Fixes #4471 - DetectedIssue.status valueset and search param (#4483)

packages/definitions/dist/fhir/r4/profiles-resources.json

@@ -119211,7 +119211,7 @@
             }],
             "strength" : "required",
             "description" : "Indicates the status of the identified issue.",
-            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status|4.0.1"
+            "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-status"
           },
           "mapping" : [{
             "identity" : "workflow",

packages/definitions/dist/fhir/r4/search-parameters.json

@@ -17528,6 +17528,43 @@
       "VisionPrescription"]
     }
   },
+  {
+    "fullUrl" : "http://hl7.org/fhir/SearchParameter/DetectedIssue-status",
+    "resource" : {
+      "resourceType" : "SearchParameter",
+      "id" : "DetectedIssue-status",
+      "extension" : [{
+        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
+        "valueCode" : "trial-use"
+      }],
+      "url" : "http://hl7.org/fhir/SearchParameter/DetectedIssue-status",
+      "version" : "4.0.1",
+      "name" : "status",
+      "status" : "draft",
+      "experimental" : false,
+      "date" : "2019-11-01T09:29:23+11:00",
+      "publisher" : "Health Level Seven International (Orders and Observations)",
+      "contact" : [{
+        "telecom" : [{
+          "system" : "url",
+          "value" : "http://hl7.org/fhir"
+        }]
+      },
+      {
+        "telecom" : [{
+          "system" : "url",
+          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
+        }]
+      }],
+      "description" : "The status of the detected issue",
+      "code" : "status",
+      "base" : ["DetectedIssue"],
+      "type" : "token",
+      "expression" : "DetectedIssue.status",
+      "xpath" : "f:DetectedIssue/f:status",
+      "xpathUsage" : "normal"
+    }
+  },
   {
     "fullUrl" : "http://hl7.org/fhir/SearchParameter/Device-device-name",
     "resource" : {

packages/definitions/dist/fhir/r4/valuesets.json

@@ -156515,5 +156515,150 @@
         }]
       }
     }
+  },
+  {
+    "fullUrl" : "http://hl7.org/fhir/detectedissue-status",
+    "resource" : {
+      "resourceType" : "CodeSystem",
+      "id" : "detectedissue-status",
+      "meta" : {
+        "lastUpdated" : "2023-03-26T15:21:02.749+11:00",
+        "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
+      },
+      "text" : {
+        "status" : "generated",
+        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://hl7.org/fhir/detectedissue-status</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">mitigated<a name=\"detectedissue-status-mitigated\"> </a></td><td>Mitigated</td><td>Indicates the detected issue has been mitigated</td></tr></table></div>"
+      },
+      "extension" : [{
+        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
+        "valueCode" : "cds"
+      },
+      {
+        "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/detectedissue-status",
+      "identifier" : [{
+        "system" : "urn:ietf:rfc:3986",
+        "value" : "urn:oid:2.16.840.1.113883.4.642.4.2026"
+      }],
+      "version" : "5.0.0",
+      "name" : "DetectedIssueStatus",
+      "title" : "Detected Issue Status",
+      "status" : "active",
+      "experimental" : false,
+      "date" : "2021-01-05T10:01:24+11:00",
+      "publisher" : "HL7 (FHIR Project)",
+      "contact" : [{
+        "telecom" : [{
+          "system" : "url",
+          "value" : "http://hl7.org/fhir"
+        },
+        {
+          "system" : "email",
+          "value" : "fhir@lists.hl7.org"
+        }]
+      }],
+      "description" : "Indicates the status of the detected issue. This code system contains only status codes that are not already defined and used from the ObservationStatus code system.",
+      "jurisdiction" : [{
+        "coding" : [{
+          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+          "code" : "001",
+          "display" : "World"
+        }]
+      }],
+      "caseSensitive" : true,
+      "content" : "complete",
+      "concept" : [{
+        "code" : "mitigated",
+        "display" : "Mitigated",
+        "definition" : "Indicates the detected issue has been mitigated"
+      }]
+    }
+  },
+  {
+    "fullUrl" : "http://hl7.org/fhir/ValueSet/detectedissue-status",
+    "resource" : {
+      "resourceType" : "ValueSet",
+      "id" : "detectedissue-status",
+      "meta" : {
+        "lastUpdated" : "2023-03-26T15:21:02.749+11:00",
+        "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]
+      },
+      "text" : {
+        "status" : "extensions",
+        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"codesystem-observation-status.html\"><code>http://hl7.org/fhir/observation-status</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b><a href=\"valueset-resource-status.html\">Canonical Mapping for &quot;Detected Issue Status&quot;</a></b></td></tr><tr><td><a href=\"codesystem-observation-status.html#observation-status-preliminary\">preliminary</a></td><td>Preliminary</td><td>This is an initial or interim observation: data may be incomplete or unverified.</td><td><span title=\"EQUIVALENT\">~</span><a href=\"codesystem-resource-status.html#resource-status-draft\">draft</a></td></tr><tr><td><a href=\"codesystem-observation-status.html#observation-status-final\">final</a></td><td>Final</td><td>The observation is complete and there are no further actions needed. Additional information such &quot;released&quot;, &quot;signed&quot;, etc. would be represented using [Provenance](provenance.html) which provides not only the act but also the actors and dates and other related data. These act states would be associated with an observation status of `preliminary` until they are all completed and then a status of `final` would be applied.</td><td><span title=\"EQUIVALENT\">~</span><a href=\"codesystem-resource-status.html#resource-status-complete\">complete</a></td></tr><tr><td><a href=\"codesystem-observation-status.html#observation-status-entered-in-error\">entered-in-error</a></td><td>Entered in Error</td><td>The observation has been withdrawn following previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.).</td><td><span title=\"EQUIVALENT\">~</span><a href=\"codesystem-resource-status.html#resource-status-error\">error</a></td></tr></table></li><li>Include these codes as defined in <a href=\"codesystem-detectedissue-status.html\"><code>http://hl7.org/fhir/detectedissue-status</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b><a href=\"valueset-resource-status.html\">Canonical Mapping for &quot;Detected Issue Status&quot;</a></b></td></tr><tr><td><a href=\"codesystem-detectedissue-status.html#detectedissue-status-mitigated\">mitigated</a></td><td>Mitigated</td><td>Indicates the detected issue has been mitigated</td><td><span title=\"EQUIVALENT\">~</span><a href=\"codesystem-resource-status.html#resource-status-inactive\">inactive</a></td></tr></table></li></ul></div>"
+      },
+      "extension" : [{
+        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
+        "valueCode" : "cds"
+      },
+      {
+        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
+        "valueCode" : "trial-use"
+      },
+      {
+        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
+        "valueInteger" : 2
+      }],
+      "url" : "http://hl7.org/fhir/ValueSet/detectedissue-status",
+      "identifier" : [{
+        "system" : "urn:ietf:rfc:3986",
+        "value" : "urn:oid:2.16.840.1.113883.4.642.3.3158"
+      }],
+      "version" : "5.0.0",
+      "name" : "DetectedIssueStatus",
+      "title" : "Detected Issue Status",
+      "status" : "draft",
+      "experimental" : false,
+      "date" : "2020-12-28T16:55:11+11:00",
+      "publisher" : "HL7 (FHIR Project)",
+      "contact" : [{
+        "telecom" : [{
+          "system" : "url",
+          "value" : "http://hl7.org/fhir"
+        },
+        {
+          "system" : "email",
+          "value" : "fhir@lists.hl7.org"
+        }]
+      }],
+      "description" : "Indicates the status of a detected issue",
+      "jurisdiction" : [{
+        "coding" : [{
+          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+          "code" : "001",
+          "display" : "World"
+        }]
+      }],
+      "compose" : {
+        "include" : [{
+          "system" : "http://hl7.org/fhir/observation-status",
+          "concept" : [{
+            "code" : "preliminary",
+            "display" : "Preliminary"
+          },
+          {
+            "code" : "final",
+            "display" : "Final"
+          },
+          {
+            "code" : "entered-in-error",
+            "display" : "Entered in Error"
+          }]
+        },
+        {
+          "system" : "http://hl7.org/fhir/detectedissue-status",
+          "concept" : [{
+            "code" : "mitigated",
+            "display" : "Mitigated"
+          }]
+        }]
+      }
+    }
   }]
 }

packages/fhirtypes/dist/DetectedIssue.d.ts

@@ -108,7 +108,7 @@ export interface DetectedIssue {
   /**
    * Indicates the status of the detected issue.
    */
-  status: 'registered' | 'preliminary' | 'final' | 'amended' | 'corrected' | 'cancelled' | 'entered-in-error' | 'unknown';
+  status: 'preliminary' | 'final' | 'entered-in-error' | 'mitigated';
 
   /**
    * Identifies the general type of issue identified.

packages/generator/src/migrate.ts

@@ -220,7 +220,6 @@ function buildCreateTables(result: SchemaDefinition, resourceType: string, fhirT
     name: resourceType + '_Token',
     columns: [
       { name: 'resourceId', type: 'UUID NOT NULL' },
-      { name: 'index', type: 'INTEGER' },
       { name: 'code', type: 'TEXT NOT NULL' },
       { name: 'system', type: 'TEXT' },
       { name: 'value', type: 'TEXT' },
@@ -401,7 +400,6 @@ function buildValueSetElementTable(result: SchemaDefinition): void {
   result.tables.push({
     name: 'ValueSetElement',
     columns: [
-      { name: 'id', type: 'UUID NOT NULL PRIMARY KEY' }, // Deprecated - to be removed
       { name: 'resourceId', type: 'UUID NOT NULL' },
       { name: 'system', type: 'TEXT' },
       { name: 'code', type: 'TEXT' },

packages/server/src/migrations/schema/index.ts

@@ -73,3 +73,4 @@ export * as v64 from './v64';
 export * as v65 from './v65';
 export * as v66 from './v66';
 export * as v67 from './v67';
+export * as v68 from './v68';

packages/server/src/migrations/schema/v68.ts

@@ -0,0 +1,11 @@
+/*
+ * Generated by @medplum/generator
+ * Do not edit manually.
+ */
+
+import { PoolClient } from 'pg';
+
+export async function run(client: PoolClient): Promise<void> {
+  await client.query('ALTER TABLE IF EXISTS "DetectedIssue" ADD COLUMN IF NOT EXISTS "status" TEXT');
+  await client.query('CREATE INDEX CONCURRENTLY IF NOT EXISTS DetectedIssue_status_idx ON "DetectedIssue" ("status")');
+}