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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: CDMH Adverse Event - Example - XML Representation

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