<?xml version="1.0" encoding="UTF-8"?>
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  Generated on Sun, Mar 26, 2023 15:21+1100 for FHIR v5.0.0 

  Note: the schemas &amp; schematrons do not contain all of the rules about what makes resources
  valid. Implementers will still need to be familiar with the content of the specification and with
  any profiles that apply to the resources in order to make a conformant implementation.

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<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml" targetNamespace="http://hl7.org/fhir" elementFormDefault="qualified" version="1.0">
  <xs:include schemaLocation="fhir-base.xsd"/>
  <xs:element name="DetectedIssue" type="DetectedIssue">
    <xs:annotation>
      <xs:documentation xml:lang="en">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.</xs:documentation>
    </xs:annotation>
  </xs:element>
  <xs:complexType name="DetectedIssue">
    <xs:annotation>
      <xs:documentation xml:lang="en">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.</xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="DomainResource">
        <xs:sequence>
          <xs:element name="identifier" minOccurs="0" maxOccurs="unbounded" type="Identifier">
            <xs:annotation>
              <xs:documentation xml:lang="en">Business identifier associated with the detected issue record.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="status" minOccurs="1" maxOccurs="1" type="DetectedIssueStatus">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the status of the detected issue.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="category" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A code that classifies the general type of detected issue.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="code" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies the specific type of issue identified.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="severity" minOccurs="0" maxOccurs="1" type="DetectedIssueSeverity">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the degree of importance associated with the identified issue based on the potential impact on the patient.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="subject" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the subject whose record the detected issue is associated with.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="encounter" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The encounter during which this issue was detected.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:choice minOccurs="0" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">The date or period when the detected issue was initially identified.</xs:documentation>
            </xs:annotation>
            <xs:element name="identifiedDateTime" type="dateTime"/>
            <xs:element name="identifiedPeriod" type="Period"/>
          </xs:choice>
          <xs:element name="author" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Individual or device responsible for the issue being raised.  For example, a decision support application or a pharmacist conducting a medication review.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="implicated" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the resource representing the current activity or proposed activity that is potentially problematic.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="evidence" type="DetectedIssue.Evidence" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Supporting evidence or manifestations that provide the basis for identifying the detected issue such as a GuidanceResponse or MeasureReport.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="detail" minOccurs="0" maxOccurs="1" type="markdown">
            <xs:annotation>
              <xs:documentation xml:lang="en">A textual explanation of the detected issue.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="reference" minOccurs="0" maxOccurs="1" type="uri">
            <xs:annotation>
              <xs:documentation xml:lang="en">The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="mitigation" type="DetectedIssue.Mitigation" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates an action that has been taken or is committed 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.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="DetectedIssue.Evidence">
    <xs:annotation>
      <xs:documentation xml:lang="en">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.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="code" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A manifestation that led to the recording of this detected issue.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="detail" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Links to resources that constitute evidence for the detected issue such as a GuidanceResponse or MeasureReport.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="DetectedIssue.Mitigation">
    <xs:annotation>
      <xs:documentation xml:lang="en">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.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="action" minOccurs="1" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="date" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates when the mitigating action was documented.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="author" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="note" minOccurs="0" maxOccurs="unbounded" type="Annotation">
            <xs:annotation>
              <xs:documentation xml:lang="en">Clinicians may add additional notes or justifications about the mitigation action. For example, patient can have this drug because they have had it before without any issues. Multiple justifications may be provided.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:simpleType name="DetectedIssueStatusEnum">
    <xs:restriction base="code-primitive">
      <xs:enumeration value="preliminary">
        <xs:annotation>
          <xs:documentation xml:lang="en">Preliminary</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="final">
        <xs:annotation>
          <xs:documentation xml:lang="en">Final</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="entered-in-error">
        <xs:annotation>
          <xs:documentation xml:lang="en">Entered in Error</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="mitigated">
        <xs:annotation>
          <xs:documentation xml:lang="en">Mitigated</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
    </xs:restriction>
  </xs:simpleType>
  <xs:complexType name="DetectedIssueStatus">
    <xs:annotation>
      <xs:documentation xml:lang="en"></xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="Element">
        <xs:attribute name="value" type="DetectedIssueStatusEnum" use="optional"/>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:simpleType name="DetectedIssueSeverityEnum">
    <xs:restriction base="code-primitive">
      <xs:enumeration value="high">
        <xs:annotation>
          <xs:documentation xml:lang="en">High</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="moderate">
        <xs:annotation>
          <xs:documentation xml:lang="en">Moderate</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="low">
        <xs:annotation>
          <xs:documentation xml:lang="en">Low</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
    </xs:restriction>
  </xs:simpleType>
  <xs:complexType name="DetectedIssueSeverity">
    <xs:annotation>
      <xs:documentation xml:lang="en"></xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="Element">
        <xs:attribute name="value" type="DetectedIssueSeverityEnum" use="optional"/>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
</xs:schema>
