Common Data Models Harmonization
1.0.0 - STU 1 Publication

This page is part of the Common Data Models Harmonization FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: CDMH Adverse Event - Example - JSON Representation

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{
  "resourceType" : "AdverseEvent",
  "id" : "example",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "AdverseEvent Example"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "This is an example for the *CDMH AdverseEvent Profile*."
      }
    ],
    "profile" : [
      "http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-adverseevent"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Adverse Event Example</b></p></div>"
  },
  "extension" : [
    {
      "id" : "1",
      "url" : "http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-death-source",
      "valueCode" : "F"
    },
    {
      "id" : "2",
      "url" : "http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-death-match-confidence",
      "valueCode" : "F"
    }
  ],
  "identifier" : {
    "system" : "http://acme.com/ids/patients/risks",
    "value" : "49476534"
  },
  "actuality" : "actual",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-category",
          "code" : "medication-mishap",
          "display" : "Medication Mishap"
        }
      ]
    }
  ],
  "event" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "304386008",
        "display" : "O/E - itchy rash"
      }
    ],
    "text" : "This was a mild rash on the left forearm"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "date" : "2017-01-29T12:34:56+00:00",
  "seriousness" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-seriousness",
        "code" : "non-serious",
        "display" : "Non-serious"
      }
    ]
  },
  "severity" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-severity",
        "code" : "mild",
        "display" : "Mild"
      }
    ]
  },
  "suspectEntity" : [
    {
      "instance" : {
        "reference" : "Medication/example"
      },
      "causality" : [
        {
          "id" : "1234",
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-death-cause",
              "valueString" : "F"
            },
            {
              "url" : "http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-death-cause-code",
              "valueCode" : "F"
            },
            {
              "id" : "3",
              "url" : "http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-death-cause-confidence",
              "valueCode" : "F"
            },
            {
              "id" : "4",
              "url" : "http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-death-cause-type",
              "valueCode" : "C"
            },
            {
              "id" : "5",
              "url" : "http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-death-cause-source",
              "valueCode" : "F"
            }
          ]
        }
      ]
    }
  ]
}