NHSN Reporting: Adverse Drug Events - Hypoglycemia
0.1.0 - STU 1 Ballot
NHSN Reporting: Adverse Drug Events - Hypoglycemia
0.1.0 - STU 1 Ballot
This page is part of the NHSN Reporting of Adverse Drug Events - Hypoglycemia (v0.1.0: STU 1 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "bundle-document-ade",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:3183BE72-A852-4A00-A795-56477F9868D8"
},
"type" : "document",
"timestamp" : "2021-02-11T20:09:23.976+10:00",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Composition/composition-ade-hypoglycemia-example",
"resource" : {
"resourceType" : "Composition",
"id" : "composition-ade-hypoglycemia-example",
"meta" : {
"versionId" : "8",
"lastUpdated" : "2021-03-30T01:37:24.450+00:00",
"source" : "#lwoI0OgIeAoj7r0g",
"profile" : [
"http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/Composition-ade-hypoglycemia"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 85893-6}\">Adverse event note</span></p><p><b>encounter</b>: <a href=\"#Encounter_encounter-inpatient-example\">See above (Encounter/encounter-inpatient-example)</a></p><p><b>date</b>: Jan 4, 2021 9:10:14 AM</p><p><b>author</b>: <a href=\"#Practitioner_practitioner-ed-endocrinols-example\">Dr. Ed Endocrinols. Generated Summary: id: 9941339108; Edward Endocrinols </a></p><p><b>title</b>: Adverse Event Note</p><p><b>confidentiality</b>: N</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>Jan 4, 2021 9:10:14 AM</td><td><a href=\"#Practitioner_practitioner-ed-endocrinols-example\">Dr. Ed Endocrinols. Generated Summary: id: 9941339108; Edward Endocrinols </a></td></tr></table><p><b>custodian</b>: <a href=\"#Organization_organization-hospital-physician-group-example\">Hospitalists of the World. Generated Summary: id: 1144221847; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Hospitalists of the World; Phone: (+1) 734-677-7777, hq@hotw.org</a></p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85893-6",
"display" : "Adverse event note"
}
]
},
"subject" : {
"reference" : "Patient/patient-harry-hypoglycemic-example",
"display" : "Harry Hypoglycemic"
},
"encounter" : {
"reference" : "Encounter/encounter-inpatient-example"
},
"date" : "2021-01-04T09:10:14Z",
"author" : [
{
"reference" : "Practitioner/practitioner-ed-endocrinols-example",
"display" : "Dr. Ed Endocrinols"
}
],
"title" : "Adverse Event Note",
"confidentiality" : "N",
"attester" : [
{
"mode" : "legal",
"time" : "2021-01-04T09:10:14Z",
"party" : {
"reference" : "Practitioner/practitioner-ed-endocrinols-example",
"display" : "Dr. Ed Endocrinols"
}
}
],
"custodian" : {
"reference" : "Organization/organization-hospital-physician-group-example",
"display" : "Hospitalists of the World"
},
"section" : [
{
"title" : "Results Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Relevant diagnostic tests/laboratory data Narrative"
}
]
},
"entry" : [
{
"reference" : "Observation/observation-lab-ade-hh",
"display" : "Observation: Lab Test - Fasting glucose [Mass/volume] in Capillary blood"
}
]
},
{
"title" : "Medication Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of Medication use Narrative"
}
]
},
"entry" : [
{
"reference" : "MedicationAdministration/medicationadministration-metformin-example",
"display" : "MedicationAdminstration: metformin hydrochloride 100 MG/ML Extended Release Suspension"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationAdministration/medicationadministration-metformin-example",
"resource" : {
"resourceType" : "MedicationAdministration",
"id" : "medicationadministration-metformin-example",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2021-01-14T05:46:36.398+00:00",
"source" : "#9DA5wo4YZ8MCCJ6f",
"profile" : [
"http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/MedicationAdministration-Antidiabetics"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 2200518}\">metformin hydrochloride 100 MG/ML Extended Release Suspension</span></p><p><b>subject</b>: <a href=\"#Patient_patient-harry-hypoglycemic-example\">Harry Hypoglycemic. Generated Summary: Medical Record Number: 1032702 (USUAL); active; Harry Hypoglycemic ; Phone: 555-555-5555, harry.hypoglycemic@example.com; gender: male; birthDate: 1990-06-09</a></p><p><b>context</b>: <a href=\"#Encounter_encounter-inpatient-example\">See above (Encounter/encounter-inpatient-example)</a></p><p><b>effective</b>: Jan 4, 2021 3:30:00 AM</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"#Practitioner_practitioner-ed-endocrinols-example\">Ed Endocrinols. Generated Summary: id: 9941339108; Edward Endocrinols </a></td></tr></table><h3>Dosages</h3><table class=\"grid\"><tr><td>-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 26643006}\">Oral route (qualifier value)</span></td><td>100 mg/mL</td></tr></table></div>"
},
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "2200518",
"display" : "metformin hydrochloride 100 MG/ML Extended Release Suspension"
}
],
"text" : "metformin hydrochloride 100 MG/ML Extended Release Suspension"
},
"subject" : {
"reference" : "Patient/patient-harry-hypoglycemic-example",
"display" : "Harry Hypoglycemic"
},
"context" : {
"reference" : "Encounter/encounter-inpatient-example"
},
"effectiveDateTime" : "2021-01-04T04:30:00+01:00",
"performer" : [
{
"actor" : {
"reference" : "Practitioner/practitioner-ed-endocrinols-example",
"display" : "Ed Endocrinols"
}
}
],
"dosage" : {
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral route (qualifier value)"
}
]
},
"dose" : {
"value" : 100,
"unit" : "mg/mL",
"system" : "http://unitsofmeasure.org",
"code" : "mg/mL"
}
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-lab-ade-hh",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-lab-ade-hh",
"meta" : {
"versionId" : "3",
"lastUpdated" : "2021-03-30T01:37:24.455+00:00",
"source" : "#eaJfR5tWjHVOt22c",
"profile" : [
"http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/Observation-lab-blood-glucose"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 1556-0}\">Fasting glucose [Mass/volume] in Capillary blood</span></p><p><b>subject</b>: <a href=\"#Patient_patient-harry-hypoglycemic-example\">Harry Hypoglycemic. Generated Summary: Medical Record Number: 1032702 (USUAL); active; Harry Hypoglycemic ; Phone: 555-555-5555, harry.hypoglycemic@example.com; gender: male; birthDate: 1990-06-09</a></p><p><b>effective</b>: 2020-08-04</p><p><b>value</b>: 60 mg/dL</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "1556-0",
"display" : "Fasting glucose [Mass/volume] in Capillary blood"
}
],
"text" : "Fasting glucose [Mass/volume] in Capillary blood"
},
"subject" : {
"reference" : "Patient/patient-harry-hypoglycemic-example",
"display" : "Harry Hypoglycemic"
},
"effectiveDateTime" : "2020-08-04",
"valueQuantity" : {
"value" : 60,
"unit" : "mg/dL",
"system" : "http://unitsofmeasure.org"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/patient-harry-hypoglycemic-example",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-harry-hypoglycemic-example",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2021-03-30T01:37:24.710+00:00",
"source" : "#NNccy4B9zEObY7xE",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div class=\"hapiHeaderText\">Harry <b>HYPOGLYCEMIC </b>\n </div>\n <table class=\"hapiPropertyTable\">\n <tbody>\n <tr>\n <td>Identifier</td>\n <td>1032702</td>\n </tr>\n <tr>\n <td>Address</td>\n <td>\n <span>123 Main St. </span>\n <br/>\n <span>Denver </span>\n <span>CO </span>\n <span>US </span>\n </td>\n </tr>\n <tr>\n <td>Date of birth</td>\n <td>\n <span>09 June 1990</span>\n </td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1586-7",
"display" : "Shoshone"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2036-2",
"display" : "Filipino"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2184-0",
"display" : "Dominican"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2148-5",
"display" : "Mexican"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "1032702"
}
],
"active" : true,
"name" : [
{
"family" : "Hypoglycemic",
"given" : [
"Harry"
],
"period" : {
"start" : "1990-06-09"
}
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-5555",
"use" : "home"
},
{
"system" : "email",
"value" : "harry.hypoglycemic@example.com"
}
],
"gender" : "male",
"birthDate" : "1990-06-09",
"address" : [
{
"line" : [
"123 Main St."
],
"city" : "Denver",
"state" : "CO",
"postalCode" : "80204",
"country" : "US",
"period" : {
"start" : "1990-06-09"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Encounter/encounter-inpatient-example",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter-inpatient-example",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2020-12-24T16:04:02.731+00:00",
"source" : "#0iVdQ7vmh3cAIABY",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 24882007}\">Medical consultation on hospital inpatient</span></p><p><b>subject</b>: <a href=\"#Patient_patient-harry-hypoglycemic-example\">See above (Patient/patient-harry-hypoglycemic-example)</a></p><p><b>period</b>: Jan 4, 2021 10:00:14 PM --> (ongoing)</p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "24882007",
"display" : "Medical consultation on hospital inpatient"
}
],
"text" : "Medical consultation on hospital inpatient"
}
],
"subject" : {
"reference" : "Patient/patient-harry-hypoglycemic-example"
},
"period" : {
"start" : "2021-01-04T17:00:14-05:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Practitioner/practitioner-ed-endocrinols-example",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-ed-endocrinols-example",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2020-12-24T15:44:43.712+00:00",
"source" : "#YoohXn50YQm3jkn8",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 9941339108</p><p><b>name</b>: Edward Endocrinols </p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "9941339108"
}
],
"name" : [
{
"family" : "Endocrinols",
"given" : [
"Edward"
],
"prefix" : [
"Dr"
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/organization-hospital-physician-group-example",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-hospital-physician-group-example",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2020-12-24T15:44:43.706+00:00",
"source" : "#QNqacR8YkaVwX6t3",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1144221847</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Hospitalists of the World</p><p><b>telecom</b>: ph: (+1) 734-677-7777, <a href=\"mailto:hq@hotw.org\">hq@hotw.org</a></p><p><b>address</b>: 111 Any St. Denver CO 80204 USA </p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "1144221847"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Hospitalists of the World",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 734-677-7777"
},
{
"system" : "email",
"value" : "hq@hotw.org"
}
],
"address" : [
{
"line" : [
"111 Any St."
],
"city" : "Denver",
"state" : "CO",
"postalCode" : "80204",
"country" : "USA"
}
]
}
}
]
}
IG © 2020+ HL7 International - Public Health Work Group. Package hl7.fhir.us.nhsn-ade#0.1.0 based on FHIR 4.0.1. Generated 2021-04-12
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