R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Adverseevent.profile.xml

Patient Care Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Patient, Practitioner, RelatedPerson

Raw XML (canonical form)

Jump past Narrative

StructureDefinition for adverseevent

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="AdverseEvent"/> 
  <meta> 
    <lastUpdated value="2018-04-03T12:05:46.262+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
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          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/>  
            <span title="AdverseEvent : Actual or  potential/avoided event causing unintended physical injury resulting
             from or contributed to by medical care, a research study or other healthcare setting factors
             that requires additional monitoring, treatment, or hospitalization, or that results in
             death.">AdverseEvent</span> 
            <a name="AdverseEvent"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #efefef" title="Ballot Status = Draft">D</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Medical care, research study or other healthcare event causing physical injury
            <br/>  Elements defined in Ancestors: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes.">id</a> , 
            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed, and
             which must be understood when processing the content. Often, this is a reference to an
             implementation guide that defines the special rules along with other profiles etc.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used to
             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that contains
             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. 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.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="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.">modifierExtension</a> 
          </td> 
        </tr> 

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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="AdverseEvent.identifier : Business identifiers assigned to this adverse event by the performer
             or other systems which remain constant as the resource is updated and propagates from
             server to server.">identifier</span> 
            <a name="AdverseEvent.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Business identifier for the event</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="AdverseEvent.actuality : Whether the event actually happened, or just had the potential
             to. Note that this is independent of whether anyone was affected or harmed or how severely.">actuality</span> 
            <a name="AdverseEvent.actuality"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">actual | potential
            <br/>  
            <a href="valueset-adverse-event-actuality.html" title="Overall nature of the event, e.g. real or potential">AdverseEventActuality</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">Required</a> )
          </td> 
        </tr> 

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            <span title="AdverseEvent.category : The overall type of event, intended for search and filtering purposes.">category</span> 
            <a name="AdverseEvent.category"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">ProductProblem | ProductQuality | ProductUseError | WrongDose | IncorrectPrescribingInformation
             | WrongTechnique | WrongRouteOfAdministration | WrongRate | WrongDuration | WrongTime
             | ExpiredDrug | MedicalDeviceUseError | ProblemDifferentManufacturer | UnsafePhysicalEnvironment
            <br/>  
            <a href="valueset-adverse-event-category.html" title="Overall categorization of the event, e.g. product related or situational">AdverseEventCategory</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="AdverseEvent.event : This element defines the specific type of event that occurred or
             that was prevented from occurring.">event</span> 
            <a name="AdverseEvent.event"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Type of the event itself in relation to the subject
            <br/>  
            <a href="valueset-adverse-event-type.html" title="Detailed type of event">SNOMED CT Clinical Findings</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="AdverseEvent.subject : This subject or group impacted by the event.">subject</span> 
            <a name="AdverseEvent.subject"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a>  | 
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="relatedperson.html">RelatedPerson</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Subject impacted by event</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="AdverseEvent.context : The encounter or episode of care that establishes the context for
             this AdverseEvent.">context</span> 
            <a name="AdverseEvent.context"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="encounter.html">Encounter</a>  | 
            <a href="episodeofcare.html">EpisodeOfCare</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Encounter or episode of care that establishes the context for this AdverseEvent</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="AdverseEvent.date : The date (and perhaps time) when the adverse event occurred.">date</span> 
            <a name="AdverseEvent.date"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">When the event occurred</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="AdverseEvent.resultingCondition : Includes information about the reaction that occurred
             as a result of exposure to a substance (for example, a drug or a chemical).">resultingCondition</span> 
            <a name="AdverseEvent.resultingCondition"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="condition.html">Condition</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Effect on the subject due to this event
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="AdverseEvent.location : The information about where the adverse event occurred.">location</span> 
            <a name="AdverseEvent.location"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="location.html">Location</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Location where adverse event occurred</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="AdverseEvent.seriousness : Assessment whether this event was of real importance.">seriousness</span> 
            <a name="AdverseEvent.seriousness"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Seriousness of the event
            <br/>  
            <a href="valueset-adverse-event-seriousness.html" title="Overall seriousness of this event for the patient">AdverseEventSeriousness</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="AdverseEvent.severity : Describes the severity of the adverse event, in relation to the
             subject. Contrast to AdverseEvent.serious - a severe rash might not be serious, but a
             mild heart problem is.">severity</span> 
            <a name="AdverseEvent.severity"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Mild | Moderate | Severe
            <br/>  
            <a href="valueset-adverse-event-severity.html" title="The severity of the adverse event itself, in direct relation to the subject">AdverseEventSeverity</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">Required</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="AdverseEvent.outcome : Describes the type of outcome from the adverse event.">outcome</span> 
            <a name="AdverseEvent.outcome"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown
            <br/>  
            <a href="valueset-adverse-event-outcome.html" title="TODO (and should this be required?)">AdverseEventOutcome</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">Required</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="AdverseEvent.recorder : Information on who recorded the adverse event.  May be the patient
             or a practitioner.">recorder</span> 
            <a name="AdverseEvent.recorder"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="relatedperson.html">RelatedPerson</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Who recorded the adverse event</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="AdverseEvent.contributor : Parties that may or should contribute or have contributed information
             to the adverse event, which can consist of one or more activities.  Such information includes
             information leading to the decision to perform the activity and how to perform the activity
             (e.g. consultant), information that the activity itself seeks to reveal (e.g. informant
             of clinical history), or information about what activity was performed (e.g. informant
             witness).">contributor</span> 
            <a name="AdverseEvent.contributor"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="device.html">Device</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Who  was involved in the adverse event or the potential adverse event
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="AdverseEvent.suspectEntity : Describes the entity that is suspected to have caused the
             adverse event.">suspectEntity</span> 
            <a name="AdverseEvent.suspectEntity"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">The suspected agent causing the adverse event
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="AdverseEvent.suspectEntity.instance : Identifies the actual instance of what caused the
             adverse event.  May be a substance, medication, medication administration, medication
             statement or a device.">instance</span> 
            <a name="AdverseEvent.suspectEntity.instance"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="immunization.html">Immunization</a>  | 
            <a href="procedure.html">Procedure</a>  | 
            <a href="substance.html">Substance</a>  | 
            <a href="medication.html">Medication</a>  | 
            <a href="medicationadministration.html">MedicationAdministration</a>  | 
            <a href="medicationstatement.html">MedicationStatement</a>  | 
            <a href="device.html">Device</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Refers to the specific entity that caused the adverse event</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw
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            <span title="AdverseEvent.suspectEntity.causality : Information on the possible cause of the event.">causality</span> 
            <a name="AdverseEvent.suspectEntity.causality"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Information on the possible cause of the event
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            <span title="AdverseEvent.suspectEntity.causality.assessment : Assessment of if the entity caused the
             event.">assessment</span> 
            <a name="AdverseEvent.suspectEntity.causality.assessment"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Assessment of if the entity caused the event
            <br/>  
            <a href="valueset-adverse-event-causality-assess.html" title="TODO">AdverseEventCausalityAssessment</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            <span title="AdverseEvent.suspectEntity.causality.productRelatedness : AdverseEvent.suspectEntity.causalityProduc
            tRelatedness.">productRelatedness</span> 
            <a name="AdverseEvent.suspectEntity.causality.productRelatedness"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#string">string</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="references.html">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">AdverseEvent.suspectEntity.causalityAuthor</td> 
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            <span title="AdverseEvent.suspectEntity.causality.method : ProbabilityScale | Bayesian | Checklist.">method</span> 
            <a name="AdverseEvent.suspectEntity.causality.method"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">ProbabilityScale | Bayesian | Checklist
            <br/>  
            <a href="valueset-adverse-event-causality-method.html" title="TODO">AdverseEventCausalityMethod</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

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            <span title="AdverseEvent.subjectMedicalHistory : AdverseEvent.subjectMedicalHistory.">subjectMedicalHistory</span> 
            <a name="AdverseEvent.subjectMedicalHistory"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="condition.html">Condition</a>  | 
            <a href="observation.html">Observation</a>  | 
            <a href="allergyintolerance.html">AllergyIntolerance</a>  | 
            <a href="familymemberhistory.html">FamilyMemberHistory</a>  | 
            <a href="immunization.html">Immunization</a>  | 
            <a href="procedure.html">Procedure</a>  | 
            <a href="media.html">Media</a>  | 
            <a href="documentreference.html">DocumentReference</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">AdverseEvent.subjectMedicalHistory
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="AdverseEvent.referenceDocument : AdverseEvent.referenceDocument.">referenceDocument</span> 
            <a name="AdverseEvent.referenceDocument"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="documentreference.html">DocumentReference</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <br/>  
          </td> 
        </tr> 

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            <span title="AdverseEvent.study : AdverseEvent.study.">study</span> 
            <a name="AdverseEvent.study"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="researchstudy.html">ResearchStudy</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">AdverseEvent.study
            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="Draft"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pc"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/> 
  <name value="AdverseEvent"/> 
  <status value="draft"/> 
  <date value="2018-04-03T12:05:46+10:00"/> 
  <publisher value="Health Level Seven International (Patient Care)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/patientcare/index.cfm"/> 
    </telecom> 
  </contact> 
  <description value="Actual or  potential/avoided event causing unintended physical injury resulting from or
   contributed to by medical care, a research study or other healthcare setting factors that
   requires additional monitoring, treatment, or hospitalization, or that results in death."/> 
  <fhirVersion value="3.3.0"/> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="AdverseEvent"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="AdverseEvent">
      <path value="AdverseEvent"/> 
      <short value="Medical care, research study or other healthcare event causing physical injury"/> 
      <definition value="Actual or  potential/avoided event causing unintended physical injury resulting from or
       contributed to by medical care, a research study or other healthcare setting factors that
       requires additional monitoring, treatment, or hospitalization, or that results in death."/> 
      <alias value="AE"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="AdverseEvent"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-1"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> 
        <expression value="contained.text.empty()"/> 
        <xpath value="not(parent::f:contained and f:text)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource or SHALL refer to the containing resource"/> 
        <expression value="contained.all(('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical))
        ) or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
         = '#').exists())"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@va
        lue=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.id">
      <path value="AdverseEvent.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.meta">
      <path value="AdverseEvent.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.implicitRules">
      <path value="AdverseEvent.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content. Often, this is a reference to an
       implementation guide that defines the special rules along with other profiles etc."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="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 value="true"/> 
    </element> 
    <element id="AdverseEvent.language">
      <path value="AdverseEvent.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource. Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference> 
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> 
          </valueReference> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="A human language."/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.text">
      <path value="AdverseEvent.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource and can be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/> 
      <comment value="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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <condition value="dom-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.contained">
      <path value="AdverseEvent.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/> 
      <comment value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.extension">
      <path value="AdverseEvent.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. 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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.modifierExtension">
      <path value="AdverseEvent.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Not known why this is labelled a modifier"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.identifier">
      <path value="AdverseEvent.identifier"/> 
      <short value="Business identifier for the event"/> 
      <definition value="Business identifiers assigned to this adverse event by the performer or other systems
       which remain constant as the resource is updated and propagates from server to server."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers
      )).  It is best practice for the identifier to only appear on a single resource instance,
       however business practices may occasionally dictate that multiple resource instances with
       the same identifier can exist - possibly even with different resource types.  For example,
       multiple Patient and a Person resource instance might share the same social insurance
       number."/> 
      <requirements value="Allows identification of the adverse event as it is known by various participating systems
       and in a way that remains consistent across servers."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.identifier"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.actuality">
      <path value="AdverseEvent.actuality"/> 
      <short value="actual | potential"/> 
      <definition value="Whether the event actually happened, or just had the potential to. Note that this is independent
       of whether anyone was affected or harmed or how severely."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.actuality"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because it has a potential code that indicates the
       adverse event did not actually happen."/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventActuality"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Overall nature of the event, e.g. real or potential"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-actuality"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.category">
      <path value="AdverseEvent.category"/> 
      <short value="ProductProblem | ProductQuality | ProductUseError | WrongDose | IncorrectPrescribingInformation
       | WrongTechnique | WrongRouteOfAdministration | WrongRate | WrongDuration | WrongTime
       | ExpiredDrug | MedicalDeviceUseError | ProblemDifferentManufacturer | UnsafePhysicalEnvironment"/> 
      <definition value="The overall type of event, intended for search and filtering purposes."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="AdverseEvent.category"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventCategory"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Overall categorization of the event, e.g. product related or situational"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-category"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.event">
      <path value="AdverseEvent.event"/> 
      <short value="Type of the event itself in relation to the subject"/> 
      <definition value="This element defines the specific type of event that occurred or that was prevented from
       occurring."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.event"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Detailed type of event"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-type"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.subject">
      <path value="AdverseEvent.subject"/> 
      <short value="Subject impacted by event"/> 
      <definition value="This subject or group impacted by the event."/> 
      <comment value="If AdverseEvent.resultingCondition differs among members of the group, then use Patient
       as the subject."/> 
      <requirements value="Allows for exposure of biohazard (such as legionella) to a group of individuals in a hospital."/> 
      <alias value="patient"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.subject"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.context">
      <path value="AdverseEvent.context"/> 
      <short value="Encounter or episode of care that establishes the context for this AdverseEvent"/> 
      <definition value="The encounter or episode of care that establishes the context for this AdverseEvent."/> 
      <comment value="This will typically be the encounter the AdverseEvent occurred within.  For example, if
       a medication administration was considered an adverse event because it resulted in a rash,
       then the encounter when the medication administration was given is the context.  If the
       patient reports the AdverseEvent during a second encounter, that second encounter is not
       the context."/> 
      <alias value="encounter"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.context"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.date">
      <path value="AdverseEvent.date"/> 
      <short value="When the event occurred"/> 
      <definition value="The date (and perhaps time) when the adverse event occurred."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.date"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.init"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.resultingCondition">
      <path value="AdverseEvent.resultingCondition"/> 
      <short value="Effect on the subject due to this event"/> 
      <definition value="Includes information about the reaction that occurred as a result of exposure to a substance
       (for example, a drug or a chemical)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="AdverseEvent.resultingCondition"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.location">
      <path value="AdverseEvent.location"/> 
      <short value="Location where adverse event occurred"/> 
      <definition value="The information about where the adverse event occurred."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.location"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.seriousness">
      <path value="AdverseEvent.seriousness"/> 
      <short value="Seriousness of the event"/> 
      <definition value="Assessment whether this event was of real importance."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.seriousness"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventSeriousness"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Overall seriousness of this event for the patient"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-seriousness"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.severity">
      <path value="AdverseEvent.severity"/> 
      <short value="Mild | Moderate | Severe"/> 
      <definition value="Describes the severity of the adverse event, in relation to the subject. Contrast to AdverseEvent.se
      rious - a severe rash might not be serious, but a mild heart problem is."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.severity"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventSeverity"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The severity of the adverse event itself, in direct relation to the subject"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-severity"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.outcome">
      <path value="AdverseEvent.outcome"/> 
      <short value="resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown"/> 
      <definition value="Describes the type of outcome from the adverse event."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.outcome"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventOutcome"/> 
        </extension> 
        <strength value="required"/> 
        <description value="TODO (and should this be required?)"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-outcome"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.recorder">
      <path value="AdverseEvent.recorder"/> 
      <short value="Who recorded the adverse event"/> 
      <definition value="Information on who recorded the adverse event.  May be the patient or a practitioner."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.recorder"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.author"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.contributor">
      <path value="AdverseEvent.contributor"/> 
      <short value="Who  was involved in the adverse event or the potential adverse event"/> 
      <definition value="Parties that may or should contribute or have contributed information to the adverse event,
       which can consist of one or more activities.  Such information includes information leading
       to the decision to perform the activity and how to perform the activity (e.g. consultant),
       information that the activity itself seeks to reveal (e.g. informant of clinical history),
       or information about what activity was performed (e.g. informant witness)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="AdverseEvent.contributor"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity">
      <path value="AdverseEvent.suspectEntity"/> 
      <short value="The suspected agent causing the adverse event"/> 
      <definition value="Describes the entity that is suspected to have caused the adverse event."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="AdverseEvent.suspectEntity"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.id">
      <path value="AdverseEvent.suspectEntity.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.suspectEntity.extension">
      <path value="AdverseEvent.suspectEntity.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.suspectEntity.modifierExtension">
      <path value="AdverseEvent.suspectEntity.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="modifierExtension is reserved for use where modifier extensions must be used"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.suspectEntity.instance">
      <path value="AdverseEvent.suspectEntity.instance"/> 
      <short value="Refers to the specific entity that caused the adverse event"/> 
      <definition value="Identifies the actual instance of what caused the adverse event.  May be a substance,
       medication, medication administration, medication statement or a device."/> 
      <alias value="Substance or Medication or Device"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.suspectEntity.instance"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality">
      <path value="AdverseEvent.suspectEntity.causality"/> 
      <short value="Information on the possible cause of the event"/> 
      <definition value="Information on the possible cause of the event."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="AdverseEvent.suspectEntity.causality"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.id">
      <path value="AdverseEvent.suspectEntity.causality.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.extension">
      <path value="AdverseEvent.suspectEntity.causality.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.modifierExtension">
      <path value="AdverseEvent.suspectEntity.causality.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="modifierExtension is reserved for use where modifier extensions must be used"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.assessment">
      <path value="AdverseEvent.suspectEntity.causality.assessment"/> 
      <short value="Assessment of if the entity caused the event"/> 
      <definition value="Assessment of if the entity caused the event."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.suspectEntity.causality.assessment"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventCausalityAssessment"/> 
        </extension> 
        <strength value="example"/> 
        <description value="TODO"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-causality-assess"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.productRelatedness">
      <path value="AdverseEvent.suspectEntity.causality.productRelatedness"/> 
      <short value="AdverseEvent.suspectEntity.causalityProductRelatedness"/> 
      <definition value="AdverseEvent.suspectEntity.causalityProductRelatedness."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.suspectEntity.causality.productRelatedness"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.author">
      <path value="AdverseEvent.suspectEntity.causality.author"/> 
      <short value="AdverseEvent.suspectEntity.causalityAuthor"/> 
      <definition value="AdverseEvent.suspectEntity.causalityAuthor."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.suspectEntity.causality.author"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.method">
      <path value="AdverseEvent.suspectEntity.causality.method"/> 
      <short value="ProbabilityScale | Bayesian | Checklist"/> 
      <definition value="ProbabilityScale | Bayesian | Checklist."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="AdverseEvent.suspectEntity.causality.method"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventCausalityMethod"/> 
        </extension> 
        <strength value="example"/> 
        <description value="TODO"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-causality-method"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.subjectMedicalHistory">
      <path value="AdverseEvent.subjectMedicalHistory"/> 
      <short value="AdverseEvent.subjectMedicalHistory"/> 
      <definition value="AdverseEvent.subjectMedicalHistory."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="AdverseEvent.subjectMedicalHistory"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.referenceDocument">
      <path value="AdverseEvent.referenceDocument"/> 
      <short value="AdverseEvent.referenceDocument"/> 
      <definition value="AdverseEvent.referenceDocument."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="AdverseEvent.referenceDocument"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.study">
      <path value="AdverseEvent.study"/> 
      <short value="AdverseEvent.study"/> 
      <definition value="AdverseEvent.study."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="AdverseEvent.study"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="AdverseEvent">
      <path value="AdverseEvent"/> 
      <short value="Medical care, research study or other healthcare event causing physical injury"/> 
      <definition value="Actual or  potential/avoided event causing unintended physical injury resulting from or
       contributed to by medical care, a research study or other healthcare setting factors that
       requires additional monitoring, treatment, or hospitalization, or that results in death."/> 
      <alias value="AE"/> 
      <min value="0"/> 
      <max value="*"/> 
    </element> 
    <element id="AdverseEvent.identifier">
      <path value="AdverseEvent.identifier"/> 
      <short value="Business identifier for the event"/> 
      <definition value="Business identifiers assigned to this adverse event by the performer or other systems
       which remain constant as the resource is updated and propagates from server to server."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers
      )).  It is best practice for the identifier to only appear on a single resource instance,
       however business practices may occasionally dictate that multiple resource instances with
       the same identifier can exist - possibly even with different resource types.  For example,
       multiple Patient and a Person resource instance might share the same social insurance
       number."/> 
      <requirements value="Allows identification of the adverse event as it is known by various participating systems
       and in a way that remains consistent across servers."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.actuality">
      <path value="AdverseEvent.actuality"/> 
      <short value="actual | potential"/> 
      <definition value="Whether the event actually happened, or just had the potential to. Note that this is independent
       of whether anyone was affected or harmed or how severely."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because it has a potential code that indicates the
       adverse event did not actually happen."/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventActuality"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Overall nature of the event, e.g. real or potential"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-actuality"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.category">
      <path value="AdverseEvent.category"/> 
      <short value="ProductProblem | ProductQuality | ProductUseError | WrongDose | IncorrectPrescribingInformation
       | WrongTechnique | WrongRouteOfAdministration | WrongRate | WrongDuration | WrongTime
       | ExpiredDrug | MedicalDeviceUseError | ProblemDifferentManufacturer | UnsafePhysicalEnvironment"/> 
      <definition value="The overall type of event, intended for search and filtering purposes."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventCategory"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Overall categorization of the event, e.g. product related or situational"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-category"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.event">
      <path value="AdverseEvent.event"/> 
      <short value="Type of the event itself in relation to the subject"/> 
      <definition value="This element defines the specific type of event that occurred or that was prevented from
       occurring."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Detailed type of event"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-type"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.subject">
      <path value="AdverseEvent.subject"/> 
      <short value="Subject impacted by event"/> 
      <definition value="This subject or group impacted by the event."/> 
      <comment value="If AdverseEvent.resultingCondition differs among members of the group, then use Patient
       as the subject."/> 
      <requirements value="Allows for exposure of biohazard (such as legionella) to a group of individuals in a hospital."/> 
      <alias value="patient"/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.context">
      <path value="AdverseEvent.context"/> 
      <short value="Encounter or episode of care that establishes the context for this AdverseEvent"/> 
      <definition value="The encounter or episode of care that establishes the context for this AdverseEvent."/> 
      <comment value="This will typically be the encounter the AdverseEvent occurred within.  For example, if
       a medication administration was considered an adverse event because it resulted in a rash,
       then the encounter when the medication administration was given is the context.  If the
       patient reports the AdverseEvent during a second encounter, that second encounter is not
       the context."/> 
      <alias value="encounter"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.date">
      <path value="AdverseEvent.date"/> 
      <short value="When the event occurred"/> 
      <definition value="The date (and perhaps time) when the adverse event occurred."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.init"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.resultingCondition">
      <path value="AdverseEvent.resultingCondition"/> 
      <short value="Effect on the subject due to this event"/> 
      <definition value="Includes information about the reaction that occurred as a result of exposure to a substance
       (for example, a drug or a chemical)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.location">
      <path value="AdverseEvent.location"/> 
      <short value="Location where adverse event occurred"/> 
      <definition value="The information about where the adverse event occurred."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.seriousness">
      <path value="AdverseEvent.seriousness"/> 
      <short value="Seriousness of the event"/> 
      <definition value="Assessment whether this event was of real importance."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventSeriousness"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Overall seriousness of this event for the patient"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-seriousness"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.severity">
      <path value="AdverseEvent.severity"/> 
      <short value="Mild | Moderate | Severe"/> 
      <definition value="Describes the severity of the adverse event, in relation to the subject. Contrast to AdverseEvent.se
      rious - a severe rash might not be serious, but a mild heart problem is."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventSeverity"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The severity of the adverse event itself, in direct relation to the subject"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-severity"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.outcome">
      <path value="AdverseEvent.outcome"/> 
      <short value="resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown"/> 
      <definition value="Describes the type of outcome from the adverse event."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventOutcome"/> 
        </extension> 
        <strength value="required"/> 
        <description value="TODO (and should this be required?)"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-outcome"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.recorder">
      <path value="AdverseEvent.recorder"/> 
      <short value="Who recorded the adverse event"/> 
      <definition value="Information on who recorded the adverse event.  May be the patient or a practitioner."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.author"/> 
      </mapping> 
    </element> 
    <element id="AdverseEvent.contributor">
      <path value="AdverseEvent.contributor"/> 
      <short value="Who  was involved in the adverse event or the potential adverse event"/> 
      <definition value="Parties that may or should contribute or have contributed information to the adverse event,
       which can consist of one or more activities.  Such information includes information leading
       to the decision to perform the activity and how to perform the activity (e.g. consultant),
       information that the activity itself seeks to reveal (e.g. informant of clinical history),
       or information about what activity was performed (e.g. informant witness)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity">
      <path value="AdverseEvent.suspectEntity"/> 
      <short value="The suspected agent causing the adverse event"/> 
      <definition value="Describes the entity that is suspected to have caused the adverse event."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.instance">
      <path value="AdverseEvent.suspectEntity.instance"/> 
      <short value="Refers to the specific entity that caused the adverse event"/> 
      <definition value="Identifies the actual instance of what caused the adverse event.  May be a substance,
       medication, medication administration, medication statement or a device."/> 
      <alias value="Substance or Medication or Device"/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality">
      <path value="AdverseEvent.suspectEntity.causality"/> 
      <short value="Information on the possible cause of the event"/> 
      <definition value="Information on the possible cause of the event."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.assessment">
      <path value="AdverseEvent.suspectEntity.causality.assessment"/> 
      <short value="Assessment of if the entity caused the event"/> 
      <definition value="Assessment of if the entity caused the event."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventCausalityAssessment"/> 
        </extension> 
        <strength value="example"/> 
        <description value="TODO"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-causality-assess"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.productRelatedness">
      <path value="AdverseEvent.suspectEntity.causality.productRelatedness"/> 
      <short value="AdverseEvent.suspectEntity.causalityProductRelatedness"/> 
      <definition value="AdverseEvent.suspectEntity.causalityProductRelatedness."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.author">
      <path value="AdverseEvent.suspectEntity.causality.author"/> 
      <short value="AdverseEvent.suspectEntity.causalityAuthor"/> 
      <definition value="AdverseEvent.suspectEntity.causalityAuthor."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.suspectEntity.causality.method">
      <path value="AdverseEvent.suspectEntity.causality.method"/> 
      <short value="ProbabilityScale | Bayesian | Checklist"/> 
      <definition value="ProbabilityScale | Bayesian | Checklist."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdverseEventCausalityMethod"/> 
        </extension> 
        <strength value="example"/> 
        <description value="TODO"/> 
        <valueSetCanonical value="http://hl7.org/fhir/ValueSet/adverse-event-causality-method"/> 
      </binding> 
    </element> 
    <element id="AdverseEvent.subjectMedicalHistory">
      <path value="AdverseEvent.subjectMedicalHistory"/> 
      <short value="AdverseEvent.subjectMedicalHistory"/> 
      <definition value="AdverseEvent.subjectMedicalHistory."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.referenceDocument">
      <path value="AdverseEvent.referenceDocument"/> 
      <short value="AdverseEvent.referenceDocument"/> 
      <definition value="AdverseEvent.referenceDocument."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="AdverseEvent.study">
      <path value="AdverseEvent.study"/> 
      <short value="AdverseEvent.study"/> 
      <definition value="AdverseEvent.study."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
  </differential> 
</StructureDefinition> 

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.