drug-drug interaction, duplicate therapy,
/// ineffective treatment frequency, or a procedure-condition conflict. It
/// captures the severity, the resources implicated in the issue, supporting
/// evidence, and any mitigation steps taken to address it. In FHIR R5 it is
/// commonly produced by decision-support systems and reviewed by clinicians.
/// A single detected issue may reference one or more implicated resources
/// (such as a `MedicationRequest` or `Procedure`), and downstream workflows
/// can track whether the issue is still open or has been mitigated by
/// recording one or more `DetectedIssueMitigation` entries.
///
/// # Related resources
///
/// - The `subject` of the detected issue is typically a
/// [`Patient`](crate::r5::resources::patient::Patient).
/// - `category`, `code`, and `severity` use
/// [`CodeableConcept`](crate::r5::types::CodeableConcept) to classify the
/// nature and seriousness of the issue.
/// - The `implicated` field references the clinical resources (such as
/// `MedicationRequest`, `Procedure`, or `Condition`) that are involved in
/// the issue.
///
/// # Examples
///
/// ```
/// use fhir::r5::resources::detected_issue::DetectedIssue;
///
/// let value = DetectedIssue::default();
/// let json = ::serde_json::to_value(&value).unwrap();
/// let back: DetectedIssue = ::serde_json::from_value(json).unwrap();
/// assert_eq!(value, back);
/// ```
#[serde_with::skip_serializing_none]
#[derive(Debug, Default, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct DetectedIssue {
/// Logical id of this artifact
pub id: Option<types::String>,
/// Metadata about the resource
pub meta: Option<types::Meta>,
/// A set of rules under which this content was created
pub implicit_rules: Option<types::Uri>,
/// Language of the resource content
pub language: Option<types::Code>,
/// Text summary of the resource, for human interpretation
pub text: Option<types::Narrative>,
/// Contained, inline Resources
pub contained: Option<Vec<::serde_json::Value>>,
/// Additional content defined by implementations
pub extension: Option<Vec<types::Extension>>,
/// Extensions that cannot be ignored
pub modifier_extension: Option<Vec<types::Extension>>,
/// Unique id for the detected issue
pub identifier: Option<Vec<types::Identifier>>,
/// The workflow status of this issue: preliminary | final | entered-in-error | mitigated
pub status: types::Code,
/// Broad category of the detected issue, e.g. drug-drug interaction, duplicate therapy, etc
pub category: Option<Vec<types::CodeableConcept>>,
/// Specific type of detected issue, e.g. drug-drug, duplicate therapy, etc
pub code: Option<types::CodeableConcept>,
/// Indicates the potential clinical seriousness of the issue: high | moderate | low
pub severity: Option<types::Code>,
/// The patient, or other subject, for whom the issue was detected
pub subject: Option<types::Reference>,
/// Encounter detected issue is part of
pub encounter: Option<types::Reference>,
/// When identified
pub identified_date_time: Option<types::DateTime>,
/// When identified
pub identified_period: Option<types::Period>,
/// The provider or device that identified the issue
pub author: Option<types::Reference>,
/// The clinical resource(s), such as a medication order or procedure, that are implicated in the issue
pub implicated: Option<Vec<types::Reference>>,
/// Supporting evidence
pub evidence: Option<Vec<DetectedIssueEvidence>>,
/// Description and context
pub detail: Option<types::Markdown>,
/// Authority for issue
pub reference: Option<types::Uri>,
/// Step taken to address
pub mitigation: Option<Vec<DetectedIssueMitigation>>,
}
/// Supporting evidence.
///
/// Supporting evidence or manifestations that provide the basis for identifying
/// the detected issue.
#[serde_with::skip_serializing_none]
#[derive(Debug, Default, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct DetectedIssueEvidence {
/// Unique id for inter-element referencing
pub id: Option<types::String>,
/// Additional content defined by implementations
pub extension: Option<Vec<types::Extension>>,
/// Extensions that cannot be ignored even if unrecognized
pub modifier_extension: Option<Vec<types::Extension>>,
/// Manifestation
pub code: Option<Vec<types::CodeableConcept>>,
/// Supporting information
pub detail: Option<Vec<types::Reference>>,
}
/// Step taken to address.
///
/// Indicates an action that has been taken or is committed to reduce or
/// eliminate the likelihood or severity of the identified issue.
#[serde_with::skip_serializing_none]
#[derive(Debug, Default, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct DetectedIssueMitigation {
/// Unique id for inter-element referencing
pub id: Option<types::String>,
/// Additional content defined by implementations
pub extension: Option<Vec<types::Extension>>,
/// Extensions that cannot be ignored even if unrecognized
pub modifier_extension: Option<Vec<types::Extension>>,
/// What mitigation?
pub action: types::CodeableConcept,
/// Date committed
pub date: Option<types::DateTime>,
/// Who is committing?
pub author: Option<types::Reference>,
/// Additional notes about the mitigation
pub note: Option<Vec<types::Annotation>>,
}
#[cfg(test)]
mod tests {
use super::*;
type T = DetectedIssue;
#[test]
fn test_default() {
let _ = T::default();
}
#[test]
fn test_serde_round_trip() {
let value = T::default();
let json = ::serde_json::to_value(&value).expect("to_value");
let back: T = ::serde_json::from_value(json).expect("from_value");
assert_eq!(value, back);
}
}