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Detectedissue.profile.json

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

Raw JSON (каноническая форма + also see JSON Format Specification)

StructureDefinition for detectedissue

{
  "resourceType" : "StructureDefinition",
  "id" : "DetectedIssue",
  "meta" : {
    "lastUpdated" : "2019-05-17T12:34:53.932+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "patient"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cds"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/DetectedIssue",
  "version" : "3.6.0",
  "name" : "DetectedIssue",
  "status" : "draft",
  "date" : "2019-05-17T12:34:53+00:00",
  "publisher" : "Health Level Seven International (Clinical Decision Support)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
    }]
  }],
  "description" : "Описывает реальную или потенциальную клиническую проблему с или между одним или несколькими активными или предполагаемыми клиническими действиями для пациента. Например взаимодействие лекарственных средств, частота безрезультатного лечения, конфликт между процедурой и состоянием и т. д.",
  "fhirVersion" : "3.6.0",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DetectedIssue",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "DetectedIssue",
      "path" : "DetectedIssue",
      "short" : "Проблема медицинского характера, связанная с некоторым действием",
      "definition" : "Описывает реальную или потенциальную клиническую проблему с или между одним или несколькими активными или предполагаемыми клиническими действиями для пациента. Например взаимодействие лекарственных средств, частота безрезультатного лечения, конфликт между процедурой и состоянием и т. д.",
      "alias" : ["DDI",
      "drug-drug interaction",
      "Contraindication",
      "Alert"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DetectedIssue",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "dom-2",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ дана ссылка or SHALL refer to the containing resource",
        "expression" : "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()",
        "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        }],
        "key" : "dom-6",
        "severity" : "warning",
        "human" : "A resource should have narrative for robust management",
        "expression" : "text.div.exists()",
        "xpath" : "exists(f:text/h:div)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-5",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
        "expression" : "contained.meta.security.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
        "source" : "DomainResource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "v2",
        "map" : "Partial mapping from messages containing the AL1 or IAM segment, such as the ADT^A01, ADT^A08, and ADT^A60."
      },
      {
        "identity" : "rim",
        "map" : "Observation[classCode=ALRT, moodCode=EVN)"
      }]
    },
    {
      "id" : "DetectedIssue.id",
      "path" : "DetectedIssue.id",
      "short" : "Logical id of this artifact",
      "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "id"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "DetectedIssue.meta",
      "path" : "DetectedIssue.meta",
      "short" : "Метаданные ресурса",
      "definition" : "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "DetectedIssue.implicitRules",
      "path" : "DetectedIssue.implicitRules",
      "short" : "Свод правил, в соответствии с которыми создавалось это содержимое",
      "definition" : "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.implicitRules",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary" : true
    },
    {
      "id" : "DetectedIssue.language",
      "path" : "DetectedIssue.language",
      "short" : "Язык содержимого ресурса",
      "definition" : "Основной язык, на котором написан ресурс.",
      "comment" : "Язык указывается для поддержки предварительной обработки текстов и доступности для понимания (например при преобразовании текста в речь используется языковой тег). HTML-тег language в описательной части применяется к этой описательной части. Языковой тег ресурса может использоваться для указания языков других представлений, генерируемых из данных ресурса\n\nНе все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя автоматически принимать за язык описательной части. Если язык указан, его также следует указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang см. в правилах HTML5).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "DetectedIssue.text",
      "path" : "DetectedIssue.text",
      "short" : "Краткое текстовое изложение ресурса для интерпретации человеком",
      "definition" : "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
      "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DomainResource.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Narrative"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "DetectedIssue.contained",
      "path" : "DetectedIssue.contained",
      "short" : "Вложенные, встроенные инлайн ресурсы",
      "definition" : "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
      "comment" : "Этого не следует делать, когда содержимое может быть идентифицировано должным образом, поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова восстановить её. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.contained",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Resource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DetectedIssue.extension",
      "path" : "DetectedIssue.extension",
      "short" : "Дополнительное содержимое, определенное реализаторами",
      "definition" : "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DetectedIssue.modifierExtension",
      "path" : "DetectedIssue.modifierExtension",
      "short" : "Расширения, которые нельзя игнорировать",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DetectedIssue.identifier",
      "path" : "DetectedIssue.identifier",
      "short" : "Уникальный идентификатор обнаруженной потенциальной проблемы",
      "definition" : "Бизнес-идентификатор, ассоциированный с этой записью обнаруженной потенциальной проблемы.",
      "requirements" : "Позволяет связать между собой экземпляры одной и той же обнаруженной потенциальной проблемы, находящиеся на разных серверах.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DetectedIssue.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "v2",
        "map" : "IAM-7"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "DetectedIssue.status",
      "path" : "DetectedIssue.status",
      "short" : "registered | preliminary | final | amended +",
      "definition" : "Indicates the status of the detected issue.",
      "comment" : "This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the issue as not currently valid.",
      "alias" : ["status"],
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.status",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueStatus"
        }],
        "strength" : "required",
        "description" : "Indicates the status of the identified issue.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      }]
    },
    {
      "id" : "DetectedIssue.code",
      "path" : "DetectedIssue.code",
      "short" : "Категория проблемы, например лекарственное взаимодействие, дубликат средства лечения и т. п",
      "definition" : "Общий тип выявленной проблемы.",
      "alias" : ["type"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.code",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueCategory"
        }],
        "strength" : "preferred",
        "description" : "Коды, определяющие общий тип обнаруженной потенциальной проблемы. Например взаимодействие лекарств, проблема расчета времени, дубликат лекарственного средства и т. п.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-category"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "v2",
        "map" : "AL1-2 / IAM-9"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "id" : "DetectedIssue.severity",
      "path" : "DetectedIssue.severity",
      "short" : "high | moderate | low",
      "definition" : "Степень важности выявленной проблемы, характеризующаяся потенциальным воздействием на пациента.",
      "alias" : ["severity"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.severity",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueSeverity"
        }],
        "strength" : "required",
        "description" : "Обозначает потенциальную степень влияния выявленной проблемы на пациента.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-severity"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.grade"
      },
      {
        "identity" : "v2",
        "map" : "AL1-4/ IAR-2"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV].value"
      }]
    },
    {
      "id" : "DetectedIssue.patient",
      "path" : "DetectedIssue.patient",
      "short" : "Ассоциированный пациент",
      "definition" : "Пациент, к которому относится обнаруженная проблема.",
      "requirements" : "Хотя субъекта и можно вычислить через вовлеченные ресурсы, все равно полезно иметь прямую ссылку для запросов.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.patient",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "DetectedIssue.identified[x]",
      "path" : "DetectedIssue.identified[x]",
      "short" : "Когда выявлена",
      "definition" : "The date or period when the detected issue was initially identified.",
      "requirements" : "Никто не может нести ответственность за уменьшение (последствия события) до выявления проблемы.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.identified[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      },
      {
        "identity" : "v2",
        "map" : "ALI-6 / IAM-11"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "DetectedIssue.author",
      "path" : "DetectedIssue.author",
      "short" : "Человек или устройство, обнаружившее проблему",
      "definition" : "Человек или устройство, ответственное за обнаружение проблемы. Например приложение поддержки принятия решений или фармацевт, проводящий проверку списка медикаментов.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.author",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.author"
      },
      {
        "identity" : "v2",
        "map" : "IAM-14 / IAM-16"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role[classCode=ASSIGNED]"
      }]
    },
    {
      "id" : "DetectedIssue.implicated",
      "path" : "DetectedIssue.implicated",
      "short" : "Ресурс, вызвавший проблему",
      "definition" : "Ресурс, соответствующий текущей или предполагаемой активности, которая является потенциально проблематичной.",
      "comment" : "Имеется неявное ограничение на количество вовлеченных ресурсов, основанное на DetectedIssue.type. Например для лекарственного взаимодействия их должно быть больше одного. Для расписания будет, как правило, только один ресурс.",
      "alias" : ["cause"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DetectedIssue.implicated",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonReference"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=SUBJ].target[moodCode=EVN, INT]"
      }]
    },
    {
      "id" : "DetectedIssue.evidence",
      "path" : "DetectedIssue.evidence",
      "short" : "Supporting evidence",
      "definition" : "Supporting evidence or manifestations that provide the basis for identifying the detected issue such as a GuidanceResponse or MeasureReport.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DetectedIssue.evidence",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      }]
    },
    {
      "id" : "DetectedIssue.evidence.id",
      "path" : "DetectedIssue.evidence.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DetectedIssue.evidence.extension",
      "path" : "DetectedIssue.evidence.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DetectedIssue.evidence.modifierExtension",
      "path" : "DetectedIssue.evidence.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DetectedIssue.evidence.code",
      "path" : "DetectedIssue.evidence.code",
      "short" : "Manifestation",
      "definition" : "A manifestation that led to the recording of this detected issue.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DetectedIssue.evidence.code",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueEvidenceCode"
        }],
        "strength" : "example",
        "description" : "Codes that describes the types of evidence for a detected issue.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      }]
    },
    {
      "id" : "DetectedIssue.evidence.detail",
      "path" : "DetectedIssue.evidence.detail",
      "short" : "Supporting information",
      "definition" : "Links to resources that constitute evidence for the detected issue such as a GuidanceResponse or MeasureReport.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DetectedIssue.evidence.detail",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      }]
    },
    {
      "id" : "DetectedIssue.detail",
      "path" : "DetectedIssue.detail",
      "short" : "Описание и контекст",
      "definition" : "Текстовое объяснение обнаруженной проблемы.",
      "comment" : "Здесь необходимо сосредоточиться на информации, не затронутой в других дискретных данных - нет необходимости дублировать описание.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.detail",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "v2",
        "map" : "AL1-5 / IAM-8"
      },
      {
        "identity" : "rim",
        "map" : ".text"
      }]
    },
    {
      "id" : "DetectedIssue.reference",
      "path" : "DetectedIssue.reference",
      "short" : "Авторитетный источник, подтверждающий проблему",
      "definition" : "Ссылка на литературу, базу знаний или другой источник, который описывает предрасположение к обнаруженной потенциальной проблеме.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.reference",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=INST].target[classCode=ALRT, moodCode=DEFN].text.uri"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation",
      "path" : "DetectedIssue.mitigation",
      "short" : "Шаги, предпринятые для решения проблемы",
      "definition" : "Действие, которое было предпринято или поручено, для уменьшения или устранения вероятности риска проявления обнаруженной потенциальной проблемы. Также элемент может отражать обзор известных смягчающих факторов, которые могут уменьшить/исключить необходимость в каких-либо действиях.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DetectedIssue.mitigation",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=MITG].target[classCode=ACT, moodCode=EVN]"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation.id",
      "path" : "DetectedIssue.mitigation.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation.extension",
      "path" : "DetectedIssue.mitigation.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation.modifierExtension",
      "path" : "DetectedIssue.mitigation.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation.action",
      "path" : "DetectedIssue.mitigation.action",
      "short" : "Какие есть смягчающие факторы?",
      "definition" : "Описывает действие, которое было предпринято, или обследование, которое было сделано для уменьшения/устранения риска, ассоциируемого с выявленной потенциальной проблемой.",
      "comment" : "The \"text\" component can be used for detail or when no appropriate code exists.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.mitigation.action",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueMitigationAction"
        }],
        "strength" : "preferred",
        "description" : "Коды, описывающие меры по устранению (вредного воздействия), предпринятые для решения проблемы, или обстоятельства, уменьшающие вероятность последствий, связанных с этой проблемой. Например, \"назначено сопутствующее лечение\", \"предыдущее лечение задокументировано\" и т. п.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation.date",
      "path" : "DetectedIssue.mitigation.date",
      "short" : "Date committed",
      "definition" : "Когда были задокументированы меры по устранению (вредного воздействия).",
      "comment" : "This might not be the same as when the mitigating step was actually taken.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.mitigation.date",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation.author",
      "path" : "DetectedIssue.mitigation.author",
      "short" : "Кто определил?",
      "definition" : "Врач, который определил меры по устранению (вредного воздействия) и взял на себя ответственность за их выполнение.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DetectedIssue.mitigation.author",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role[classCode=ASSIGNED]"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "DetectedIssue",
      "path" : "DetectedIssue",
      "short" : "Проблема медицинского характера, связанная с некоторым действием",
      "definition" : "Описывает реальную или потенциальную клиническую проблему с или между одним или несколькими активными или предполагаемыми клиническими действиями для пациента. Например взаимодействие лекарственных средств, частота безрезультатного лечения, конфликт между процедурой и состоянием и т. д.",
      "alias" : ["DDI",
      "drug-drug interaction",
      "Contraindication",
      "Alert"],
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "v2",
        "map" : "Partial mapping from messages containing the AL1 or IAM segment, such as the ADT^A01, ADT^A08, and ADT^A60."
      },
      {
        "identity" : "rim",
        "map" : "Observation[classCode=ALRT, moodCode=EVN)"
      }]
    },
    {
      "id" : "DetectedIssue.identifier",
      "path" : "DetectedIssue.identifier",
      "short" : "Уникальный идентификатор обнаруженной потенциальной проблемы",
      "definition" : "Бизнес-идентификатор, ассоциированный с этой записью обнаруженной потенциальной проблемы.",
      "requirements" : "Позволяет связать между собой экземпляры одной и той же обнаруженной потенциальной проблемы, находящиеся на разных серверах.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "v2",
        "map" : "IAM-7"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "DetectedIssue.status",
      "path" : "DetectedIssue.status",
      "short" : "registered | preliminary | final | amended +",
      "definition" : "Indicates the status of the detected issue.",
      "comment" : "This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the issue as not currently valid.",
      "alias" : ["status"],
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueStatus"
        }],
        "strength" : "required",
        "description" : "Indicates the status of the identified issue.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      }]
    },
    {
      "id" : "DetectedIssue.code",
      "path" : "DetectedIssue.code",
      "short" : "Категория проблемы, например лекарственное взаимодействие, дубликат средства лечения и т. п",
      "definition" : "Общий тип выявленной проблемы.",
      "alias" : ["type"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueCategory"
        }],
        "strength" : "preferred",
        "description" : "Коды, определяющие общий тип обнаруженной потенциальной проблемы. Например взаимодействие лекарств, проблема расчета времени, дубликат лекарственного средства и т. п.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-category"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "v2",
        "map" : "AL1-2 / IAM-9"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "id" : "DetectedIssue.severity",
      "path" : "DetectedIssue.severity",
      "short" : "high | moderate | low",
      "definition" : "Степень важности выявленной проблемы, характеризующаяся потенциальным воздействием на пациента.",
      "alias" : ["severity"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueSeverity"
        }],
        "strength" : "required",
        "description" : "Обозначает потенциальную степень влияния выявленной проблемы на пациента.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-severity"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.grade"
      },
      {
        "identity" : "v2",
        "map" : "AL1-4/ IAR-2"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV].value"
      }]
    },
    {
      "id" : "DetectedIssue.patient",
      "path" : "DetectedIssue.patient",
      "short" : "Ассоциированный пациент",
      "definition" : "Пациент, к которому относится обнаруженная проблема.",
      "requirements" : "Хотя субъекта и можно вычислить через вовлеченные ресурсы, все равно полезно иметь прямую ссылку для запросов.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "DetectedIssue.identified[x]",
      "path" : "DetectedIssue.identified[x]",
      "short" : "Когда выявлена",
      "definition" : "The date or period when the detected issue was initially identified.",
      "requirements" : "Никто не может нести ответственность за уменьшение (последствия события) до выявления проблемы.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      },
      {
        "identity" : "v2",
        "map" : "ALI-6 / IAM-11"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "DetectedIssue.author",
      "path" : "DetectedIssue.author",
      "short" : "Человек или устройство, обнаружившее проблему",
      "definition" : "Человек или устройство, ответственное за обнаружение проблемы. Например приложение поддержки принятия решений или фармацевт, проводящий проверку списка медикаментов.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.author"
      },
      {
        "identity" : "v2",
        "map" : "IAM-14 / IAM-16"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role[classCode=ASSIGNED]"
      }]
    },
    {
      "id" : "DetectedIssue.implicated",
      "path" : "DetectedIssue.implicated",
      "short" : "Ресурс, вызвавший проблему",
      "definition" : "Ресурс, соответствующий текущей или предполагаемой активности, которая является потенциально проблематичной.",
      "comment" : "Имеется неявное ограничение на количество вовлеченных ресурсов, основанное на DetectedIssue.type. Например для лекарственного взаимодействия их должно быть больше одного. Для расписания будет, как правило, только один ресурс.",
      "alias" : ["cause"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonReference"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=SUBJ].target[moodCode=EVN, INT]"
      }]
    },
    {
      "id" : "DetectedIssue.evidence",
      "path" : "DetectedIssue.evidence",
      "short" : "Supporting evidence",
      "definition" : "Supporting evidence or manifestations that provide the basis for identifying the detected issue such as a GuidanceResponse or MeasureReport.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      }]
    },
    {
      "id" : "DetectedIssue.evidence.code",
      "path" : "DetectedIssue.evidence.code",
      "short" : "Manifestation",
      "definition" : "A manifestation that led to the recording of this detected issue.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueEvidenceCode"
        }],
        "strength" : "example",
        "description" : "Codes that describes the types of evidence for a detected issue.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      }]
    },
    {
      "id" : "DetectedIssue.evidence.detail",
      "path" : "DetectedIssue.evidence.detail",
      "short" : "Supporting information",
      "definition" : "Links to resources that constitute evidence for the detected issue such as a GuidanceResponse or MeasureReport.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      }]
    },
    {
      "id" : "DetectedIssue.detail",
      "path" : "DetectedIssue.detail",
      "short" : "Описание и контекст",
      "definition" : "Текстовое объяснение обнаруженной проблемы.",
      "comment" : "Здесь необходимо сосредоточиться на информации, не затронутой в других дискретных данных - нет необходимости дублировать описание.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "v2",
        "map" : "AL1-5 / IAM-8"
      },
      {
        "identity" : "rim",
        "map" : ".text"
      }]
    },
    {
      "id" : "DetectedIssue.reference",
      "path" : "DetectedIssue.reference",
      "short" : "Авторитетный источник, подтверждающий проблему",
      "definition" : "Ссылка на литературу, базу знаний или другой источник, который описывает предрасположение к обнаруженной потенциальной проблеме.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "uri"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=INST].target[classCode=ALRT, moodCode=DEFN].text.uri"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation",
      "path" : "DetectedIssue.mitigation",
      "short" : "Шаги, предпринятые для решения проблемы",
      "definition" : "Действие, которое было предпринято или поручено, для уменьшения или устранения вероятности риска проявления обнаруженной потенциальной проблемы. Также элемент может отражать обзор известных смягчающих факторов, которые могут уменьшить/исключить необходимость в каких-либо действиях.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=MITG].target[classCode=ACT, moodCode=EVN]"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation.action",
      "path" : "DetectedIssue.mitigation.action",
      "short" : "Какие есть смягчающие факторы?",
      "definition" : "Описывает действие, которое было предпринято, или обследование, которое было сделано для уменьшения/устранения риска, ассоциируемого с выявленной потенциальной проблемой.",
      "comment" : "The \"text\" component can be used for detail or when no appropriate code exists.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DetectedIssueMitigationAction"
        }],
        "strength" : "preferred",
        "description" : "Коды, описывающие меры по устранению (вредного воздействия), предпринятые для решения проблемы, или обстоятельства, уменьшающие вероятность последствий, связанных с этой проблемой. Например, \"назначено сопутствующее лечение\", \"предыдущее лечение задокументировано\" и т. п.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation.date",
      "path" : "DetectedIssue.mitigation.date",
      "short" : "Date committed",
      "definition" : "Когда были задокументированы меры по устранению (вредного воздействия).",
      "comment" : "This might not be the same as when the mitigating step was actually taken.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "DetectedIssue.mitigation.author",
      "path" : "DetectedIssue.mitigation.author",
      "short" : "Кто определил?",
      "definition" : "Врач, который определил меры по устранению (вредного воздействия) и взял на себя ответственность за их выполнение.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role[classCode=ASSIGNED]"
      }]
    }]
  }
}

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.