Release 4

Detectedissue-example-dup.json

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Patient, Practitioner

Raw JSON (canonical form + also see JSON Format Specification)

Diagnostic order is placed when a recent image of the same body site already exists

{
  "resourceType": "DetectedIssue",
  "id": "duplicate",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>Similar test was performed within the past 14 days</p>\n      <ul>\n        <li>\n          <a href=\"ServiceRequest/id\">Chest CT - ordered May 8, 2013 by Dr. Adam Careful</a>\n        </li>\n        <li>\n          <a href=\"ImagingStudy/example\">Image 1 from Series 3: CT Images on Patient MINT (MINT1234) taken at 1-Jan 2011 01:20 AM</a>\n        </li>\n      </ul>\n    </div>"
  },
  "identifier": [
    {
      "use": "official",
      "system": "http://example.org",
      "value": "12345"
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "DUPTHPY",
        "display": "Duplicate Therapy Alert"
      }
    ]
  },
  "patient": {
    "reference": "Patient/dicom"
  },
  "identifiedDateTime": "2013-05-08",
  "author": {
    "reference": "Device/software"
  },
  "implicated": [
    {
      "reference": "ServiceRequest/di",
      "display": "Chest CT - ordered May 8, 2013 by Dr. Adam Careful"
    },
    {
      "reference": "ImagingStudy/example",
      "display": "Image 1 from Series 3: CT Images on Patient MINT (MINT1234) taken at 1-Jan 2011 01:20 AM"
    }
  ],
  "detail": "Similar test was performed within the past 14 days",
  "reference": "http://www.tmhp.com/RadiologyClinicalDecisionSupport/2011/CHEST%20IMAGING%20GUIDELINES%202011.pdf"
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.